BOTH-000282-2015 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-000282-2015 Date Issued: Tuesday, January 5, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000282-2015
has been completed.
Tax Map Number: 240.6-1-20
Location: 11 HANNEFORD RD
Owner: Thomas Groos
Applicant: Thomas Groos
This structure may be occupied as a: Residential Septic Alteration
By Order of Town Board
TOWN
^OF,QQU EEN(S/BURY
Issuance of this Certificate of Compliance DOES NOT relieve the \ / )A _I/ 4
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-000282-2015
Tax Map No: 240.6-1-20
Permission is hereby granted to: Moe Paddock
For property located at: 11 HANNEFORD 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 bereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: Thomas Groos Septic Disposal $0.00
Owner Address: 102 Buckberg Mountain RD Total Value $0.00
Tompkins Cove,NY 10986
Contractor or Builder's Name/Address Electrical Inspection Agency
Moe Paddock
Plans&Specifications
Residential Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,November 6,2016
(If a longer period is required,an application for an exte Sion must be made to the code Enforcement Officer
of the Town of Queen fore the rra/f�/pn it .)
Dated at the Town f Queen r V T ovember 12,2015
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
� C is0JLjfn
SEPTIC DISPOSAL APPI, TION ffice Use Only
_ t�OV U D 2015 1 eceived
DATE: 5 S ax Map ID
Z HU 6- 1 Z o TOWN OF UEENSBURY ermit No. �H a7[x� -�`rZ 7-0/TAX MAP ID: UILDING & CODES Ilermit Fee yU 00
ZONE: WK 14 Mat.Fit ti r CNT)i
APPLICANT 1rH1*%1J+r CA,OOS PHONE/E-MAIL 1/Y 71 S- M90
ADDRESS fez 8MC1CO6-t6 /ryeun17/l1.1 (,OAO TOaPj Iivr6or6 aq /0
9ADBocK £Ajk-p/xpJ lAkr PHONE/E-MAIL
BI ILDER Pte PeODoyC Oe- &_tAh1Y � )Vlbaw✓ (S/8) 222-3fof
Ot\NiClt TI df"*-f GAoal V 71 – D
ADDRIS. /ol dtedLUA-S .4/0.4. 1*196 otd Tt7mj0CI,I,r0✓E Ny /0f
CON"I A( I PI.Iter)N FOR BUILDING&CODE COMPLIANCE: /Y16ap_ �0a2 ZS wre
PIIONI I-\IAI. P dl>res5 111F%4N+i� Fcv��
RESIDENCE INFORMATION
Year Built n of bedrooms X gallons per bedroom =total Daily flow
1980 or older Garbage grinder installed _Yes No
1981-1991 Spa or I lot Tub installed Yes XNo
1992-Present 3 110 330 frt, frFluotrJ Acr? Keo 200
PARCEL INFORMATION
Topography Flat rolling Steep slope —%Slope
Soil Nature _Sand Loam Clay Other
Groundwater At what depth: aO�)E OQ (Lt✓��
Bedrock Impervious material At what depth: YO rdLHEf
Domestic Water Supply _Municipal _)(Well(if well,water supply from any septic system absorption is L fl.)
Percolation Test Rate: __L3___per minute per inch(test to be completed by licensed engineer'architect)
PROPOSED SYSTEM FOR NEN'CONSTRUCTION
Tank size 1' ,900 gallons(min.sin 1,000 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub
System Absorption field with#2 stone Total length fl.:Each Trench
Seepage Pit with#3 stone How many: :Size
Alternative System Bed or other Ape: 4 – !b >t YO a YOO ft L
Holding Tank System Total required capacity' Tank size #of tanks
Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency: '_)We will
no longer allow systems to be covered until such time as an As-Built plan is received&approved. The installed system must match the
septic system layout on file–no exceptions.
Declaration: Any permit or approval granted which is based upon or is granted in reliance upon any material representation or failure
to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations and agree to
abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
PRIM NAME: �i70H�S (j(-oDf DATE: 1 a ell s
SIGNATURE: / DATE: I
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
AW I N C H I P 6272 State Route 9 Phone: (518)494-2555
ENG IN EER I N G ac PO Box 116 Fax: (518)494-2566
Chestertown,NY 12817
November 20, 2015 _2o'e/ Job No.: I of I
)) Page 1 of I
Tom Groos
102 Buckberg Mountain Road
Tompkinscove,NY 10986
Re: Wastewater Bed Replacement
11 Hanneford Lane
Queensbury,NY 12804
Tax Map #240.6-1-20
Dear Mr. Groos,
On November 20th 2015, I visited the above referenced site. The purpose of the visit was
to observe the construction of the replacement wastewater disposal bed. Based on my
observations the bed appears to be installed in general conformance with the approved
plans.
