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2012-249 .1116%. TOWN OF QUEENSBURY i 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20120249 Date Issued: Thursday, October 31, 2013 This is to certify that work requested to be done as shown by Permit Number P20120249 has been completed. Tax Map Number: 523400-295-018-0001-006-000-0000 Location: 23 SYCAMORE Dr Owner: GARY BRAHAM Applicant: DONALD & JACQUELINE BROWN 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 a ! 14 property owner of the responsibility for compliance with Site Plan, 'P '1 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 AO` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120249 Application Number: A20120249 Tax Map No: 523400-295-018-0001-006-000-0000 Permission is hereby granted to: DONALD &JACQUELINE BROWN For property located at: 23 SYCAMORE 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: DONALD &JACQUELINE BROWN 23 SYCAMORE Dr Septic Alteration Residential QUEENSBURY,NY 12804 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency BRADLEY'S SEPTIC SERVICE 654-6318 47 HACK Rd CORINTH NY 12822-0000 Plans&Specifications 2012-249 Res. Septic Alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, May 17, 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 sbury; hu . al May 17,2012 SIGNED BY 4 for the Town of Queensbury. t Director of Building&Code Enforcement 6i4d: f�n45 OF I VIte .Sbk. 8 Pgg •�/ U UOFFICE USE ONLY ' ' TAX MAP NO. PERMIT NO. `a- pl 17 PERMIT FEE I //i 'D It ([,, rt ji \','.0. i. APPROVALS: ZONING TOWN CLERK FI ! t/ APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: . a= du% ti Baa: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VA1:ICDD= - PERMIT. OWNER: • I 7" 0 , I INSTALLER: ,6 f/ ' . . ADDRESS: • Gt/L � f_c�.+• _,4/f./ /,'RESS: PHONE NOS. 307•- 36 /3 PHONE NOS. l AI .1 , LOCATION OF INSTALLATION: 023 S/ U lore l __- - NO.OF T - — - RESIDENCE INFORMATION: YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW 1980 or older X 150 gallon per bedroom = GARINSTAAGE GRINDER ALLED? 1981 -1991 V- X 130 gallon per bedroom = 52_0 SPA OR HOT TUB 1992-present X i 110 gallon per bedroom = INSTALLED? PARCEL INFORMATION: / TOPOGRAPHY: Flat rolling p Steep slope %Slope / SOIL NATURE: Sand Loam ClayOther er ✓ GROUNDWATER: At what depth? t1N--- ✓ BEDROCK/IMPERVIOUS MATERIAL: At wh depth? / DOMESTIC WATER SUPLY: Municipal Well (If well: Water supply from any septic system absorption is ft.) / PERCOLATION TEST: Rate is minutes per inch [MPI] (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 archi ect(unless installed in a Planning Board approved subdivision). TANK SIZE: 1 QA O�`N (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SY EM TYPE: SORPTION FIELD (WITH NO. 2 STONE) Total length g 1,5D ft. Each trench ❑ EEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? ALTERNATIVE SYSTEM Bed or other type? b LW ) P'S? .9 ❑ HOLDING TANK SYSTEM Total required capacity? .\ E_t 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 QUESTIONS? CALL 761-8256 OR EMAIL Queensbury Sanitary Sewage Disposal Ordinance. codes a(�queensburv.net /1VISIT OUR WEBSITE FOR MORE INFORMATION .� y www.queensbury.net Si:nature of Person Resp•n •Ie Date Town of`Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 B 5-LGL 6.,06 (\z• Q\ Septic Inspection Report Office No. (518) 761-8256 Date Ins•-ctio Ted: Queensbury Building &Code Enforcement Arrive: :` i rt: 742 Bay Rd., Queensbury, NY 12804 Inspector's In . s: /1. NAME: t'7 R Pt-k \'\ L-(9 LOCATION: Z , �`iC I1�C �� INSPECT ON: f RECHECK: Comments and/or diagram Soil T . . / Cla Type of Wa_agigrallirr ell-Water Ir.',separation distanceft. Well separation distance _ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length 1 2 D ft. Length of each trench 3g,. eft. d, Depth of trenches `= y�`�_ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank b Tank to Distribution Box X1-1 Distribution Box to Field / Pit `` pie-, Opening Sealed: Y N � End Cap N t_�c� Inlet/Outlet Pipes &Baffles Y N Location/ Separations • Foundation to tank rft,— Foundation to absorption 2/ft. -ate r Chc) Separation of Pits ft. 17�M Conforms as per Plot Plan V Y N Engineer Report and As-Built -_-_Y N Location of System on Property: Front lirLeft Sid Right Side) Middle Front Qliddle Rear S -I Us- 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 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: f (D up (' PERMIT NO.: / 'A4/6? LOCATION: 3 S �t0.l�rc� tar e tt�er' INSPECT ON: RECHECK: J 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 1150'to well required if NO] 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 Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: _Y_ N End Cap _Y_ N Inlet/Outlet Pipes&Baffles __Y N Manholes 12"or less below grade _Y_ N [provide extension collar if Yes] _Y_ N Location/ Separations Foundation to tank ft. Foundation to absorption _ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built _Y N ETU Maintenance Contract _Y_ N provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved Partial 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 Septic Inspection Report Office No. (518) 761-8256 Date Inspection r-• e"wed: •Rueensbury iuilding k Gde Enforcement Arrive: .