BOTH-000204-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000204-2016 Date Issued: Monday, December 5, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000204-2016
has been completed.
Tax Map Number: 308.14-1-52
Location: 183 PITCHER RD
Owner: FOREST PARK MHC,LLC
Applicant: FOREST PARK MHC,LLC
This structure may be occupied as a: Residential Septic Alteration
33 Briwood Circle By Order of Town Board
TOWN OF QUEENSSBUR�JY
Issuance of this Certificate of Compliance DOES NOT relieve the - r/ /I
property owner of the responsibility for compliance with Site Plan, aQa✓jj1AkX V
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518,)761-8201
,ap
r
Community Developtnent- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: BOTH-000204-2016
'Tax Map No: 308.14-1-52
Permission is hereby granted to: Stone Installations
For property located at: 183 PITCI lI R RD
In the'Town of Queensbury,to construct or place at the above location in accordance with application together
with plat plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury boning;Ordinance
Tvpe of Construction
Owner Name: FOREST PARK MMC, LLC Septic Disposal $0,00
Owner Address: 183 Pitcher RD Total Value $0,00
Quecaasbury,NY 128(14
Contractor or Builder's Name/Address Electrical Inspection Agency
Stone Installations
43415 Route 50
Saratoga Springs,N`a' 12866
Plans 6'c Specifications
Residential Septic Alteration
$40.00 PERMITFEE PAID-THIS PERMITEXPIRES! Sunday,April 9,20117
(1f a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town oaleecr abur, H' �,2016
S1C;N1':'D 1'r Y: t�„ fiat the"Towyn of Queensbury.
Director of Building&Code Enforcement
SEPTIC DISPOSAL APPP,I � � � Office Use Only
eved
DATE: "l Wap 1D'
3 20 t No. 601.14' 0 1
TAX MAP ID: �° Perri t Pee "0
ZDNE:
f � � iRHFV
APPLICANT
PHONE f E-MAIL
ADDRESS "t` ° - ' I
"r
INSTALLER C ,. PHONE/E-MAIL
OWNER a s >c. r .. i
mil
ADDRESS � �f C� e�r
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE:
PHONE/E-MAIL r –'e'7,27
RESIDENCE INFORMATION
Year Built #of bedrooms X gallons per bedroom total Daily flow
1980 or older Garbage grinder installed Yes "`No
1981-1991 Spa.or Hot Tub installed _Yes gNo
1992-Present
PARCEL INFORMATION
Topography ^lat rolling Steep slope —%Slope
Soil Nature `Sand Loam. Clay Other
Groundwater At what depth:
Bedrock l Impervious material At what depth:
Domestic Water Supply unicipal Well(if well,water supply from any septic system absorption is_ft.)
Percolation Test Date: per minute per inch(test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FO OR NEW CONSTRUCTION
Tank size gallons(min,size 1,000 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub ,l
System Absorption field with fit stone Total length ff.;Each Trench ' f
Seepage Pit with#3 stone How many: _;Size
Alternative System Bed or other type:
Holding Tank System Total required capacity? Tank size #of tanks
Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will
no longer allow systems to be covered until such time as.an As-Built plan is received&approved, The installed system must match the
septic system layout on file–no exceptions.
Declaration: Any permit or approval granted which is based upon or is,granted in reliance upon any material representation or failure
to make a material fact or circumstance known by or on behalf of an applicant,shall be void.I have read the regulations and agree to
abide by these and all re e►nents of Town of Queensbury Sanitary Sewage Disposal Ordinance.
PRINT NAME: DATE:
SIGNATURE: DATE:
Town of Queensbury Building&Co es Principal Structure Application Revised September 2014
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GENERAL NOTES:
DESIGN INFORMATION
S01145 INFORMATION: . SITE INFORMATION: 1. SEE NOTE SHEET. CALL ENGINEER TO
BEDRMS DESIGN FLOW DESIGN FERC. gEQ'D LENGTH of
PT = PERCOLATION TEST (LOCATIONS, SEE PLAN) TOPOGRAPHY AT TREATMENT FIELD IS RELATIVELY LEVEL CLARIFY ANY DESIGN DETAILS.
RATE LATERALS DTP = DEEP TEST PIT
TEST PERFORMED ON 0+4-13-16 WITH STONE INDUSTRIES IN PROPOSED DWELLING SUPPLIED WITH MUNICIPAL WATER. 2.USE DIMENSIONS GIVEN: DO NOT
3 330 GAL/DAY 1-5 MPI 138'-257.*=1031 TREATMENT AREA. SCALE DRAWINGS.