If you have any comments or questions, please do not hesitate to contact me.
Sincerely,
a�, 4-12 10V
Bret W. Winchip
NYS PE#083076
Winchip Engineering, P.C.
Cc: Maurice Paddock, The Country Plumber
Craig Brown,Town of Queensbury Zoning Administrator
_ _ __ _
.. _.
I .
l
I
—. I •., - , ...". ......
I
j
.
30"
30"
,i . `.$ I -
; , � . ,
ABSORPTION ESI DATA -
- - - - -, -
ASSUME 3 BEDROOMS BR AND A DESIGN I I BACKFILL 6" TO 12" BARRIER MATERIAL (FILTER FABRIC)
( ) I
PERCOLATION RATE OF 1"/ 5 MINUTES - 11 I
-
-
ELEVATION 104.0±
ASSUME 1 .6 GALLON/FLUSH TOILETS AND I _
_.::....
..
. II / / / / / . . ::.... :. : i "
4 PVC PERFORATED I :::':.... : •.. '.-,_'.- ` ' /�//// //\//\�
2.5 GALLON/MINUTE FAUCETS/SHOWERHEADS —� I ,��\��\��\��\��\�\ \ :.. . >. \\�
\r\\/ /,
I /
_` /�
`_% .
.. _ I I -
II 11
r 12 _
DESIGN FLOW 3 BR X 1 10 GPD/BR1. .
LEVATION 1
DESIGN FLOW = 330 GPD 1 I I I 40'+ I X - . .... ..�:" ' " _ . .. . .. ` :: .. : `::; ':: \/�� E 03.0±
USE ABSORPTION BED I I r 2'° /\\ a a �/�
FROM EFFLUENT PUMP I ,{ /
I II I, / ° °.\\/'
12'' WASHED STONE
ABSORPTION RATE = 0.95 GPD/SF I: II W
-
ABSORPTION AREA = 330 GPD/ 0.95 GPD/SF I " \/ -
4 / %` (4" TO 1211 SIZE)
ABSORPTION AREA = 348 SF �\ v /
I 611 1f \\ a v J� 4t:�/ I ELEVATION 102.0±
- I I a �a a a ., 1 .
TRY 10 X 40 BED
10' X 40' = 400 SF OK DISTRIBUTION BOX i 1 I \'\e/ //1//\//, /\/i�\/i�\/�\�/\�/\\/\�\/�\\�\ .
" I I —�- 2.5' I '- 5' - 2.5' -�—
. I '-
- I : 1 I - - 1pl
3/4'I'- 1 1/2" CLEAN CRUSHED STONE
OR GRADED GRAVEL ,(12" DEEP)
ABS PTI N E SECTION .
X '^ I
(nts)
. I - 30"
- - - - - - - - - NOTE:
t -
j - HEAVY AND ALL RUBBER-TIRED EQUIPMENT SHALL BE KEPT .
- I 11 OUTSIDE THE PROPOSED BED AREA
- GRADE STONE WITH LIGHT TRACKED EQUIPMENT -
30" — ( ,� - HAND RAKE THE SIDES AND BOTTOM OF EXCAVATED AREA
- 10± I - BOTTOM OF STONE AND ALL PIPING TO BE LEVEL (0% SLOPE) '
it _
'.
,
.1 IABSORPTION B PLAN VIEW 11 I
(NTs) _ art
I
- 11 , :
I
-
4
-.
_ 1 - _ - - -
+ l� -
[ 00� _ K _ - -
-- -- _ : , -
- 16I 1, -2
I: I 1 - 1 , ,f
1i,. i�l _ -
- -
• .
// 1. 1 .
:r. ;.
.s .. . .... - ..... - T. .
.: N
..
� +�• t -
- - `9
I' I
- - - - -
<' '' '
TO ,' I 1, I q
- 11
1.
L
- , LATERA S -
. . .
_
L9K ' - _ - �: '�
/.
K
i:i
- :l, - - - - '-- . it ,I! - - - _ _
-
l
s ar,
i,
^N1
k
F
r
t
r
i,
• t
3 !
, A
t�
E
N ;4
�Sa
'•t
.e.f
M
6
.". l O
jt L
•� o": j
°�
f y
N
N
��ry1 yy
{Y
At
t
^3
♦ $
t`, t
l ejj
3'Y 1
y 8 d
d..
M
4`
}
7 = r• iPt
i'
4'
■
•
t:.
100
•N^
§'}..._
�k•_:,8.
