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2014-168 `2 TOWN OF QUEENSBURY 742 Bay Road,Quccnsbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20140168 Date Issued: Thursday, May 15, 2014 This is to certify that work requested to be done as shown by Permit Number P20140168 has been completed. Tax Map Number: 523400-295-019-0001-036-000-0000 Location: 16 LYNNFIELD Dr Owner: RICHARD & VIRGINIA DRIES Applicant: RICHARD & VIRGINIA DRIES 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 r� 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. ik TOWN OF QUEENSBURY V742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140168 Application Number: A20140168 Tax Map No: 523400-295-019-0001-036-000-0000 Permission is hereby granted to: RICHARD & VIRGINIA DRIES For property located at: 16 LYNNFIELD 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: RICHARD & VIRGINIA DRIES Septic Alteration Residential 16 LYNNFIELD Dr Total Value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency SANITARY SEWER GEORGE DRELLOS 792-7257 PO BOX 224 GLENS FALLS NY Plans&Specifications 2014-168 Res. Septic Alterations $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,May 13,2015 (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 To of Qu sbu f, TqOsd• ' n! . 13,2014 SIGNED BY %' / \ for the Town of Queensbury. Director of Building&Code Enforcement 014 • Dits" Community Development Officerrill vi E 5 MtiY 1 2 Town of Queensbury • 742 Bay Road • Queensbury, N Y• i 7o. yt1QUEENSBURY BUILDING&CODES Office Use Onlyif /� Q TAX MAP NO. i?5 .I4-I 340 PERMIT NO. I{r) I¢ " PERMIT FEE b� APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WK BEGII)Ip.APPLICATION]� IS SUBJECT TO REVIEW EFORE ISSUANCE OF A VALID PERMIT. OWNER: iCA°A-INCY Pt//e.f INSTALLER: 1/4/7/4/1/1,Q1A fy J ' tt- Ser �P ADDRESS: /6 ly NNI-1�C.� I7LiW ADDRESS: YaD . iliCY-qq 7'Z 7 PHONE NOS. PHONE NOS- -S/t - 7/2 -7Lr7 LOCATION OF INSTALLATION: 4 G✓ i✓r z4 XJ 4:2/1/r RESIDENCE INFORMATION: NO.OF COMPUTATION YEAR BUILT X = TOTAL DAILY FLOW _ BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older 3 X 150 = lire? INSTALLED? NO 1981-1991 X 130 = SPA OR HOT TUB,../z) 1992-present X 110 • = i INSTALLED? PARCEL INFORMATION: I TOPOGRAPHY: FLAT ROWNG74- STEEP SLOPE %SLOPE I SOIL NATURE: SAND LOAM - CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? /'14.- 1 ¢J BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? IV A- 1 DOMESTIC WATER SUPLY: MUNICIPAL X- WELL (If well:water supply from any septic system absorption is: ft) I PERCOLATION TEST: RATE IS / -S PER MIINUTE PER INCH(mpg (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: /Ufl 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: ❑ABSORPTION FIELD(WITH NO.2 STONE) Total length ft. Each french X o SEEPAGE PIT(S) (WITH NO.3 STONE) How many? 4Size? �FALTERNATIVE SYSTEM Bed or other type? /5 3a.- 0 '-d ❑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 re.. .-.- regulations with respect to this application and agree to abide-.. : a and all requirements • i•- Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sa ' ewag.i'!•.. .).....r.2.-- ,3,� codes(aeueensburv.net —I - VISIT OUR WEBSITE FOR MORE INFORMATION Signature of Person Responsible Date www.aueensburv.net Town of Queensbury Building & Code Enforcement -Al lit, ulf-schua p M Office No. (518)761-8256 Septic Inspection Report Inspection request received: Name: j?: ©.t E Inspected on: Location: / ( L rf n co I ei bt— C J e. Arrive: 1 /S!&'►� 1 p.m. Permit No.: / g Inspector's Initials: W" Com' ents and/or dia•ram Soil Type. Sal• : Clay Type of W. •. er Waterline separation distance ft. F20cc '037 Well separation distance ft. Other wells ft. Well Casing Length 50' +I- Y N_NIA [150'to well required if NO] Absorption Field: Total length `ES ft Length of each trench 3€2,5-ft. FAD W o\ V)* Depth of trenches Size of Stone Seepage Pits: Number Size. x Stone Size: Piping Size Type Building to tank Orr bett 4o Et i'•itwJE-, Tank to Distribution Box Oct }ma02_215— Distribution 3SDistribution Box to Field/Pit 4::<-50?-- 3 ri �t'SD�3� PELF Opening Sealed: End Cap ✓Y �N LDo%S) Inlet/Outlet Pipes&Baffles N Manholes 12"or less below grade :ter [provide [provide extension collar if Yes] N Location/Separations F Foundation to tank ha5r. ft. + oF.0 Foundation to absorption Separation of Pits ft Conforms as per Plot Plan v<1 N Engineer Report and As-Built Y N ETU Maintenance Contract provided Y N Location of System on Property: Front Rear L- Side Right Side Middle Front Middle Rear S stem Use Stat .: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report -- /fdjALtscf _ 4 BP f tl I (ok X' A TOWN BUILDING WEE yy�� >8l�I,Yq n �____ VI Reviewed By.t. I •1 Date: __ l I ��o '� _, — 4 0 • - I / -0 9 1 netP ___I Hour CTS r _ Set! P • P AN ,, i I HAVE SEEN •R OBSERVED ALL OBJECTS Pfri SUCH AS HOUS%S, WELLS, TREES, FENCES, ETC ii V SHOWN ONyr� ►OCUMENT.I HAVE PERSONALLY ,afr MEASUREMMIS A 61 IFQft_ T4 DIAGRAM. 491 -.IR• DATE /6 t yp,✓f;r 07 pe -VYS CENTER PROJECT SERVICES 73 Sheridan Street, Glens Falls,NY 12801 Phone-518-796-2515 May 7, 2014 Project# 183 George Drellos Sanitary Sewer Services Luzeme Road Queensbury,NY 12804 Re: Proposed Replacement Septic Richard Dries— 16 Lynnfield Drive, Queensbury,NY Dear George: At your request we have reviewed your proposed replacement septic system design of the existing 3 bedroom house at 16 Lynnfield 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 450 GPD and a percolation rate of 1 to 5 minutes, you will need 474 square feet of absorptive area. We recommend using a 15 ft wide by 30 ft long absorption bed with 3 — 25 foot long laterals, which will provide 500 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, eitC Thomas R. Center Jr, P.E.