��� art: a m 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials• ;•� NAME: L')Rd Pr'MIT NO.: Iz- 'sFz„ N LOCATION: SIPCP rr ►r , SPECT ON: 5-Ito-1 7 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 NO] Absorption Field: Total length ft. De b ‘6,‘1, L RC .v), Length of each trench ft. Depth of trenches ft. f\�i c Y t Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box j• ICO9 Distribution Box to Field/ Pit r' Opening Sealed: _Y_N End Cap Y N Inlet/Outlet Pipes&Baffles _Y_ N Manholes 12"or less below grade _Y_ N [provide extension collar if Yes] Y_ N Location/ Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan _Y, N Engineer Report and As-Built _Y_ N ETU Maintenance Contract _Y_ N provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: /Approved Partial 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 Repor_03 29 10.doc CENTER PROJECT SERVICES 73 Sheridan Street, Glens Falls, NY 12801 Phone-518-796-2515 May 10, 2012 Project# 157 Bill Bradley Bradley Septic Services Corinth,NY Re: Proposed Replacement Septic Brham residence—23 Sycamore Drive, Queensbury, NY Dear Bill: At your request we have reviewed your proposed replacement septic system design at the site of the existing 4 bedroom house of the Brham residence at 23 Sycamore Drive in Queensbury. As per our conversation the residence has an existing failed septic system. We have reviewed the proposed replacement septic system design and we agree that a standard absorption bed is acceptable. Based upon a design flow rate of 440 GPD and a percolation rate of 1 to 5 minutes, you will need 500 square feet of absorptive area. We recommend using a 15 ft wide by 45 ft long absorption bed with 3 — 40 foot long laterals, which will provide 750 sf of absorptive area. The absorption bed can be constructed with the existing 1,000 gallon septic tank, new distribution box, and 4 inch diameter perforated pipe and stone. Please feel free to contact me at 796-2515 if you have any questions and that you for your assistance with this request. Sincerely, Thomas R. Center Jr, P.E. ya N a e eW Fa ow w rc € CIO k Qo I-IT qaq J a zv o �Wq a ? o�ii LL o a Ilei only o, w o g e l « vim�90 _ �� E m TFVo o e r m ai m w w U)LL- z LLJ �w z € z a^ o ?m 53 w Oi�/ FoQm 22Z�m N 7 W WQ �mJ oNNF� �F woo ywpW, p1a-45 o- CV a V) N_ rayU €l �oaazam aaNw a K -W Om�W Lj 'f5 �a B � g�cG wQw��i< a O Q� a- v=�o�Fm ao z r5woNDF Zi°n��w ym�x '<z Qiaoi� Q z= w� Qo o mOp�o wz _g..a _...�... _.. im o <= 35a z Q Lip 6o x yde woux who E. in c='ai`rc �� we5z15 1-,�-,H, a�O �U Z U) CRM oz 1. <F-Wii aaw0 F.00x m� �w O tL Z wwx ci ri < vi o< Z =W W J U r• 8b �F� 31 a " g � a s .s n5aa< �3 s \ � F� Septic Inspection Re ort Office No. (518) 761-8256 Date Ins ion request received: Queensbury Building &Code Enforcement Arrive: r c a m Depart: :3%4F-70 am pm 742 Bay Rd., Queensbury, NY 12804 Inspector'sInitials a NAME: 01 �1 P: — 1C PERMIT NO.: LOCATION: R1\JC_ INSPECT ON: -1)--'2:7-1-2_ RECHECK: Comments and/or diagram Soil Type: Sand / Loam / Clay Type of Water: Municipal / Well Water Waterline separation distance ft. Well separation distance ft. C-Ui3TR.iALTUjZ E Other wells: ft. Well Casing Length 50' + / - Y N N/A 1 pG b Eft\C F))K [150'to well required if NO] 'FALL bF LiC), ) 1D Absorption Field: Total length ft. � FFL Length of each trench ft. J . v\E-gE Depth of trenches ft. P06 E‘) n E CC OF Size of Stone Seepage Pits: Number bi\ ( J?O USD. 1U Size: Stone Size: E PLIA.CE �E k..1 Piping Size Type L E P\CA F r ELO Building to tank Tank to Distribution Box () U FO Distribution Box to Field/ Pit Opening Sealed: Y N ._ r\—\\ F (-)\kv End Cap Y_ N _ Inlet/Outlet Pipes & Baffles Y N P,�� v Pt 0 Ek -T �t3 0� Manholes 12"or less below grade _Y_ N I--OC _ • [provide extension collar if Yes] Y N � E e `C U OU uV F11 Location/ Separations b D R-TV lJ C OE_ Foundation to tank ft. , Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan _Y_ N Engineer Report and As-Built Y_ N ETU Maintenance Contract _Y_ N provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: pproved Partial 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 Repor _03 29 10.doc ,/ ---) ___ • ___ ....— ___ __—/ ... , t / IP ., 1 — - i • .,,,, , T.;::: •.tifi.i' lit, • , , „ ,,,,,,.- ...'''',),. .j:;':. ',:,.•,,:,.,,,. ,:: -.7. 01': ' 4 . . .,. ....„.,,. ,,,... , . ,„...,. . . . . 7' .-- ._.L. _ (P\coo , . ) a - 1 0 ; ..., ; I - 1 THIS PLAN1iliFBE ON' c No, ,:, , PRbJECT S TE AT • 2 ACI- -z.\\') AII.L TIME OR -----_._ N''•.,,k,N\s\° THEDURATRN OF cot4, 77koi.,;TIoN 1 .' . ,\ •• ••••as. • • !hi '- I 9) TOWN OF QUEE . :A! ' • 1 1 t i BUILDING & C D r •kr‘ i• f ' _ ct z •i ' --1 Reviewed By. 1 ....--------- Date: ______At_. g. • r . v ---ci IF _ 3D'7 -3t7 (3 --e -r•-,t,-.C) 1 -F1 c'if.' ''.4' '