>hv
t.NE
NEIGHBORING DRILLED WELL G
N€h tt
'
1'
a
f
#
,
_—
rF
tzaj�
P Y
pa
•'E'' d, AtC-r� '8
�y
Tri t<a
a
•"3" S
a"'Six
.'..4
rr
�L d}
,d,--- t
,tja o ca
ttqq N
k y
{ �•1. t
:C .Y r., tt�•�
T a✓',x
S N
yy d„
.r3-"•b ri-.,r- K
F !1
i
� NI
1 t:
i'
_ rx,
S.
t �.
pat
ab
r.
a $
#
t§
S
:.a..
.t.
SOi F.
7
04"
■'
g N
?b
4 !!
y'
( Ng.
d'
x i Vii[
R t.�,s,+� N•YA l� E ,
4 $ i
`L
'3i y
\ .*
NEWLY DRILLEDWELL
_
1 t.'
t}i•:" � N
�{
JrT�y
ffl
tt
,.
N• '•l S
S
y �
t
BENCHMARK TOPP O WELL
I
t
" F
1
� t 4 N 4,�N
rN
to
:
`4
'€E
F
wt;•
w
N
r 9
1
N
't
k�
rli
t, N
tl
t
t
`I
#
y �0�
xF
4`` •A
"
^I�
'P
r .•
,
M f
N
}
"111
F
q
a
t,
b
S
E
id
x�
1 _
r %
ti
N.
5 x
>>
r - F
5iItii
i' ya i r
tt.
•
aF c
M
r a
_—
-Z I
N' P
a,
49 A t
s t
1
f
J
SH
t
.d 1.
}
ED a� f
-�
a4'.
N
- I
f
r ei4 /
N
Y
Ny,
r
t
F
t
•
c.
1
Nt
€1
a
N
a i
S
• q
�t
t a.
M
R
d
•
d'
L
X A
SD
E
1 7
FI ,
S'
0
i •
1`
N #.
a
N f t44
iF }
9Ev 'Z,• .,t'.
`F
I •a
%
37.5'± t.
`3 r
t
_
I �
t
i'
Yp 'y
yy ,y
9
'�a
N'.
k
t
I
j(Jf E N
d
/ N
(
#
t N
/
I
4 N
N t
N
i
t
Ne N
« •� xs
` t E
N
N }'
I
r�
�(t
i
kY1
4i d
If t'
'ff
I
f S
1
/ t
r
f
I f
ARAG
E .r -
,G `a, t
NE�
att N
a
c
:N'.
d
j$ M
N
1
/ 1
\ t:
I,
S' i ro
3 a f
TEST HOLE # .�
I
3'
E
f
� k
\ (
� N.
fft °�
Ik N
i
f
j(
= F
# }y
N
SITE
t
r- LOCATION
r
a
i
x PR
POS R PVC SCH 40F RCE MAIN
f
/ tEF
*
bf
i3p
•
ry�..i
( R SI 100 PSI MINIMUM RATED)
#
t
#jYjj}
"
b
y4
T
€
� d
I'd
:z
a4
a,5
A
a
N
b
r
/
\ r
4,
t: S
1
- I
EXI TING FORCE MAIN I THIS
AREA
CONNECT TO 26.81
+
THREE BEDROOM HOUSE
p�k t
_N
ii •�'r
"K}
.f
a
F.
,
�
� -
r
- i 5
r4
a.
@ w
4
6\7
5 � t
k� y
d. v
E
1
t
#" N' _
a M �Qoy,
i t
I t ..
3
/ X
D WASTEWATER _
I P'R POE S <,.�
O S �.
GARDEN
1 N§ .�
t..'
;Y l
1
yy'' eA 5
Ff+.
4 3
i
a
`2
a�
_ I (
•'dt"' cwt' -
.r }
f
p( y
: 1 �P t
- �kl
Y.
/ I M
N BED `t, �•
B RPTIO ��-
A SO
4
r
iN
F '' °
P"+
€
I
1
:-E
1 .
;•i
, a
—
.4
4 SF
1 X 40 00
t.
�Y
aj v t
I s•
/ I
:
/
/ , I
CONSTRUCT WITH
BOTTOM M O
4
N
,
D'
E e
� f
F
a.
€
I
Nf
y,
� F' yj¢ •
I
f
,� tk
f
r.
3
I
I
I
BED (BOTTOM OF STONE) -
�5 .
r
E�
i i 241
U.
XIMUMBEL W EXISTING TING
3
N
ppp
'1
!N
§ ' ,
4`
F1
F
t':[
tr
�
J
�1de
'v
.�
3
E
i
,
rt1' ,#•
N
AP
't
I
GRADE (ELEVATION
102 0_
R
S'z
I _ _'.`'y.`.,eF4'""„ �y>.,,off• vt, _
^, 1
I =N � �, _
I _
/ r
ff
I I
I
y
4
-d•'t.
{jg t ,
I
F i
t
t
1
mak:
xd
4• r' N 1•a�,'- h
el �p•'Y�, -,. ,
I e .,.. .
