2012-147 IAlamPikk TOWN OFQ UEENSBURY
Iwo742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20120147 Date Issued: Tuesday, April 17, 2012
This is to certify that work requested to be done as shown by Permit Number P20120147
has been completed.
Tax Map Number: 523400-301-012-0001-017-000-0000
Location: 14 HELEN Dr
Owner: MELANIE BARBER
Applicant: MELANIE BARBER
This structure may be occupied as a:
Septic Alteration Residential
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the f�
property owner of the responsibility for compliance with Site Plan, �d
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
For* 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120147 Application Number: A20120147
Tax Map No: 523400-301-012-0001-017-000-0000
Permission is hereby granted to: MELANIE BARBER
For property located at: 14 HELEN Dr
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 Value
Owner Address: MELANIE BARBER Septic Alteration Residential
MATTHEW LEGAULT Total Value
14 HELEN Dr
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-147
Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, April 03, 2013
(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 Queensbury; Tuesday,April 03, 2012
SIGNED BY for the Town of Queensbury.
Direr :'ff�. g Co:(r" f•,\ement
•
flsed2OlO
OFFICE USE ONLY ' f e
TAX MAP NO. OI, PERMIT NO. 4/7PER IT F ":�N OF OUEENSBURY
�•� :_ Lk .G & CODES
•
APPROVALS: ZONING TOWN CLERK
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OFAA VALID PERMIT. �7 1
OWNER: N1�t-trtC'tA1he C�.11 nc. /Vlr lO r1i( IJC,�''i .1r INSTALLER: 1.(.b.c.h t Ii WUoI LL.XCcIvLl-ftI r
ADDRESS: I g 4-1ele1'l •DOVe ADDRESS: �I ID L ll Svkh(441 1,04 .ci-} La?Grt ll )zb LK.
PHONE NOS.5 -1 `-)9-,3'-13 71`311/1-`t1 Lig PHONE NOS. Jrl FS'-16:f 2- `612 4(Q �l t'-,3lo( r (1 ( 3
`1 C� f //L �^
LOCATION OF INSTALLATION: \ �{-C /4I 6J'frt✓/
RESIDENCE INFORMATION:
YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW •
BEDROOMS (Gallons per bedroom) GARBAGE GRINDE�J R
1980 or older X 150 = INSTALLED?
1981-1991 j X 130 = ;3c/Q SPA OR HOT TUB' 1
1992-present X 110 = I — INSTALLED? �,1 0
PARCEL INFORMATION: /
✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE •r %SLOPE
✓ SOIL NATURE: SAND `� LOAM CLAY OTHER
LA
] /
L
✓ GROUNDWATER: AT WHAT DEPTH? A f"1• >z
t
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHATT,DEPTH? COY ...1@ Ljf 11
' ,. 5
✓ DOMESTIC WATER SUPLY: MUNICIPAL ," WELL (If well:water supply from any septic system absorption is: ft)
✓ PERCOLATION TEST: RATE IS 1,r+l it.) \c5rt_PER MIINUTE PER INCH(mpi] ^ 9/2/f Z
(Test to be completed by a licensed professional engineer or architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer
or architect(unless installed in a Planning Board approved subdivision).
TANK SIZE: 1 C0O GALLON(MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for
each garbage grinder,spa or whirlpool tub.
SYSTEM TYPE:
M, .Ntr►cf - 165
_
(ABSORPTION FIELD(WITH NO.2 STONE) Total length \65-ft. Each trench 534 x Z `",Dls(3 f'b ri.t,)
❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size? ✓
❑ALTERNATIVE SYSTEM Bed or other type?
o HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks?