NO ACTIVE NEIGHBORING WELLS NOTED/VISIBLE WITHIN 100' 3,ALL PERMITTMG/VARIANCES TO BE
PROPOSED INSTALLATION: DTP" #"1 (SEE SITE PLAN FOR LOCATIONi OF_�� �T � OBTAINED OY CONTRACTOR AND/OR g r Icf i
TRENCH SYSTE6A WITH AOS RANCOR ARC 24 CHAMBERS 0 -10DARK SANDY TOPSOIL WITH ROOTS.
10"-28" LIGHT BROWN SAND PROPERTY OWNER.
I.T•
28"-76" TAN,GREY/BROWN SAND. f F � i
TOTAL NUMBER OF LATERALS =. 2 `�";-� �� T� �t
NO GROUNDWATER OR MOTTLING NOTED
LENGTH OF jACH LATERAL = 5.5'-0"
p (
WEN
TOTAL LENGTH OF LATERALS 110' > 103' PT f#1 STABILIZED PERCOLATION RATE: 1:07 MPI t
PT #2 STABILIZED PERCOLATION RATE: 1:05 MPI • - g z %' `^ r
* PER NYS bCO APP. 75—A(FEB 3, 201t7), A 25% REDUCTION IN NORTH
TRENCH LEN47H IS ALLOWED WITH USE OF GRAVELLESS CHAMBERS PROJECT LOCATION I -LAN
WITH 1.6SF/FT OF BOTTOM AREA & VOLUME OF 7.5GAL/FT & OpEN_ •
SIDEWALLS..TA$LE 6C OF NYSDOH 'GREEN' HANDBOOK. NOT TO SCALE
0
0
It is a violation of NYS education law article 145 for
• any person, unless he/she is acting under the
' direction of a licensed professional engineer, to altik
an item in any way. Refer to education law §7209.
SHED
eu
LOT INFORMATION:
SOLID 4"0 SCH40 AT PER TAX MAP : 3'0- .14-1 -58 -2
/— LOT #33 FOOT W�TH 22° BENDS. TOWN OF QUEENSBURY
0 • LOT SIZE: 48.9 ACRES
i 0 EXISTING 3 110 MINS°
BEDROOM APPROVAL STAMP / NATES
C� DWELLING NE 1250 GALLON CONCRETE
® TANK WITH FILTER.SEE DETAILS. INSTALLER `T0 LOCATE ALL UNDERGROUND
1
PARKING 27' 2 UTILITIES PRIOR TO CONSTRUCTION.
m B q z
I.
5'
2 LATERALS AT 55' EACH. L1
20' C
AD HANCOR ARC 24 CHAMBERS. 1-T
--> ; r '
SEE DETAILS. .. ...:.. ... D—BOX,6' ` rn
: . •.:, .; -:.... ... . ....: : . . . ._L2 SEE DETAILS '
�— WATER LINE, MAINTAIN 10' HORIZONTAL ~^r TYPICAL' Q i_%
SEPARATION TO SEPTIC. I
' ® TOWN OF QUEENSBURY
II LOT #31 BEDROOM 'EXISTING 23 EPTIC REPLACEMENT rDESIGN'/ GRAVELLESS CHAMBER
DWELLING FOREST PARK - LOT #33 BRIWOOD
183 PITCHER ROAD, QUEENSBURY, NY (TOWN OF QUEENSBURY)
()f NEW DRAWING 111LE,
AS—BUILT TIE—IN DIMENSIONS FT
��,ea a �� KENGINEERING, PLLO SITE PLAN
A B C D 225 RUGGLES RID.,SARATOGA SPRINGS,NY
SEPTIC SITS PLAN 518.581.3893 FILE NAME SITE
SCALE
N D—BOX: 13 38N0. SUBMITTAL REVISION APP'D. DATE
1 (� aci DATE APRIL.2016
o -•-
L1- BEGIN 10 33 PLOT PLAN INFORMATION OBTAINED FROM WARREN COUNTY GIS ';Z
H AND AS INDICATED BY PROPERTY MANAGER. Ji p y (y A ISSUED FOR REVIEW/_PiPROVAL RKR
L1 END, 50 25 �' t� REVISION 1
o v THIS DRAWING DOES NOT REPRESENT A LAND SURVEY AND MUST '+�® ®spa 50 �G t RECORD DRAWING RKR 4/13/16 ,.
