BOTH-000120-2016 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-000120-2016 Date Issued: Monday, August 15, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000120-2016
has been completed.
Tax Map Number: 226.16-1-14
Location: 27 MASON RD
Owner: MA FC 2012 TRUST
Applicant: MA FC 2012 TRUST
This structure may be occupied as a: Residential Septic Alteration
By Order of Town Board
TOWN'O^F QQUEENS/BBURY/J
Issuance of this Certificate of Compliance DOES NOT relieve the r:`
property owner of the responsibility for compliance with Site Plan, � f/�1( .dt 9
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
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: BOTH-000120-2016
Tat Map No: 226.16-1-14
Permission is hereby granted to: MA FC 2012 TRUST
For property located at: 27 MASON RD
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: MA FC 2012 TRUST Septic Disposal $0.00
Owner Address: 27 Mason RD Total Value 50.00
Queensbury,NY 12804
Contractor or Builder's Name J Address Electrical Inspection Agency
Plans&Specifications
Residential Septic Alteration
50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 4,2017
(If 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 of ueensbu /�Ved s a ,2016
SIGNED BY: �rYJ for the Town of Queensbury.
Director of Building&Code Enforcement
SEPTIC DISPOSAL PERMIT
Office Use Only
DATE 3/7/2016 Received
Tax Map ID
TAx MAP ID 226.16-1-14&226.16-1-27 Permit No. �lrk 1
Permit Fee y� . �nyotcoul:�
LOCATIONOFINSTALLATION 27 MASON ROAD Approvals:
APPLICANT MA FC 2012 TRUST X/ZDA1L (518) 656-3070
ADDRESS P.O. BOX 220, ALPINE NJ 07620 �b Z
INSTALLERIBUILDER: (TO BE DETERMINED) PHON /E-MAIL
ADDRESS:
OWNER MA FC 2012 TRUST PHONE/E-MAIL (518) 656-3070
Address P.O. BOX 220, ALPINE NJ 07620
CONTACT PERSON FOR BulLDING&CODES COMPLIANCE. HUTCHINS ENGINEERING PrroNE(518) 745-0307
RESIDENCE INFORMATION
Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow
1980 or older 5 110 550 Garbage grinder installed —Y X N
1981-1991 Spa or Hot Tub installed _Y X N
1992-Present
PARCEL INFORMATION
Topography X Fiat rolling Steep slope %slope
Soil Nature Sand X Loam Clay Other
Groundwater At what depth? PRESUMED SEASONAL HIGH GROUNDWATER TABLE @ 33°
Bedrock 1 Impervious Material At what depth?
Domestic Water Supply X Municipal Well (if well, water supply from any septic system absorption is ft.)
Percolation Test Rate: 6 MIN/IN per minute per inch(test to be completed by licensed engineering I architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank Size EXISTING 1,000 gallons (minimum size 1,000 gallons, add 250 gallons to size for each garbage grinder or spa or hot tub)
System Type Absorption field with#2 stone Total length ft.; Each trench x
Seepage Pit with#3 stone How many: _;size
Alternative System Bed or other type? 20'X 40'ABSORPTION BED IN SHALLOW CONFIGURATION
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 know by or on behalf of an applicant, shall be void. I have read the regulations
and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Print Name: FRED MCKINNEY Date: 3/7/2016
Signature:
Town of Queensbury Building &Codes Septic Disposal Permit July 2014
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LEGEND
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SYSTEM I TAL TI NNOTES
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I� CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING AND IN
<.� 15, 115- SQ. FT. '
� `:. 4 ACCORDANCE WITH THE N.Y.S. DEPARTMENT OF HEALTH INDIVIDUAL
' , 0.34! ACMES
i HOUSEHOLD SYSTEMS AND ASTM F481 INSTALLATION OF .
3 i'`" ` RAGE r THERMOPLASTIC PIPE AND CORRUGATED TUBING IN SEPTIC TANK
•,3 2 .97-0 � i , ., �¢ LEACH FIELDS.
1 p�C ��� F F (I Uf5) (71) AFTER EXCAVATION OF BED TO THE DEPTH REQUIRED, THE WALLS
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'f CSP �I. QUSF
�7 ` �� AND FLOOR OF THE BED SHALL BE CLEANED AND RAKED IN ORDER
SC�iy� � %
_'"��, r1.,..... (3 I) ��� :r>T''+ 0�,�O TO LOOSEN SMEARED SECTIONS OF BED.