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval
granted which is based upon or is granted in reliance upon any material misrepresentation 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 with respect to this application and agree
to abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanitary Sewage Disposal Ordinan codesPqueensburv.net
' /�-, /) Z —I Z VISIT OUR WEBSITE FOR MORE INFORMATION
/ � / � 7 www.queensbury.net
Sig ature of Person spo ible Date
Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: t ` '—�' 7?� !WI•�l PERMIT NO.. ��G�'i��i 2 012 -441
LOCATION: T I? INSPECT ON: I� _
RECHECK:
Comments and/or diagram
Soil Type: Sand / Loam / Clay
Type of Water: Municipal / Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + / - Y N N/A
[150'to well required if NOl
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: _x
Stone Size:
Piping Size Type _-t
Building to tank
Tank to Distribution Box
Distribution Box to Field / Pit 0), --t (JA)<\'
Opening Sealed: Y T N A )
End Cap Y N
Inlet/Outlet Pipes &Baffles Y N
Manholes 12"or less below grade _Y_ NRA'\-
[provide extension collar if Yes] T Y N
Location / Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y 1
Engineer Report and As-Built LY N
ET1J Maintenance Contract _ N
provided
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use Sta
Approv
dr la Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report_03 29 10.doc
169 Haviland Road
Queensbury, NY 12804
Hutchins Engineering Phone: (518)745-0307
Fax: (518)745-0308
TRANSMITTAL
Date: 04/06/2012
To: Town of Queensbury
Attn: Building Department
From: Tom Hutchins
Re: Matthew Legault and Melanie Barber, 14 Helen Drive
Enclosed: (1) record drawing for Barber wastewater system at 14 Helen Drive, which was installed
this week
—r hwcAciat f-3 ( 3)
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received: q`-\-5--Y i.4_
Queensbury Building &Code Enforcement Arrive: am/pm epart.. iU am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:// /
NAME: .66/L6-e, 0,/,Q,-1' PERMIT NO.: / — i 7 li
LOCATION: I -rof e.n k, , ) INSPECT ON: -f-75-j ,k
RECHECK:
Comments and/or diagram
Soil Type: )Loam / Clay
Type of Water: •- / Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + / - Y N_ N/A
Absorption Field: Total length /64- _ft.
Length of each trench ."J ft.
Depth of trenches 2.. ft.
Size of Stone 's frZiovt f ,e- �,
Seepage Pits: Number _tpc___
Size: N x C-,),(.-
Stone Size: j:45,—C2 "-LX--
Piping ize Type
Building to tank %
z
Tank to Distribution Box 544) A
Distribution Box to Field/ Pit 'j i)
Opening Sealed: ► N
End Cap � N
Inlet/Outlet Pipes &Baffles .Y N
Location/ Separations
• Foundation to tank ft. -- ‘-S1'' -<.__
Foundation to absorption 'ice_ft.
Separation of Pits '•- ft.
Conforms as •-r Plot Plan Y A
Engineer Report and As-Built Y(
Location of Syste roperty:
Front Rear Left Side Right Side Middle Front Middle Rear
S s - Us- .t :
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
LEGEND:
O IPF = IRON PIPE FOUND
O CIRF = CAPPED IRON ROD FOUND
—a = WOOD FENCE LINE
LOT45
LANDS N/F OF
RANDOLPH & MARIANN
RAPPLE
03'00"E
166.54'
1 I I m I 1 s5`<J
�SPHALT DIVE
I I
1 I I w Y I I
N W I I a
W i I I o I I ow
zL I
o sir ��
I F I JU
I
= I I o o I °ice oh o m LOT 46 I 3
I I _ AREA
16,689 sq. ft. o
I i I I 0.38 acres I
obi
I I I I I o
I 1 \ 1 1 co
APPROXIMATE EXISTING SEPTIC -1 / 767.2
SYSTEM TO BE ABANDONED J/
EXISTING HOUSE SEWER N84003'00„W
EXISTING 1000 GAL PRECAST
CONCRETE SEPTIC TANK
PROPOSED EFFLUENT SEWER
PROPOSED DISTRIBUTION BOX
TYPICAL PIPE IN STONE ABSORPTION
TRENCH; (3) REQUIRED AT 55' LONG
EACH (SEE ABSORP77ON TRENCH
SECTION AND PROFILE FOR DETAILS)
! s
�__ _. •. _. __� _. °eLI: OT4r
_ 'LANDS N/F OF
MAP REFERENCE: lfl�EL MANEY
BASE INFORMATION FROM "MAP OF A
SURVEY MADE FOR DANIEL & JULIE YOUNG”
BY VAN DUSEN & STEVES LAND SURVEYORS
OF QUEENSBURY, NY DATED JULY 24, 2008.
WASTEWATER SYSTEM REPLACEMENT PLAN
SCALE.
APPROXIMATE
FINISH GRADE
12" MIN.
COVER
a
4" HOUSE SEWER INLET 2
MIN. SLOPE LIQUID LEVEL
1/4" PER FOOT
a 16"
18
WATERTIGHT SLEEVE
7.
AND SEAL (TYP.)
LIQUID DEPTH
30" MIN.
EXISTING 1000 GAL A60" MAX.
