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BOTH-000481-2016 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-000481-2016 Date Issued: Wednesday, June 14, 2017 This is to certify that work requested to be done as shown by Permit Number BOTH-000481-2016 has been completed. Tax Map Number: 309.9-2-1 Location: 200 LUZERNE RD Owner: Homestead Village Applicant: Sanitary Sewer Service This structure may be occupied as a: Residential Septic Alteration 162 Elmhurst Drive By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, 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-000481-2016 Tax Map No: 309.9-2-1 Permission is hereby granted to: Sanitary Sewer Service For property located at: 200 LUZERNE 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: Homestead Village Septic Disposal 50.00 Owner Address: 200 Luzeme RD Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Sanitary Sewer Service PO Box 224 Glens Falls,NY 12801 Plans&Specifications Residential Septic Alteration $ 40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,July 21, 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 t expiratAsuly Dated at the Town(Wee ; T 26,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Qf ce use Only Received Tm,.Map ID C f^Ji4 til AP ago Periflit No. 8 Permit Fee ego 1 nQ. �— o?gaA 710AIOF1AISTALL417611i Approvals: SP1 6�-Ze'-- JUL 2 ADDRESS e g _ dnrs �lz> 11u1�111: S� aA .l civc'2 t �� r�,�anrFfL--r��liz r'K ' �D ADDRESS'. -t��, �v x Z Z j l`;, ©t1VNEFi Ix, / T HON fE-MAIL Address L Z/7e CoNTA G T Psr7801V FOR iFIAL,ratM01aFS GOWIP1.1A4iIG o 7 Z" r J PHONE 0,1°g1t3gmgg 2hfg6pwsroni Year Built 'F a bedrooms n Gallons per bedroom =Total Gaily Mow 19W or older Garbage grinder installed Y ) N 1961-1991 // Spa or Hot Tub installed. _Y �i\t 7992-Present J 77-i) �L-lf?�'EL�"(ifFIIP,fc7ATft�IV Topography X Plat rolling steep slope °lo slope Soil Nature 2 sand {warn Clay Other Groundwater At what depth? BedroGK l 1mgarvious iVlaterial At whit dept>'? Domestic Water Supply Municipal Well(if well,water supply from any septic system absorption is ft.) Percolation Test• Raie: per minute per inch(test to bo completed by licensed engineering 3 architect) fllpoposst Zys-i-Ey i oi*1 IVEW Cows rnu 770r s Taniti Size /�'%Lgallons(minimum size 1,00o gallons,add 250 gallons to size for each garbage grinder or spa or hottub) System Typo Absorption field with#2 stone Total length /�'G' ` 1;Each trench > c seepage Pit wil'h-JLS stone How many_ ' :size Altemative Syetern Bed or other type? Molding Tanit System Total required capacity? i L) Tank size n of tanks Maies: 1)Alarm system L associated electrical warlc roust be inspected by a Town approved eleCtncal inspection agency;2)We will no longer as[vw systems to be covered untif such ttMe as an