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GUAR \Te
`" 'F P M j SHED TO BE RELOCATED PLACEMENT OF AGGREGATE SHALL BE. AS SHOWN, AND CARE SHALL
f �C DY 2.O' `�9 .. EXISTING ABSORPTION
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'„.; A PTION Fa�Ll7 c,A,� BE EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND
- _ / SPIJALT U REMOVED AS MISNECSIONED PROP 20'x40 SrrAt.....,..0 WASTE MATERIAL IN THE ABSORPTION BED.
„, � _
—__ I O WW 5iETDACK ABSORPTION B LQ GIRF
� . .._..._ -�- — G HUMPS,
-- —,�` a ,
EO PE AND STONE SHALL BE LAID AT THE GRADES INDICATED,
I
- ! (100) , 1_7 I'--7'=z SEPARf�TEDGJOINTS,IOR OTHER UNSUITABLE COND(TIONSSA
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i AREA
i ::..:::.....:., s w'':.a.:'' 'zi: ': ALL D
ii 10,857.57 SQ, FT. [;:'� ��,�, ,0,,*)��,,-` „ . ,Y POSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND
- I PROP.OISE BOX g, ,,•- r A' f”-'�,�-'',. '..:.. -.!, ''
I 0.25 ACRES
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;_S.;,.',.;,7•: 1's " :x%'.; =,Y;;;} DIVERT SURFACE RUNOFF AWAY FROM THE DISPOSAL FIELDa
�P �/f ' THE ABSORPTION AREA
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DO NOT USE HEAVY EQUIPMENT WITHIN
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TIE
(72) AFTER E BEEN INSTALLED.
TIE LINE oj`� � p O PROP.FORCEMAIN ; > CHAMBERS HAVE
(fit I ��a ir' •`F`\a' '•:''s.'•
N „ '
ExISTxNG 17RAINAGE �' — — — `-- ---- --- I O'-WW 5ETDAGK " }: ``.-' " w" SYSTEM IS DESIGNED FOR WATER CONSERVING FIXTURES AND IS
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Wool)- .•..1.1 , ,,.. ��____b
PIPING ttacArgON -- --- -�--� rOPOFFx�z\ l T DESIGNED TO ACCOMMODATE EXTREME WATER USE OR EXTREME>•;', THINO90 - ALONG SHORE SEAWALL r[:: EXISTING HOUSE SEW A' APPROXIMATE I G{RF `-_ —TOEOFFILL ✓ / ORGANIC LOADING DEVICES SUCH AS JACUZZI TYPE SPAS OR' MOUSe EXISTING 1000 GAL.SEPTIC TANK N _ DRAIN ___-____�- �, � °`"�" GARBAGE GRINDERS.
m (32) ____- F >+x� FFNCE f'O�T ROOF FOOTING GARAGE CELLAR
5.0 ± {
EXISTING EFFLUENT SEWER � IP WATER AND SURFACE DRAINAGE
_._..__ .._,_. .-._ ST EXCLUDED E S
EXISTING Soo GAL.PUMP STATION - U .
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Mu BE Exc F o T WASTEWATER R
FROM H AS EWATE SYSTEM.
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A1. c�� ��� �TaNe �wv� _ - _{ WASTEWATER SYSTEM FILL
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(HERS MOL15E
MATERIAL
-
, NATES
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AFTER REMOVING ORGANICS, TOPSOIL AND FIRST 12" OF NATIVE SILTY SAND,
( - - . ----- -. PLACE SYSTEM FILL OVER THE ENTIRE AREA OF PROPOSED ABSORPTION BED AND
- 1 TAPER AREA.
(1 10) - 1. -
. - "ABSORPTION AREA - SYSTEM FILL"., MATERIAL:-SHALL BE CAREFULLY SELECTED
SAND, SANDY LOAM OR SAN_ DY LOAMY_ GRAVEL WITH !N—PLACE PERCOLATION RATE -
I OF 2-5 MIN/INCH AND NO ORGANICS OR OBJECTS OVER 3" IN SIZE. LESS THAN
...- ...__. ._._...._.._..
LANDS N1F OF ...- -, .--- _ _...._,
10% BY WEIGHT SHALL BE FINER_ THAN '0 05mm AT LEAST 25 OF THE
FREDERICK& LINDA MCKINNEY _. MATERIAL BY WEIGHT SHALL BE IN ,THE._RA,NGE, OF 0.50mm T 2. m. LE
.... .... ..