PRECAST CONCRETE MINIMUM 2X WIDTH
SEPTIC TANK MAXIMUM 4X WIDTH
SEPTIC TANK DETAIL
NTS
SUGGESTED: POLYETHYLENE
EXTENSION TO GRADE WITH
TAMPER RESISTANT ACCESS
COVER (NON -TRAFFIC AREAS)
. I
EXISTING 14" WHITE
BIRCH TO REMAIN
CORE DRILL NEW 4" OUTLET IN
SIDE OF TANK. SEAL EXISTING
PENETRATION WATERTIGHT. 12"� COVER
DISTRIBUTION BOX
4: LI -FLUENT SEWER OUTLET
MIN. SLOPE
1/8" PER FOOT BAFFLE -
USE SPEED LEVELERS TO
ASSURE ALL OUTLETS ARE AT
EXACTLY THE SAME ELEVATION
4" PVC SDR -35 SOLID HEADER
TO PERFORATED TRENCH PIPING,
1/8" PER FOOT MIN SLOPE
LOT 33
LANDS N/F OF
DAVID & LINDA
SHERRICK
LOT 32
LANDS N/F OF
LOUIS & FAITH
BELISLE
WASTEWATER SYSTEM DESIGN SEPTIC TANK NOTES' m#
t X � r I' t,�
3 BEDROOM RESIDENCE ALL UNITS. SHALL COMPLY WITH THE REQUIREMENTS OF THE t , � `
DESIGN FLOW - 130 GPD/BEDROOM NEW YORK STATE DEPARTMENT OF HEALTH AND SHALL BE OF If ° ' r t + ua u--�
PRECAST CONCRETE AS MANUFACTURED BY UTOPIA l
SYSTEM DESIGN FLOW - 390 GPDENTERPRISES OR
SEPTIC TANK - EXISTING 1000 GAL PRECAST CONCRETES_ ° `° ✓ i ai !j `•
LEACH FIELD - PIPE IN STONE ABSORPTION TRENCHES ALL STRUCTURES ESHALLLENBET PLACED ON FIRM, COMPACT SAND r ? {
DESIGN PERCOLATION RATE = 1-5 MIN/IN OR GRAVEL BASE. WHERE EXISTING SOIL CONDITIONS ARE
APPLICATION RATE= 1.2 GPD/SF UNSUITABLE, CRUSHED STONE SHALL BE PLACED AS +"
ABSORPTION AREA REQUIRED= 325 SF NECESSARY TO ACHIEVE A STABLE BASE. F `-°• 's -� �'3 a �\ T t1
k �
2' WIDE TRENCH LENGTH REQUIRED 163 LF -
SEPTIC TANKS INSTALLED IN TRAFFIC AREAS SHALL: BE OF
USE 3 TRENCHES AT 55' LONG (165 LF) x �T
EXTRA HEAVY CONSTRUCTION DESIGNED FOR H 20 WHEEL �,1� jam; `N.
POTABLE WATER SUPPLY IS MUNICIPAL WATER LOADING.
SI ?
EXISTING TANKS TO BE REUSED ARE TO BE PUMP / F
SITE SOILS DATA ED AND
PERCOLATION TEST WATER IGHT VERIFIED THAT
ALL PENETRATIONS AND TANK STRUCTURE ARE
i� tp < r s I c
PT -1 - 4/2/12 BY T. HUTCHINS P.E.+j e ° "` d `( — -'
STABILIZED PERCOLATION RATE �� Y' t irk'
ALL JOINTS MUST E SEALED.
1 MIN. 15 SEC. PER INCH Bu ,
I
`'--.5 � � �7 \ tf'"�T ���: .e/��•.- of J. t1� Vr
LOCATION MAP
NTS
SYSTEM INSTALLATION NOTES
CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING AND IN ACCORDANCE WITH
THE N.Y.S. DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS AND ASTM
F481 INSTA
TYPICAL PIPE IN STONE ABSORPTION
TRENCH; (3) REQUIRED AT 55' LONG
4" MIN TOPSOIL EACH (SEE ABSORPTION TRENCH
FILTER FABRIC SECTION AND PROFILE FOR DETAILS)
6' TRENCH SPACING (TTP.)
:
i
4" MIN TOPSOIL OVER THE
I ENTIRE ABSORPTION FIELD;
— - SEED &ESTABLISH TURF_ _ , t • OVERFILL
LOT 3I BACKFILL FREE OF FOR SETT
LANDS x/F of STONES OVER 3"
DANA & CATHERINE
BRAMBLEY
III
FILTER FABRIC
MIRAFI 140N 2' TRENCH WIDTH 6-12
OR EQUAL
2.,
12" MIN.
6.• 0o,4nn
2 MIN. DROP
BETWEEN INVERTS
r- 2" MIN.
ELATION OF THERMOPLASTIC PIPE AND CORRUGATED TUBING IN SEPTIC
TANK LEACH FIELDS.
AFTER EXCAVATION OF 2' WIDE TRENCH TO THE DEPTHS REQUIRED, THE WALLS AND
FLOOR OF EACH TRENCH SHALL BE CLEANED AND RAKED IN ORDER TO LOOSEN
SMEARED SECTIONS OF TRENCH.