As-Bulk plan is racoly€d&approved. The installed system must match the septic system layout all tits—no e=600fis_ DECIARA ON: Any pennR or approval granted which is based upon or is granted in reliance upon any material representation or lailure to Malce a material fact or circumstance know by or on behalf of an applicant, shall be void. l have read the regulations and agree i0 abide,by ihe;;tr slid all regy rner�' e Town 0Y Queerlsbury Sanitary Sewage Disposal Ordinance. Print Name: c ��r Date: = - ?7 -.� Signature= — _ [Date: T m,jn of Queensbunj Building a Codes Septic Disposal Permit July 2014 BORING _AND PERCOLATION TEST: INSPECTION REQUIREMENTS: . ASSUMED CONDITION BASED ON SITE EVALUATION ENGINEER OF RECORD TO INSPECT TRENCHES PRIOR TO BACKFILLING. 0-5' MEDIUM FINE SAND NOTE: NO WATER OR MOTTLING S f 1) BASEMAP INFORMATION OBTAINED FROM PUBLICALLY AVAILABLE LEGEND I RESOURCES AND DOES NOT REPRESENT AN ACTUAL FIELD EOP DENOTES EDGE OF PAVEMENT PERCOLATION RATE APPROXIMATELY ONE MINUTE INSTRUMENT SURVEY. MIN. DENOTES MINIMUM e� NOTE: SOIL CONDITIONS TO BE CONFIRMED BY P.E. PRIOR TO BACKFILLING SYSTEM. PVC DENOTES PLASTIC PIPE 6 SCH DENOTES SCHEDULE C'rZ EXISTING SANITARY STRUCTURES AND SEEPAGE DEVICES ARE WS DENOTES WATER SHUTOFFCL TO BE CRUSHED IN PLACE AND FILLED WITH NATIVE MATERIAL. Q SEPTIC DESIGN : I APPLICATION RATE = 1 .2 GAL./SF/DAY ..-._____ '= PROPOSED 1000 GALLON — SEPTIC TANK LOT 162 (SEE DETAIL — SHEET 2) i 3 BEDROOMS AT 100 GALLONS/BEDROOM PROPOSED 4" PVC =300 GALLONS SCH 40 AT 29 MIN. WOODS USE 1 ,000 GALLON PRECAST SEPTIC TANKS USE 3 LINES AT 50 FT. EACH (SPACED 6 FT. ON—CENTER) PROPOSED 4" PVC SDR —35 I (GASKETED BELL) AT 19 MIN. 309.9-2-1 BOTH-000481-2016 PROPOSED DISTRIBUT70N BOX #1 EX (SEE DETAIL — SHEET 2) SHED Homestead Village 162 Elmhurst Drive z CONSTRUcriON. NOTES: Residential Septic Alteration I- I 7) CONSTRUCTION OF ABSORPTION FACILITIES SHALL NOT OCCUR WHEN THE GROUND IS FROZEN OR o I I I O THE SOIL IWOISTURE CONTENT IS HIGH. IF A FRAGMENT OF SOIL FROM APPROXIMATELY NINE INCHES = BELOW THE SURFACE CAN EASILY BE ROLLED INTO A RIBBON INSTEAD OF CRUMBLING, THE MOISTURE CONTENT IS TOO HIGH FOR CONSTRUCTION PURPOSES. OBVIOUSLY, SOME SILT OR CLAY W MUST BE PRESENT FOR A RIBBON TO BE FORMED. ti J 15" M%N/MUM i I I O 2) TRENCH LOCATIONS AND DEPTHS SHOULD BE MARKED BY STAKES BEFORE TRENCHES ARE >' Q I � I /o" MIN EXCAVATED. THE NATURAL SURFACE SHALL NOT BE SIGNIFICANTLY DISTURBED. IF THE SITE IS REGRADED OR- SIMILARLY DISTURBED, THE SOIL SHALL BE ALLOWED TO STABILIZE (I.E., SETTLE = I I I O NATURALLY FOR A PERIOD OF AT LEAST SIX MONTHS, INCLUDING AT LEAST ONE FREEZE-THAW w CYCLE) AND NEW PERCOLATION AND DEEP HOLE TESTS CONDUCTED. HEAVY EQUIPMENT USE IN THE I - p N 1O R j y DESIGNATED ABSORPTION SYSTEM AREA SHOULD BE MINIMIZED TO PREVENT SOIL PERMEABILITY d REDUCTION DUE TO COMPACTION PLUS POSSIBLE TRENCH CAVE-IN AND DISTRIBUTION PIPE ca j I I MISALIGNMENT/BREAKAGE. EXISTING _ MOBILE o I - 3) AFTER A FINAL GRADE CHECK, TRENCH EXCAVATION MAY BEGIN. TRENCH DEPTH SHALL BE AS w HOME I I I W _ -. _..