978/133 1 I . .- ._1_ THAN 15% QF THE MATERIAL BY WEIGHT SHALL BE LARGER THANOA 1/2" SIEVE,SS
(33) ABSORPTION AREA SYSTEM FILL .MATERIAL SHALL BE INSTALLED TO PROVIDE
_ MINIMUM 4F 2—FEET BETWEEN SEASONAL HIGH GROUNDWATER AND BOTTOM OF
E LANDS N1F OF I ABSORPTION BED (30"t BELOW EXISTING GRADE). ONLY SYSTEM FILL MATERIAL
1 FREDERICK&LINDA McK1NNEY (1 1 1) SHALL BE INSTALLED THROUGHOUT THE -ABSORPTION BED AREA AND TAPER
WASTEWATER Y TENT 5781133 AREAS.
SCALE 1"=20' - 22/34 '
/ I ABSORPTION AREA SYSTEM FILL MATERIAL IS TO BE MECHANICALLY STABILIZED IN
. SCALE: 1"=40' — 11/17 i 12" LIFTS WITH TRACKED EQUIPMENT PRIOR TO INSTALLATION OF ABSORPTION
G �I IIGGA�L. } TRENCHES.
INSTALLER TO NOTIFY ENGINEER OF PROPOSED SOURCE 4F S M FILL MATERIAL
10 0 5 10 20 40 , PRIOR TO TRANSPORTING TO SITE.
1 l
( IN FEET ) MATERIAL REQUIRED TO PROVIDE- COVER 4F A STATION
� ,, COPY SYSTEMMAY FILL.
NATIVE MATERIAL OR OTHER MAS N NECESSARILY
WASTEWATER SYSTEM ATE IAL �
ABSORPTION NOTES
WA T A I R SYSTEM SI IT OIL ATA � �2
SPECIFICATIONS W
THIS DESIGN UTILIZES PIPE—IN—STONE ABSORPTION BED INSTALLED IN q BEDROOM RESIDENCE, UPSIZED TO 5—BEDROOM
TEST PITS 0 - x'
SHALLOW CONFIGURATION. CUT ALL TREES, STUMPS AND OTHER WATER SAVING FIXTURES TO BE =VERlFtED REPLACE AS NEEDED ABSORPTION FIELD AGGREGATE 1 TP�1 5/15/ 15 BY T, HUTCHINS, P.E. i ,, , , ,
VEGETATION AT GRADE AND REMOVE. REMOVE STUMPS AND EXISTING (1.6 GPF MAX. FLUSH, 3,0 GPM MAX. FAUCETS) STONE IS TO 8 3/4" TO 1-1/2" WASHED CRUSHED STONE. 0 -14" LIGHT BROWN TOPSOIL ; TAW �� QUF® I
14-28 LIGHT BROWN SILT LOAM BUILDING & f,�D �,> ' fi
ORGANIC MATERIAL FROM SURFACE PRIOR TO PLACING FILL. USE t EFFLUENT SEWEL_PIPE ,, �?P t
TRACKED EQUIPMENT FOR ALL WORK IN ABSORPTION FIELD AREA. DESIGN FLOW — 110 GPD/BEDROOM 28-42 MEDIUM BROWN SILT LOAM; FIRM .
PIPING TO BE 4" SDR-35 OR SCH-40 PVC. INSTALL WITH 118" 42-60" OLIVE BROWN SILT WITH COBBLES FIRM ; Reviewed BY � �3 �
SYSTEM DESIGN FLOW 550 GPD i
PER FOOT MINIMUM SLOPE
CONSTRUCT DRAINAGE SWALE UPGRADE OF SYSTEM IN ORDER TO SEPTIC TANK - EXISTING 1,000 GALLON PRECAST CONCRETE TO FILTER FABRIC MOTTLING AT 33" Date: = �- TAX M 223. �� �4r Z7
DIVERT SURFACE RUNOFF AROUND ABSORPTION FIELD. BE PUMPED, INSPECTED & REUSED. FILTER FABRIC TO BE 4.8 OZ/SY NON—WOVEN SEPARATION ROOTS TO 30" PROFESSIONALALTERATIN 0 THIS ENGINEER ISOCUMENT A VIOLATIONCEPT BY A LICENSED -
OF NYS EDUCATION LAW,
PUMP STATION - EXISTING. 500 GALLON! PRECAST CONCRETE TO FABRIC, TENCATE MIRAFI 14ON OR EQUIVALENT. PRESUMED SEASONAL HIGH GROUNDWATER 0 33"
- BE PUMPED, INSPECTED & REUSED. ALL EXISTING FORCEMAIN
PUMPS AND CONTROLS ARE TO BE REPLACED. PIPING TO BE 1-112" HDPE SDR-9 PERCOLATION TEST
LEACH FIELD - ABSORPTION BED IN SHALLOW CONFIGURATION HOUSE SEWER PIPE j PT-1 - 9123105 BY T. HUTCHINS, A.E. .