- BACKFILL MATERIAL
WASHED STONE PLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND FILTER FABRIC SHALL BE
AS SHOWN, AND CARE SHALL BE EXERCISED TO AVOID INCLUSION OF FINE GRAINED
SOILS AND WASTE MATERIAL IN THE STONE AND PIPE.
18-24" THE PIPE SHOULD BE LAID AT THE GRADES INDICATED, MAINTAINING STRAIGHT
_ CONTINUOUS GRADES WITHOUT SAGS, HUMPS, SEPARATED JOINTS, OR OTHER
'i UNSUITABLE CONDITIONS. PIPE SHALL BE LAID WITH HOLES DOWN IN ALL CASES.
_ I'
ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND DIVERT SURFACE
..._;
RUNOFF AWAY FROM THE DISPOSAL FIELD.
DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION AREA AFTER PIPING HAS
I � -_
BEEN INSTALLED.
I
THIS SYSTEM IS DESIGNED FOR WATER CONSERVING FIXTURES AND IS NOT DESIGNED
TO ACCOMODATE EXTREME WATER USE OR EXTREME ORGANIC LOADING DEVICES
SUCH AS JACUZZI TYPE SPAS OR GARBAGE GRINDERS.
ROOF, FOOTING, GARAGE, CELLAR AND SURFACE WATER DRAINAGE MUST BE
EXCLUDED FROM THE WASTEWATER SYSTEM.
THIS DESIGN IS SUBJECT TO STATE AND LOCAL APPROVALS.
O ALLOW
., .ri�>. s
i SY TE
S M MATERIAL 'SPECIFICATIONS
-MENT
HOUSE SEWER PIPE
PIPING TO BE 4" SDR -35 OR SCHEDULE 40 PVC. INSTALL WITH 1/4" PER FOOT
MINIMUM SLOPE.
EFFLUENT SEWER PIPE
I PIPING TO BE 4" SDR -35 OR SCHEDULE 40 PVC. INSTALL WITH 1/8" PER FOOT
MINIMUM SLOPE.
ABSORPTION TRENCH PERFORATED PIPE
UNLESS OTHERWISE SPECIFIED, PERFORATED PIPING TO BE ASTM F481.
ABSORPTION TRENCH AGGREGATE
STONE IS TO BE 3/4" TO 1-1/2" WASHED STONE.
FILTER FABRIC
` FILTER FABRIC TO BE 4,8 OZ/SY NON -WOVEN SEPARATION FABRIC, TENCATE MIRAFI
140N OR EQUIVALENT.
`3/4" TO 1-1/2" WASHED
CRUSHED STONE I BACKFILL MATERIAL
BACKFILL TO BE GRANULAR BACKFILL MATERIAL WITH NO PARTICLES GREATER THAN
2"
ABSORPTION TRENCH SECTION
NTS TOPSOIL
PLACE 4" MINIMUM TOPSOIL OVER EN77RE BACKFILL AREA. SEED, MULCH, AND
j ESTABLISH TURF.
4" MIN TOPSOIL OVER THE ENTIRE ABSORPTION
FIELD; SEED AND ESTABLISH TURF�SgURY
E _-__.°�•^ I 113 IP ue'll Jo ±)"'OrJail Oi r^clicvF S1 ± !r(4,'i P �±,{ `"(
FILTER FABRIC L i1w
MIRAFI 140N OR EQUIVALENT j nn E L V i�/] L� 311 zy' «• Cr ]' +' "'-'
U Ir W S 1 a' ..�y�}V184 Bjr.?%
III=f l i-III—ILL-1 -III-III=
rui�o
3 2 � 1 �C 12" MAX =1 I L—I I_I I—i 1=1 (�
= III
__ —rte TOWN OE QUEENSBURY
6r MIN. E3UILDING i? COD'c5 i l l:
2" MIN. 0� 0OD
SLOPE o o I TAX MAP #-301.-12-:1 17 _ 1
opo Upq�jOO�p
ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL ENGINEER IS
A VIOLATION OF NYS EDUCATION LAW.
�0,CED 4" PERFORATED PVC LATERAL, M
OJo 0� SLOPE 1/16" - 1/32" PER FT. END CAP
3/4" TO 1 1/2"
WASHED CRUSHED STONE
ABSORPTION TRENCH PROFILE 0 ISSUED FOR PERMIT 4/3/12
NTS N o.1 Date
Wastewater System Replacement Plan
prepared for:
Matthew Legault & Melanie Barber
14 Helen Drive
1
Town of Queensbury, Warren County, NY
nr„w„• nac r " U< • nru Ic i"• mrim) n rA• n4/n.319ntg