„w-=.. -�. .�. r, -,..�s --__ _ _ _ _ _ - _ _ S A 8 CHES. -TRENCHES SHBE-EXCAVATED- TO DESIGN DEPTH WITH BOTTOMS PRACTCALLY LEVEL. 0, 4) FOLLOWING EXCAVATION, THE TRENCH BOTTOMS SHOULD BE GRADED BY HAND. THE BOTTOMS OF THE TRENCHES SHOULD BE CHECKED BY A TRANSIT, ENGINEER'S LEVEL, OR CARPENTER'S LEVEL TO a a ASSURE THAT EACH IS PRACTICALLY LEVEL. TRENCH BOTTOMS AND SIOEWALLS SHOULD BE IMMEDIATELY RAKED AFTER FINAL GRADING AND AT LEAST SIX INCHES OF AGGREGATE PLACED IN o� THE TRENCHES. t l w opy5) GRAVITY DISTRIBUTOR PIPE SHALL BE CAREFULLY INSTALLED AT A SLOPE OF 116 TO %32 INCH PER FILE FOOT. PRESSURE OR DOSED DISTRIBUTOR PIPE SHALL BE INSTALLED LEVEL. GRADES SHALL BE DETERMINED BY AN ENGINEER'S LEVEL, TRANSIT OR CARPENTER'S LEVEL. AN EASY METHOD OF o PROPOSED ABSORPTION FIELD MEASURING THE %6 INCH PER FOOT SLOPE FOR DISTRIBUTOR PIPE IS TO TAPE A %4 INCH BLOCK TO 3 LINES AT 50 FT. EA. ONE END OF A STRAIGHT FOUR FOOT BOARD. BY PLACING THE BLOCKED END WITH THE BLOCK (SEE DETAIL - SHEET 2) FACING DOWN ON THE DOWNSTREAM TOP OF THE DISTRIBUTOR PIPE, A CARPENTER'S LEVEL CAN BE _ USED TO QETERMINE THE %6 INCH PER FOOT SLOPE. A %8 INCH BLOCK SIMILARLY USED WOULD W RESULT IN A %32 INCH PER FOOT SLOPE. ANOTHER METHOD USED TO ESTABLISH THE GRADE OF LOT 16.3 i LOT 162 LOT 161 DISTRIBUTOR PIPE IS BY BATTER BOARDS. AGGREGATE SHALL BE INSTALLED IN THE TRENCHES TO A DEPTH OF AT LEAST TWO INCHES ABOVE THE TOP OF THE DISTRIBUTOR PIPES. ADDITIONAL AGGREGATE MAY BE REQUIRED TO BRING THE TOP OF THE AGGREGATE TO WITHIN SIX TO 12 INCHES OF FINAL GRADE. o Q 6) AFTER THE UPPER AGGREGATE IS PLACED IN THE TRENCHES, THE GEOTEXTILE, UNTREATED BUILDING w PARKING PARKING PAPER, HAY OR STRAW IS TO BE IMMEDIATELY INSTALLED ON THE AGGREGATE AND THE TRENCH AREA AREA _ - - BACKFILLED WITH EXCAVATED SOIL. IF THE TRENCHES CANNOT BE IMMEDIATELY BACKFILLED, THE TRENCHES SHOULD BE TEMPORARILY COVERED WITH AN IMPERVIOUS MATERIAL, SUCH AS TREATED BUILDING PAPER TO PREVENT SIDEWALL COLLAPSE AND SILTATION INTO THE AGGREGATE. GRAVEL DIRT - - W WS WS 7) THE EARTH BACKFILL IS TO BE MOUNDED SLIGHTLY ABOVE THE ORIGINAL GROUND LEVEL (I.E., NOT 2 COMPACTED) TO ALLOW FOR SETTLING. FOLLOWING SETTLEMENT, THE ENTIRE AREA SHOULD BE 2 w °ti GRADED WITHOUT THE USE OF HEAVY EQUIPMENT AND SEEDED WITH GRASS. HEAVY EQUIPMENT s '> w~w `f'�1{n/9�1 /1F �"�i {��� - �° � SHALL NOT ENTER THE ABSORPTION FACILITY AREA OR THE PROPOSED EXPANSION AREA AFTER THE w i ELMHURST w i m�Z TOWN �++ ACL► y 8) AU�INI�UM HORIZONTALSEPARATIONOF�O FEE�ESHOULD EXIST BETWEEN THE HOUSE SEWER AND Q °°� A VENUE �u� .D� .