PIPING TO BE 4" SDR-35 OR SCH-40 PVC. INSTALL WITH 114"
DESIGN PERCOLATION (PATE = 8-10 MINIIN PER FOOT MINIMUM SLOPE STABILIZED PERCOLATION RATE = 6 MIN/IN
APPLICATION RATE = 0.7 SYSTEM FILL MATERIAL .
ABSORPTION BE( AREA REQUIRED = 785 SF SEE "SYSTEM FILL MATERIAL NOTES" a ISSUED FOR PERMIT 2/24/16 -
_ PROVIDE 20'X40' ABS?RPTION BED TOPSOIL
8OO SF TOTAL TO BE PROVIDED - PLACE 4" MINIMUM TOPSOIL OVER ENTIRE ABSORPTION FIELD No. Revisions Dare
AREA. SEED, MULCH AND ESTABLISH TURF, -
POTABLE WATER SUPPLY IS LAKE SUPPLY WASTEWATER REPLACEMENT T LA
MAINTAIN 10' SEPARATION FROM WATER LINE TO ABS. FIELD --�-- MAF REFERENCE:
�r BASE SURVEY INFORMATION t RQM "MAP prepared for:
WASTEWATERSETBACK SCHEDULE OF A SURVEY MADE FOR MA FC 2012 MA FCC 2012 Trust
•! TRUST" PREPARED BY VAN DUSEN & 27 �aSOn ROBCI
PROPERTY LINE WELL HOUSE DRAINAGE DITCH WATERBODIES sTEVES LAND SURVEYORS, JULY 1 D, 2014.
Town of Queensbury, Warren County, NY
ADDITIONAL FEATURES FROM WARREN
SEPtrIC TANK 10' S0' 10' 10' 50' COUNTY GIS & AERIAL PHOTOGRAPHY, ALL Drawn: LWDIJRS I Checked: GTN I Scale: 1"=20' i Date: 7123115
- LOCATIONS ARE APPRDXIMATE. -� , V �
CONTRACTOR TO FIELD VERIFY ALL 169 Haviland Road
ABSORPTION FIELD 10' 100' 2O' 20' 100` SETBACKS PRIOR TO BEGINNING Queensbury, NY 12804 2 � � ��, ,
INSTALLATION. Hutchins En ineerin (518) 745 a307 Phone G
(518) 745—oaa Fax
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4" PVC PERFORATED LATERALS,
INSTALLED NEAR LEVEL IN BED CONFIGURATION
40'
Nv-
2.5'
i� 35' LENGTH L 2,5"
OF PERF. PIPE
5.0'
DISTRIBUTION BOX
20' S.0'
,
2,5'
11�
4" PVC SDR--35 --LIMIT OF 16'x60' 4„ PVC SDR-35
PERFORATED ABSORPTION BED PERFORATED PIPING
MANIFOLD PIPING
ABSORPTION
NTS
4" PVC PERFORATED LATERAL INSTALLED— 4" TOPSOIL COVER ABOVE TOP -FILTER FABRIC
LEVEL, IN BED CONFIGURATION WITH OF STONE BED; MIRAFI 14ON OR EQUAL
MANIFOLDED ENDS SEED & ESTABLISH TURF
2,5' TO EDGE
° 5' PIPE SPACING OF BED
r
—SYSTEM FILL
/ffl!�'��T�
1.5' TOTAL
FILL DEPTH .. :
-
- ,.,.. , - ..... •, �moo. i{
�,,.:'• = 1' TOTAL
EXISTING GRADE i 2 STONE '. ,� ,. .� :, .- :, f` f ,! .�'
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20 B WIDTH
BELOW PIPE
2 MINIMUM --<
. . . . .. SEPARATION
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SEASONAL G
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TABLE 33 t _. ._..... ...........__. _...... ,...... _....:_.. 77. _77:7 7777717
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^ -3/4"-�1--1/2" WASHED I BACKFILL MATERIAL - AFTER REMOVING ORGANICS, BLEND/MIX
CRUSHED STONE 50% SYSTEM FILL MATERIAL INTO NATIVE
MATERIAL FOR 1' DEPTH BELOW BOTTOM
SHALLOW O
VTION B ION OF BED PRIOR TO PLACING SYSTEM FILL.
NTS
ALL EXISTING PUMPS AND CONTROLS ARE TO BE REPLACED. NEW Y
P,-,�►�----EXTERIOR WEATHERPROOF JUNCTION BOX k
APPROXIMATE POLYETHYLENE EXTENSION TO GRADE POLYETHYLENE EXTENSION TO GRADE t! (IF NECESSARY). SEAL CONDUIT GAS TIGHT.
