2014-310 i�� TOWN OF QUEENSBURY
Flsco742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140310 Date Issued: Wednesday, July 30, 2014
This is to certify that work requested to be done as shown by Permit Number P20140310
has been completed.
Tax Map Number: 523400-316-005-0001-008-000-0000
Location: 11 SPERRY Rd
Owner: MARCIA PARKER
Applicant: MARCIA PARKER
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 7%1
5(. .
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
1. 1 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140310 Application Number: A20140310
Tax Map No: 523400-316-005-0001-008-000-0000
Permission is hereby granted to: MARCIA PARKER
For property located at: 11 SPERRY 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 Value
Owner Address: MARCIA PARKER Septic Alteration Residential
11 SPERRY Rd
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builders Name/Address Electrical Inspection Agency
SANITARY SEWER
GEORGE DRELLOS 792-7257
PO BOX 224
GLENS FALLS NY
Plans&Specifications
2014-310
Res. Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,July 15,2015
(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 Town of ween my; est : i 1 15 2014
SIGNED BY / +- for the Town of Queensbury.
Director of Building&Code Enforcement
i _- —i
rte, i-c: t Olficeillse Onlv
Town of Queensbury Building & C des _ L5__.----- —71\1I
SEPTIC DISPOSAL PERMITT�\\ JUL 14 2UWax AND. 3 / /p , rj!'4. '
e ,, Permit No.: / 7 3/D
A permit must be obtained before beginning construction
TOWN OF Ou=GP& j-jrzq ee: $ d/�
aiiiLDING C()Approvals:
ApplIca
rd: g14r t 4/' vt� �J
et InstallerlBuilder j,,f-,4 Je-n?e
Address: /J fPe/r/A- P-0 Address Pc. Bo,c0 227
PPP-JA tt- 6/e,v ,Ca//f At/ /ZFz°/
Phone: Phone 792,— .x
— 727
Owner. Location of Installation _ rnere c'
Address:
Phone7-1
pn,
Contact Person for Building&Code Compliance: e eO/3 e ,✓�" J Day Phone: /3745.----17451°
Residence Information:
Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow
1980 or older x 150 = Garbage Grinder installed? ^e)
1981-1991 x 130 = Spa or Hot Tub Installed? Ho
1992—Present -7 x 110 = 33a
Parcel Information:
Topography Flat Rolling _Steep Slope _%Slope
Soil Nature Sand _Loam _Clay _Other
Groundwater At what depth?
Bedroddlmpervious Material At what depth?
Domestic Water Supply _Municipal Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate- //S" per minute per inch(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 fav gallon(minimum size 1,000 gallons),add 250 gallons to size of septic tank for each garbage grinder,spa or whirlpool tub
System Type: Absorption Field(with#2 stone) Total length ft. Each trench X
a e Pit S with#3 stone) How many? Size?
Alternative Systeep Bed or other type? /-C-'X 30
Holding Tank System Total required capacity? Tank sae? #of tanks?_
NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified Electrical form
on Town website; 2) Effective as of March 23, 2006 Septic System-As Built Plot Plan: The Building Department will no longer allow systems to be
covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system
layout on file. There will be no exceptions.
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.
It have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary
Sewage Disposal Ordinance. qn'-_ ��
Print Name: (3�/p" C h` gJ Date: 7-7 -7.1'
Signature: _46=4:49._e
1� cp��/ Date: 7--/k /s'
Town of Queensbury Building&Codes Septic Disposal Permit 518-761-8256
Town of Queensbury Building & Code Enforcement 1'u&S (J( D
Office No. (518) 761-8256
Septic Inspection Report
Inspection request received: !�
Name: Par K e r Inspected on:
Location: // S Perr i Rea Arrive: �t Cc a.m./p.m.
Permit No.: /•L{3 f D Inspector's Initials:
/ Comments and/or diagram
Soil Type: ..•• Clay
Type of Water: i uni /Well Water
Waterline separation distance - ft.
Well separation distance ft.
Other wells. ft.
Well Casing Length 50' +I- Y N N/A
[150'to well required if NO]
Absorption Field Total length e ft.
Length of each trench ft. -ice rS4 -`i etik
Depth of trenches ft. See 1-
Size of Stone Z�
Seepage Pits Number as-
Size-
Stone
SizeStone Size.
Piping Size Type
Building to tank eat--LjCSC
Tank to Distribution Box '- S T)(Z3 7
Distribution Box to Field/Pit a�it-sc
Opening Sealed.
End Cap N
Inlet/Outlet Pipes&Baffles r/Y/_N
Manholes 12"or less below grade _Y N
[provide extension collar if Yes] Y N
Location/Separations
Foundation to tank ft. !—'Z— C'C C5'{ k1tQ
Foundation to absorption 3') ft. 1
Separation of Pits
Conforms as per Plot Plan
Engineer Report and As-Built Y N
ETU Maintenance Contract provided Y N
Location of System on Prope
Front Rear .• Right Side Middle Front Middle Rear
S stem Use Sta
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Septic Inspection Report
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� pnl/ I HAVE SEERERVED ALL OBJECTS1%l)/1i
I SUCH AHOELLS, TREES, FENCES, ETCSHOWN 1DOMENT,I HAVE PERSONALLY
MEASr4r HE Sto THIS DIAGRAM.
Cif-4 URE 7- /ray
DATE
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CENTER PROJECT
SERVICES
73 Sheridan Street, Glens Falls, NY 12801
Phone-518-796-2515
July 10, 2014
George Drellos Project # 191
Sanitary Sewer Services
Luzerne Road
Queensbury, NY 12804
Re: Proposed Replacement Septic
Marcia Parker— 11 Sperry Road, Queensbury,NY
Dear George:
At your request we have reviewed your proposed replacement septic system design of the
existing 3 bedroom house at 11 Sperry Road 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 330 GPD and a percolation rate of
1 to 5 minutes, you will need 367 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 450 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.