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2014-452 TOWN OF QUEENSBURY wow742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20140452 Date Issued: Friday, September 26, 2014 This is to certify that work requested to be done as shown by Permit Number P20140452 has been completed. Tax Map Number: 523400-301-012-0003-069-000-0000 Location: 24 ZENAS Dr Owner: WILFRED & LORIE LAMBERT Applicant: WILFRED & LORIE LAMBERT 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 Director of Building&Code Enforcement 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: P20140452 Application Number. A20140452 Tax Map No: 523400-301-012-0003-069-000-0000 Permission is hereby granted to: WILFRED & LORIE LAMBERT For property located at: 24 ZENAS 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: WILFRED & LORIE LAMBERT Septic Alteration Residential 24 ZENAS Dr Total Value QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2014-452 Res. Septic Alteration $40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, September 23,2015 (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 Quee burr 4Tue: t . .• • •mber 23,2014 i SIGNED BY \ for the Town of Queensbury. Director of Building& Code Enforcement , ti (jr TOBU�DII (— r a 7 - -OMce Use Only Town of Queensbury BuiifIing &'_Godes� Ii V RUM : SEPTIC DISPOSALIPERMIT �• � (Ta Map ID: 3Dll l o� -3-tc 9 A permit must be obtained before beginning construction2 2014 Perri*Fee: $ 441 0'Oa SI ,S r TOWN OF QUEENSBUR ' Appiovals: BUILDING 8 COO -S t t / / Applicant /, L 1/ Ps f Installer/Builder i r e ea 1/-vie Address: o24( Ze N a s Drire re Address A. _Sy#27r A erAd ea-y-- a/-f /ter//J by 4W' Phone: 3o7 - 'J/ Phone 791 -7zr7 Owner. Location of Installation ce y 2e"-r-t /fir-/et- Address: cf>r2 Phone /� �� Contact Person for Building&Code Compliance: Seer,p b 1 Day Phone: rpI3760 Residence Information: Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow 1980 or older x 150 = Garbage Grinder installed? /NJ 1981-1991 x 130 = Spa or Hot Tub Installed? Nv 1992-Present 3 x 110 = 1.rj0 Parcel information: Topography k Flat Rolling _Steep Slope _%Slope Soil Nature X Sand _Loam Clay Other Groundwater Groundwater At what depth? Nir. Bedrock/Impervious Material At what depth? "-re Domestic Water Supply 2L Municipal _Well(if wet,water supply from any septic system absorption is fL) Percolation Test Rate- /-.i per minute per inch(Test to be completed by a licensed professional engineer or architect) Pr000sed 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 /�/ gallon(minimum size 1,000 gallons),add 250 gallons to size of septic tank far each garbage grinder,spa or whirlpool tub System Type: Absorption Field(with#2 stone) Total length ft. Each trench X Seepage Pit(S)(with#3 stone) How many? Size? native Bed or other type?o?d x 24 o mg arrk 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 webste; 2)Effective as of March 23, 2006 Septic System-As Built Plot PlanThe Building Department will no longer allow systems to be covered until such lime as an As-Butt Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system layout on He. Time wit 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,shat 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 Ordnance. Print Name: SCJe >D°u`�//�/�5 Date: 7 27/f' Signature: V z Date 17` y Town of Queensbury Building 8 Codes Septic Disposal Permit 518-761-8256 Town of Queensbury Building & Code Enforcement l h Lt rs cicy ? 3 o Office Np. (518) 761-8256 Septic Inspection Report Inspection request received: Name: M b/2 rk Inspected on: q—a. S— Location: • A " s rrive: O a.m.1p.m. Permit No.: / Al — 4-I 5 a Inspector's Initials: • S. e Comments and/o dia.ram Soil Type:'' .nd ... lay Type of Water: fun cie 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 ac ft. Length of each trench ft. l C....--- 2_,cYX'Z c 1� Depth of trenches ft ICI Cln Size of Stone 2 �� Seepage Pits Number {I fri Size: x Stone Size: Piping Size Type Building to lank I` L 9 ti tir Tank to Distribution Box /k(03_ -- Distribution Box to Field I Pit 4.t!' 5-xj2- 3 Opening Sealed: vY/ N �^ End Cap �!P N fl $fl CN Inlet/Outlet Pipes&Baffles N !moi ) Manholes 12"or less below grade _Y_N [provide extension collar if Yes] Y N 1/4424-14' —1 t -]%-) Location/Separations Foundation to tank ft. - S j ls• Foundation to absorptions ft. Separation of Pits "Pic_ft Conforms as per Plot Plan N Engineer Report and As-Built Y NN Jt re--A �� t ETU Maintenance Contract provided Y_N Location of System on Property: Front Re. Left Side Right Side Middle Front Middle Rear S stem Use Stat A. TL Approv- 'a lal Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report i i , elfr..1.-i-,- ., yin a f� f - c %t 1 ' k ® o 0 . � of It , f 1 4/4/er / 'Oct ■ ' /Ores, oro C SEPTIC PLOT PLAN41.6 I HAVE SEEN OR OBSERVED ALL OBJECTS SUCH AS HOUSES, WELLS, TREES, FENCES. ETC C .� SHOWN 0 OCUMENT I HAVE PERSONALLY MEASU SET FORTH DIAGRAM. � FORTH D -mss SIGNATU E DATE - h giool; ' - Cy1 '! CENTER PROJECT SERVICES Sa 73 Sheridan Street, Glens Falls, NY 12801 Mj Phone-518-796-2515 September 17, 2014 George Drellos Project#201 Sanitary Sewer Services Luzerne Road Queensbury, NY 12804 Re: Proposed Replacement Septic Bill Lambert—24 Zenas Drive, Queensbury, NY Dear George: At your request we have reviewed your proposed replacement septic system design of the existing 3 bedroom house at 24 Zenas 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 a minimum of 367 sf of absorption area. We recommend using 20 ft wide by 20 ft long absorption bed with 4 - 15 ft long laterals. The absorption system can be constructed with the existing 1,000 gallon septic tank, new distribution box, and 4 inch diameter perforated pipe and stone. A vent will be required to be installed on the far end of the absorption bed due to the depth of the existing septic tank to allow for air flow into the absorption bed. 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.