FINISH GRADE W/TAMPER RESISTANT ACCESS COVER W/TAMPER RESISTANT ACCESS COVER INSTALL CONTROL PANEL IN HOUSE. ALL ELECTRICAL
WORK TO BE INSPECTED BY A CERTIFIED ELECTRICAL �- W
' INSPECTION AGENCY PRIOR TO START--UP OF PUMP STATION.
,� -TEE BAFFLE f TRANSITION TO 12" MIN. COVER
12 MIN. INSTALL FLOAT SWITCHES TO OPERATE 4" PVC OUTSIDE�� DISTRIBUTION BOX 0 7g'1
COVER PUMP AND MAINTAIN LEVELS AS INDICATED OF D-BOX °� �" 4P
„ 8u PER FOOT
l 1/
4 PVC SDR-35 ,r a 1 `
2 MIN. SLOPE f
INLET „ I INSTALL VALVE AND UNION— BAFFLE
LIQUID LEVEL � OUTLET 4 PVC SDR --35 !�. SUCH THAT PUMP CAN BE USE SPEED LEVELERS TO -�- ��P � ���.��_�-�� & ��
MIN. SLOPE - ,r -_� _ ISOLATED AND REMOVED _ _ ASSURE ALL OUTLETS ARE
1/4" PER FOOT WITHOUT REQUIRING PIT ENTRY AT EXACTLY THE SAME 2"MIN, DROP ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED
16" 18" ELEVATION BETWEEN INVERTS PROFESSIONAL ENGINEER IS A VIOLATION OF NYS EDUCATION LAW.
MIN.
WATERTIGHT SLEEVE- e _-- BALL CHECK VALVE Q ! 4" PVC SDR-35 SOLID HEADER
,r 2 MIN.
TO PERFORATED ABSORPTION
AND SEAL (TYP} — — ALARM 3" ABOVE TRENCH PING, 1 8 PER
PI /
X 'PUMP ON' ` 0 / —1-1/2" HDPE FOOT MIN SLOPE
FLOAT SWITCHES - INSTALL INSIDE '� ` SDR-9 FORCEMAIN SEPTIC TANK NOTES
5 o o PUMP ON --�'----0 PUMP PIT IN LOCATION ACCESSIBLE
EXISTING 1,000 GAL-j 0 ``� \ WITHOUT PIT ENTRY 1-1/2 SCH-40 PVC PIPING ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK STATE
PRECAST CONCRETE _� INSIDE WET WELL THROUGH DEPARTMENT OF HEALTH AND SHALL BE OF PRECAST CONCRETE AS 0 ISSUED FOR PERMIT 2/24/16
SEPTIC TANK PUMP OFF 1 \ WALL MANUFACTURED BY UTOPIA ENTERPRISES OR EQUIVALENT.
MINIMUM 2X WIDTH SIMPLEX EFFLUENT PUMP - e `—UNION - LOCATE SUCH THAT No. Revisions I?c�te
MAXIMUM 4X WIDTH ALL STRUCTURES SHALL BE PLACED ON FIRM COMPACT SAND OR GRAVEL BASE.
a 16" MIN. �� UNION CAN BE DISCONNECTED WHERE EXISTING SOIL CONDITIONS ARE UNSUITABLE, CRUSHED STONE SHALL BE DETAILS SHEET
VOLUME OF DOSE J d TANK ENTRY AND PUMP REMOVED WITHOUT PLACED AS NECESSARY TO ACHIEVE A STABLE BASE.
prepared for:
TO BE 75t
GALLONS 'a. ` u °' ",. ' a ?, WEEP TO DRAIN FORCEMAIN SEPTIC TANKS INSTALLED IN TRAFFIC AREAS SHALL BE OF EXTRA HEAVY
EXIST, 500 GALLON PRECAST CONCRETE PUMP STATION CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADING. A FC 2012 Trust
ALL JOINTS MUST BE SEALED WITH BUTYL SEALANT. JOINTS BELOW THE LIQUID 27 Mason Road
SEPTIC TANK USP STAT +�N DETAIL LEVEL MUST BE TESTED BEFORE BACKFILLING. Town of Queensbury, Warren County, NY
NTS Drawm t WDIJRS Checked: GTN Scale: NOTED Date: 7123115
169 Haviland Road
Queensbury, NY 12804 2994'1 p01-S2
ineer�r (518) 745-0307
Hutchins En Phone
Engineering 18
(5 ) 745-0308 Fax
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