0 L2 BEGIN 15 33 NOT BE CONSTRUED AS SUCH. p�OF�S$1o���. SHEET
of
L2 END 52 28 C-001 1 of
2
MOUND TOPSOIL FOR SETTLING. It is a violation of NYS education law article 145 for PROJEQT.NOTES:
any person, unlaces he/she is acting under the
SEED AND COVER WITH STRAW. a direction of a 11densed professional engineer, to alter
6' G 1. SYSTEM DESIGNED IN ACCORDANCE WITH 2010 NYSDOH APRENOIX 75-A.
an itom in any way. Refer to education law X7209. SEE NYSDOH'S "APPENDIX 75-A, WASTEWATER TREATMENT STANDARDS -
TYP. MIN. INDIVIDUAL HOUSEHOLD SYSTEMS-,& "NYSDOH - (GREEN) DES16N
HANDBOOK" FOR ADDITIONAL DESIGN AND INSTALLATION GUIDELINES. NO
GRAVESS NATIVE GUARANTEE ON SYSTEM PERFORMANCE OR LONGEVITY.
CHAMBER EARTH I''- 15
2. INFORMATION ON THESE DRAWINGS IS FOR SEPTIC SYSTEM DESIGN
i�li_BACKFILL IIrr''III. PURPOSES ONLY.
3. WI
II-I -I- � 1 II CONSTRUCTION SHALL BE AS SHOWN ON THESE DRAWINGS AND
=1111 I III-1 r 11 111 1 2" CHAMBER —III—n IN ACCCkbANCE WITH ALL NYSDOH AND SYSTEM MANUFACTURER'S
HEIGHT ONE CHAMBER
_z LONGITUDINAL SECTION REQUIREMENTS.
PROPOSED GRADE, SLOPE TO
DO NOT SMEAR SOILS DURING 2' :2 DRAIN. SEED AND MULCH. 4. ALL WORK MUST COMPLY WITH LOCAL, STATE & FEDERAL $AFETY
EXCAVATION. REGULX-f6NS, (NYSDOH, OSHA, NYSDOT). PERMITTING REQUjf E64ENTS ARE
N INSTALL LEVEL. REMOVE THE RE*ONSIBILITY of THE OWNER.
DL--81RIS, RAKE FLOOR & WALLS. 5. HEAVY CQUIPMENT SHALL BE KEPT AWAY FROM THE TREATMENT FIELD.
j NO VEHICLES ALLOWED ON TREATMENT FIELD.
GROUND WATER, BEDROCK OR 6. SMEARED TREATMENT AREA FLOORS AND WALLS ARE TO BE RAKED.
IMP1ERMEABLE STRATA
PER NYSDOH APP. 75-A FEB 3, 2010);'A 25%
REDUCTION IN TRENCH LENGTH IS ALLOWED WITH USE OF 7. TREATMENT FIELD SHALL BE GRADED TO SHED RAINFALL AND TO
GRAVELLESS CHAMBERS WITH 1.6SF/FT OF BOTTOM AREA ADS HANCOR ARC 24 CHAMBER MODEL DIVERT SURFACE RUNOFF FROM ADJACENT AREAS.
& VOLUME oF;7;5GAL/FT & OPEN S10EWAtts. G)RAVELLESS CHAMBER TRENCH TREATMENT SECTION
8. RECOMMRNDATION: DOWNSLOPE OR SHALLOW WELLS SHOULD RAVE
UV TREATMENT OR CHLORINATION AND FILTRATION SYSTEM INSTALLED.
SCALE: NTS WELL WAR QUALITY SHOULD BE TESTED PERIODICALLY.
24" bIA
4PRECAST
SEPTC TANK r--T-1 � 9. INSTALL�FFLUENT FILTER IN SEPTIC TANK, (POLY-LOK PL-122) WITH
C I + I I A RISER OR EQUAL.
INLET II �r�1 } OUTLgT 10. GARBAGE GRINDERS AND WATER TREATMENT SYSTEM SHALL (>lOT ATTACH
TO SEPTIC. NO SUMP PUMP DISCHARGE ALLOWED. LEAKING FIXTURES WILL
CAUSE FAILURE OF SEPTIC SYSTEM,INLETOUTLET PROVIDE EFFLUENT
FILTER; SEE NOTES. APPROVAL STAMP / NOTES
INSTALL RISER & EFFLUENT FILTER (POLYLOK PL-A22)
1--_1/2"
LOCKABLE COVER, TYP
C. CRETE BAFFLE BACKFILL WITH CLEAN ZFNISHED GRADE
OR EQUAL BAFFLE IN 8IN PFAAI qL pAMCEp EFFLUENT FILTER OPSOI, SEED & MULCH
H LIFTS N'D T PEDREMOVABLE COVERjy
COVER WATERPROOF SEAL
12" MIN `
O\'\\\\\\\\\O \\\\; ¢ m INLETINVERT POLY RISER
2" ABOVE
iv v INLET ) OUTLET INVERT
\ - ( OUTLET
CAULKED \ m CAU.Lttm
INLET - JOINT _z JOINT
-� OUTLET SANITARY �� QUI SANITARY TEE W/
TEE c o EFFLIOT FILTER
2' MIN. �BULKHEAD 3.