�D� � a W Q Q o00 � � � � e ANY WATERLINE. WHERE LINES MUST CROSS, THE WATER SERVICE LINE SHALL BE AT LEAST 12 Qg� Reviewed B � � INCHES ABOVE THE HOUSE SEWER. IF A WATER LINE MUST PASS BELOW THE HOUSE SEWER, THL W _� VERTICAL SEPARATION MUST BE AT LEAST 18 !NCHES. zDate: Z 9) ROOF, FOOTING, GARAGE, CELLAR AND SURFACE WATER DRAINAGE MUST BE EXCLUDED FROM THE SYSTEM. WATER SOFTENER, WATER RECHARGE AND BACKWASH WASTES NORMALLY ARE NOT TO BE DISCHARGED TO THE SYSTEM UNLESS A SEPARATE SUBSURFACE DISCHARGE TO AN AREA 250 FEET FROM WELLS OR WATER COURSES IS UNAVAILABLE. w i ti SHEET 1 OF 2 SEPTIC DESIGN PREPARED FOR NOTE: LOT 162 EDRIVE N 0 MOBILE HOME UNITS TO BE PLACED WITH A HOMESTEAD VILLAGE MINIMUM 10 FT. HORIZONTAL SEPARATION. TOWN OF QUEENSBUR Y WARREN COUNTY, NEW YORK THE LOCATION OF THE WATER SERVICE MUST I q SCALE: 1 ,t = 20' JUL Y 12, 2016 BE VERIFIED BY CONTRACTOR PRIOR TO :znwµ ENVIRONMENTAL DESIGN PARTNERSHIP, LLP CONSTRUCTION TO CONFIRM PROPER SEPARATION DISTANCE FROM TILE FIELD (MINIMUM 10 FEET) ; 900 ROUE 146 CLIFTON PARK, N.Y. 12065 (518) 371 -7621 ENGINEERING LANDSCAPE ARCHITECTURE LAND SURVEYING \ JAMES E. MITCHELL P.E. 53,337 1 HEAVY DUTY MANHOLE FRAME FINISH GRADE AND COVER BY CAMPBELL OR EQUAL IIII—III IIII—III + IIII IIII- III111111 III=IIII—_ —_IIII_ 1-111 N II = I—I =IIII.=IIII- ACCESS EXTENSION ASPHALTIC SEAL _IIII— -IIII- (MHGRADEGDRAAS RPER) GRADE FORT MILLER OR EQUAL NOTE; (AS REQUIRED) I. PIPE JOINTS TO BE SEALED WITH _ F ASPHALTIC MATERIALS OR EQUIVALENT. 4" OR 0 INLET I 3" MIN_ I — OUTLET— 12" MIN REMOVABLE COVER BLDG. SEWER �l -- I = zw I .-� O 2. INVERT ELEVATIONS OF ALL OUTLET PIPES MUST BE EQUAL. _�� _ "A" _ WATER TIGHT JOINT (TYP.) SANITARY Zl P tr PARGE W�NON-SHRINK GROUT ;'. ' ; ' ' CL 3. THE SLOPE OF OUTLET PIPES TEE z 0- 4" MIN. INSIDE & OUT BETWEEN THE DISTRIBUTION BOX ALL JOINTS BELOW FULL p SANITARY TEE 1 BITUMINOUS AND THE DISTRIBUTOR LATERALS LIQUID LEVEL TO BE I �T SHOULD BE I/8" PER FOOT. WATERTIGHT AND INTERIOR < o BAFFLE : LEAKAGE TESTED COAT Q I INVERT PRIOR TO BACKFILLING KOP 300M C7 I BAFFLE WITH OR EQUAL I 4"X18" MIN. INLET 2" EL E V. MAY NOT BE �'I I REQUIRED vi JJ OUTLET /� CONTRACTOR TO USE SPEED LEVELERS _ 6" TO 12" LAYER OO o111 ��l AS SUPPLIED BY FORT MILLER TO PEA GRAVEL OR 2",5' EQUALIZE FLOW RU SBEDDING LAYER STONE ONE SECTION VIEW w 24" I.D. TAPERED INLET INVERT IS 3" ABOVE PLUG (TYP.) 12" MIN ASPHALTIC (2" MIN.) CLEAN SAND OR PEA GRAVEL SEAL \ THE SLOPE OF THE OUTLET PIPE BETWEEN THE SEPTIC TANK AND THE 00 Y I I DISTRIBUTION BOX TO BE Y4" PER FT. B #2 DISTRIBUTION BOX INLET H OUTLETS x NOT TO SCALE 000, X q� < THE SLOPE OF THE INLET PIPE I-' BETWEEN THE RESIDENTIAL UNIT AND I BAFFLE NOTE: I •� y THE