2014-311 i TOWN OF QUEENSBURY
jo742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
a
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140311 Date Issued: Friday, August 08, 2014
This is to certify that work requested to be done as shown by Permit Number P20140311
has been completed.
Tax Map Number: 523400-301-018-0002-016-000-0000
Location: 60 LAMBERT Dr
Owner: LAWRENCE & TERESA WEAVER
Applicant: LAWRENCE & TERESA WEAVER
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
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Dirjlding�& teemem
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140311 Application Number: A20140311
Tax Map No: 523400-301-018-0002-016-000-0000
Permission is hereby granted to: LAWRENCE & TERESA WEAVER
For property located at: 60 LAMBERT 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: LAWRENCE&TERESA WEAVER Septic Alteration Residential
60 LAMBERT Dr Total varve
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
SANITARY SEWER
GEORGE DRELLOS 792-7257
PO BOX 224
GLENS FALLS NY
Plans&Specifications
2014-311
Res. Septic Alteration
S40.00 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 Que s ry,f f Tu a 1 Jul 15,2014
SIGNED BY es4PlY . .- ;. for the Town of Queensbury.
Director of Building&Code Enforcement
le
Office Use On v
Town of QueensburyCodes �) �1
& ' Received: 1Ut
SEPTIC DISPOSAL PERMITDi ( Tax MapA permit must be obtained before beginning consio St1L �' No.:11 /�{ .3 I/
Permit Fee:]
woe :
vVN OF QI c`r.fDtQ
/ 11
T�gulLDING pp �•
Applicant: Zfr 4/1/111r4 installer/Builder ..��-r.h=� Jeu2� I a/.re
Address: 60 OLS (2P ,Orit Address Pa- 6o4lz'7
6Z fps-/o nit /1f20,-
Phone: Phone 7rZ- 72x7
Owner: Location of Installation to 7*M614-r f U 2
Address:
Phone e- ///� �i
Contact Person for Building&Code Compliance: Geo, ACJ& ✓ Day Phone: /cc 3740
Residence Information: a
Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow
1980 or older x 150 = Garbage Grinder installed? A0
1981-1991 x 130 = Spa or Hot Tub Installed? "
1992—Present S x 110 = .330
Parcel Information:
Topography Flat Rolling _Steep Slope _%Slope
Soil Nature —Sand _Loam _Clay _Other
Groundwater At what depth?
BedroddImpervious 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 /On 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 Reld(with#2 stone) Total length ft. Each trench X
Seepage Pit(S with#3 stone) How many? Size?
Bed or other type? 2&d.X z r
Holding Tank System Total required capacity? Tank size? #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 Piot 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 fad 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 Sanitary
Sewage Disposal Ordinan'-.
Print Name: Date:
Signature: , /�� Date: 7~/r—/y
Town of Queensbury Building&Codes Septic Disposal Permit 518-761-8256
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Septic Inspection Report
Inspection request received:' 1
Name: W(o,QC9E r n Inspected on: -g'
Location: _____Ja D L�setjjArrive: a.m.1p.m.
Permit No.: /y - 3 "( Inspector's Initials: (-)/ll
Comments` 'ik
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.
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 I 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 ft. �%J!7t /
Conforms as perer Plot Plan �N
Engineer Report and As-Built Y N eL/CL
ETU Maintenance Contract provided Y N
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
S stem Use s:
Approved Approved Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Septic Inspection Report
so
Septic Inspection Report
Office No. (518) 761-8256 Date Inspe /n request received: to ( L'I J/ t/
Queensbury Building &Code Enforcement Arrive: j2. am/ Depart: m/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: W Oa PERMIT NO.: -3
LOCATION: (p Q l ,a-n--faf v- 'C N C_ INSPECT ON: elb ) L
RECHECK:
Soil T Comments and/or diagram
Type Loam/aay
Type of Water: umci /Well Water
Waterline separation distance 0* 14- 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. ./ 70V' r
Length of each trench 3 ft.
Depth of trenches 3 ft.
Size of Stone 2_.-
Seepage
_Seepage Pits: Number _
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box 4" J/$2
Distribution Box to Field/ Pit cfv as
Opening Sealed: Y N
End Cap N
Inlet/Outlet Pipes&Baffles fly' N
Manholes 12"or less below grade _Y_ N \g
WO4/
[provide extension collar if Yes] Y N /
Location/ Separations
Foundation to tank ft.
Foundation to absorption 2' ft.
Separation oPits ft. ( JJ I.4 p Lin
/ mi
Conforms as per Piott Plan _Y 1�N 6 i-
Engineer Report and As-Built _Y }c N
ETU Maintenance Contract _Y Se N
provided
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use Status:
Approved
�o—Partial Approved and needs to be re-Inspected, please call the Building&Codes Office
Disapproved
L:1Pam Whiting\2010\Building Codes FornsUnspecnon Foms\Septic Inspection Report_03 2910.doc
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sEpific PLOT PLAN
I HAVE SEEN OR) OBSERVED ALL OBJECTS
SUCH AS HOUSES, LLS, TREES, FENCES, ETC ,
SHOWN LTHIs D ,O,CumENT,I HAVE PERSONALLY
MEA r E TANCE SET FORT HIS DIAGRAM.
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SHOWN .,THIS Ds UMENT.I HAVE PERSONALLY
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CENTER PROJECT
SERVICES 11 - 3 I1
73 Sheridan Street, Glens Falls,NY 12801
Phone-518-796-2515
July 10, 2014
George Drellos Project# ]92
Sanitary Sewer Services
Luzerne Road
Queensbury, NY 12804
Re: Proposed Replacement Septic
Larry Weaver—60 Lambert Drive, Queensbury, NY
Dear George:
At your request we have reviewed your proposed replacement septic system design of the
existing 3 bedroom house at 60 Lambert 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 330 GPD and a percolation rate of
1 to 5 minutes, you will need 367 square feet of absorptive area. We recommend using a 20 ft
wide by 25 ft long absorption bed with 4 — 20 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,
•
Thomas R. Center Jr, P.E.