MIN
12" MIN.
L o�Qo 000 ,n �
CLEAN SAND PEA
GRAVEL OR AGGREGATE o
(3/4" — 1/2") a 44 .00-00 p6_a o o as
IF DESIGNED TO USE EXISTING SEPTIC TA!K, PUMP OUT AND INSPEQT
EXISTING TANK, PROVIDE WRITTEN REPORT TO ENGINEER. SYSTEM COMPONENTS SHALL BE
MAINTAINED. TANKS.SHALL BE PUMPED
1. MINIMUM LANK CAPACITY AS FOLLOW..
OUT AND INSPEC'T0 EVERY 2 YEARS
1. PIPE JOINTS TO BE SEALED LIQUID TIGHT. - FOR:3 BEDROOMS OR LESS TANK,SHALL BE 1,000 GALLONS, WITH OR LESS FOR OPTIMAL PERFORMANCE; PROJECT,
27 SF, SURFACE AREA. SEPTIC REPLACEMENT DESIGN / GRAVELLESS CHAMBER
2. SPEED LEVELING DEVICES SHALL BE USED ON ALL - 4 BEDROOMS SHALL HAVE A 1,250 GALLON TANK WITH 34 S,F, EFFLUENT FILTER (IF INSTALLED) SHALL
SURFACE AREA BE CHECKED ,AND CLEANED FOREST PARK - LOT #33 BRIWOOD
OUTLET PIPES. - FOR EACH ADDITIONAL BEDROOM ADD 250 GALLONS & 7 9:F. REGULARLY. OTHERWISE PREMATURE
SURFACE AREA FAILURE COULD OCCUR . (TOWN OF QUEENSBURY)
3. SEPTIC TANK TO D-BOX: 4" PVC SCH40 OR SDR21, 183 PITCHER ROAD, QUEENSBURY, NY
LIQUID TIGHT JOINTS, MIN. SLOPE 1/8" PER FOOT. - FOR HOT TUB/SPA AND/OR GARBAGE GRINDER ADD 250
GALLQNS TO TANK SIZE FOR EACH.
4. THE SLOPE OF OUTLET PIPES BETWEEN THEDRAWING TITLE:
DISTRIBUTION BOX AND DISTRIBUTION LATERALS 2. BUILDING TO SEPTIC TANK: 4" PVC SCH. 40 PIPE, LIQUID TIGHT JOINTS, " NEI.,�
SHOULD BE SLOPED AT .LEAST 1/32" PER FOOT MIN. SLOPE 1/4" PER FOOT. RKENGINEERING9 PLLC DETAILS
AND CONSTRUCTED OF 4" PVC SCH. 40 OR SDR21 �Q� f 225 RUGGLES.RD.,SARATOGA SPRINGS,NY
3. SEPTIC TANK TO D-BOX OR PUMP TANK: 4" PVC SCH. 40 PIPE OR
'� 518.581.3893
WITH LIQUID TiGHT JOINTS. 'A FILE NAME DIETAiILS
SDR21, LIQUID TIGHT JOINTS, MIN. ,SLOPE 1/8" PER FOOT. „n --
to 5. USE DOUBLE SIDED STICKING RUBBER BUM FOR ° No, SUBMITTAL SCALE AS NOTED
N I DOSED SYSTEMS. 4. SEPTIC TANK TO CONSTRUCTED PER NYSDOH WIDLINES. �4 DATE APRIL 2016
/ REVISION APP'D. DATE
NEW CONCRETE' i A ISSUED FOR REVIEW/APPROVAL RKR REVISION 1
W 9!STRIBUTiON BOX NEW 125;0 GAL CONCRETE SEPTIC TNI ��® 0;P95 RECORD DRAWING _ RKR a/ta/ts - SHEET
8.
IL Of SCALE: NONE SCALE: NONE �'4�FEgS1��`P� C-100 2 OF
2