SEPTIC TANK TO BE Y4" PER FT. MAY NOT BE BAFFLE NOT REQUIRED FOR Z ® 0- REQUIRED TANKS LESS THAN 10 FT. LENGTH > a-- (3) t v) l� "D" �I o „C,. I . �I C4 PLAN VIEW w - OUTSIDEN N TANK SIZE MIN. LIQUID DEPTH "A" TANK DIMENSIONS "B"X"C" "0" "I" HEIGHT M 0 per[ 3 v 1000 GAL. 5'-0" 4'-3" x 8'-2" 5'-6" 5'-9" 6'-8" � o �I TOPSOIL FOR SETTLINGi 1I I I � I =IIII =1 1111 1= =1 I I1 I i= i =70 W (HEAVY DUTY SEPTIC TANK I I I I d I I IM I I I.�.I - _ = NOT TO SCALE ---- - — - -- ._ OR EQUAL � i l l III CONSTRUCTION FABRIC OR EA -IIII— - EARTH EARTH UNTREATEDBUILDINGPAPER o BACKFILL IIII BACKFILL =1I I I�OR STRAW 2 I—I I I=1111 !—IIII- III—IIII= =IIII= =IIII- =IIII=1 =IIII= TOP OF AGGREGATE ` 4" PVC MIN. U TO BE WITHIN O� �I "�� 00 6"-12" OF SURFACE RAKE ANY C PERFORATION JOINT SMEARED `n/ C/ Z� TRENCH 0 n n n q c z O WALLS ti 0000 24" 24" ;I' CRUSHED STONE OR GROUNDWATER BEDROCK WASHED GRAVEL J MIN OR IMPERVIOUS LAYER 3/4" TO 1Y2" S e CROSS SECTIONAL VIEW LONGITUDINAL VIEW o x TERRATEX NO. 2 NONWOVEN CONSTRUCTION FABRIC ? UNTREATED BUILDING PAPER OR PERMEABLE GEOTEXTILE OR 4" LAYER OF STRAW 2_ 6 IIII=11il=1ilr Ilii IIIIII�II�II=III' I-►III- ,ISI O� OO O 00 OO 2" MIN — h1-1 W FLOW-�IKK// O O } I�PROVIDE CAPS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o O o 0 o ON LINE ENDS 7c W F27OO 00 o� 6J7 SLOPE PIPE X6"-Y2" PER FT. Y SPACING OF ABSORPTION TRENCH 6' O.C. o TRENCH BOTTOM TO BE NEAR , LEVEL AND RAKED W TRENCH PROFILE SHEET 2 OF 2 a ABSORPTION TRENCH DTAI L ` ' SANI TAR Y DETAILS FOR LOT 162 EDRIVE NOT TO SCALE Q, N HOMESTEAD VILLAGE o roa TOWN OF QUEENSBUR Y WARREN COUNTY, NEW YORK .� NOT TO SCALE JULY 12, 2016 ENVIRONMENTAL DESIGN PARTNERSHIP, LLP 900 ROUTE 146 CLIFTON PARK, N.Y. 12065 (518) 371 -7621 ENGINEERING LANDSCAPE ARCHITECTURE LAND SURVEYING 37 � 53,3.. ,.— JAMES „E. MITCHELL E ELL o Ipliui�i�lll IIIIII��IIIIII ENVIRONMENTAL DESIGN ��` 1 •SQ \ J G \ �� PARTNERSHIP,LLP August 30, 2016 Queensbury Building& Code Enforcement 742 Bay Road ` —1 Queensbury,NY 12804 LjUN 14. 217 Via email john@queensbury.net TO��(iJ OF OUEEty csUF2Y Attn: John O'Brien dljti_ptNG CODES Re: Homestead Village Mobile Home Park Lot 162 Elmhurst Dear John: On August 30, 2016 our office inspected the above referenced Homestead Village Mobile Home Park lot. The purpose of this visit was to observe the installation of the new septic system designed by EDP dated July 12, 2016. Based on my review of the plans and observation of the installation it is my opinion that the system was installed substantially in compliance with the intent of the design plans. Please contact me should you have any questions regarding this system. Sincerely, James E. Mitchell, P.E. cc:NYSDOH Michael Hallock, P.E. 900 Route 146, Clifton Park, New York 12065 phone(518)371-7621 -fax(518)371-9540