P OXIMATE LOCATION EXISTING •, ,i ` �a""
100 e s APR >�'�
N ,k
T
\ �.
0 ,
I
/ WASTEWATER ABSORPTION AREA
� 2,9'
o /
\' '1i'
1 ( °rte.� ```��
I <
t i
I REMOVE EXISTING 1 DISTRIBUTION '
F'
gS
1
I I
Fi q y�
b• _ w _.
E^
t
Ge,
'
PARKING LINESAND HEADER bI ray
p
I / I
TEST HOLE #2 x 1 r
� � €,.�' �,�,"' •,� ,<� '�,,' ,a;.- - :� 'mom a,'
TEST HOLE #1v
_, L,.,=ae:. ..w I \ O / '1'T- at4 tfi ��? 'IL{ >,� ,4 � :•}t f �# � � _
t
((jj 9 y
t
0
i 1
a. gUI1
I' f 4
za
\ S � •1
^.1
1 1
1`
/
i �
.l s
4
/
PARKING -
PROPOSED PRECAST :R t' .; "
r ;� ; iJ
# I
"k �x
1� 9{ =f
] 4,
=S
t
q
/
=1
" I�k +
i tr a.
X a
i•
f
S 4
/
CONCRETE DISTRIBUTIONB X
i• 1 4
F• 4v'.
r$ f
.a t4 a
'S 1
«d
I
f
f i
v 4
/ t
x,1,
(' 44
q 3
t
t
f,
Y
,
,
t L
3
t
3
QTR
®
l
f3, t
1
j.
}T 4
5
f / i
fr°
fP.
Y•
` t d
ft
'I
P1 9
fr
1
"P (
t
1 _
"�`r `J1,1,.
�, S` i f3 _
ry
i
W
0 .+"-�" xr
'I
1
a F yy
1` �.
£< €
i
.b
Z
s 88:-
j k.y
102- - -
M, (
2 _ > ; e I
<1 p
I>: P
.saaic.
S :�
I "
'Zw} >
L
{s 14
�s
1
+► t ! t'
}
�+ sa.
x
1
i
� I
4
—#
r
1 (
€
f'•
f �
36.4'+ i
'�, f d i�'f' ?1
�C J
�: •f
— — E
�=Y4
— P k
'v
reit
}
d
rr:
3 ,
r,
t'�
t."t
1< ,g .I
•y
a
. . rte"..,. _.
d
„d sn aE"
y
-` •Y't
.t
A 4'"`< �.`+ •.°4'•.' +y��, ,`3':;;�aN•
Yt: pj
p M.
d
0
LOCATION 'AP
APPROXIMATE LOCATION EXISTING --- "
_ _ ,_ _
SEPTIC TANK AN
D PUMP CHAMBER -
' ,, , a:� 1 1000 + '
APPROXIMATE LOCATION EXISTING FORCE MAIN
APPROXIMATE PROPERTY LINE
(2 PVC PER ORIGINAL WASTEWATER PLANS)
--: _ (TYPICAL) x
n��
T TOWN OF QUE6
�— -- I s µby t .y'
SOIL TEST DATA r r gg 7
�,!`- ' 3"n4 '`�, ,d,;d v bat 1 IiE k:' BUILD
i?''G O.�L
med
P1 Revi(;
TEST HOLE #1 - 9 -15
011 _ 5II TOPSOIL
7
. II II , ' EDGE OF DRAINAGEWAY
AND AND GRAVEL P oY p�AN { `��.
- 5 - 27 COARSES
11 EL TRACE OF SILT
I HAVE SEEN O OBSERVE(J ALL OBJECTS
LIGHT BROWN SAND, SOME GRAY "� -~���� >
27 - 33 SUCH
�I
- t S, EES. E NCES ETC
33 40
DARK BROWN SAND, SOME SILT, TRACE OF GRAVEL =:1 kb
SH C'' HIS r CI' E�' ,i HAV' PERSONALLY
100' ', h F I� r
Mf
BEDROCK @ 40 (ELEVATION 99.3')
Ari F oRru >v THIS olacRA�. 0 y'
Sid' aT 'RE DATEIY RELEASED FOR APPROVAL 11-02-15 ZNM BWW
NO SEASONAL HIGH GROUNDWATER NOTED
i talk
_
y 31 � :. y
00, ; PRELIMINARY 10-2815 ZNM BWW
-,=vNO.,,.F DESCRIPTION _ DATE DWN CH BYKED
. I
TEST HOLE #2 - 10-13-15
sg R
EVISIONS
_ .. -_ i - _ .. ' - 11' �+ t- a,.'- F' f TIS E � lr9
0II 511 TOPSOIL
SCALE: 1 10
n
_
- • :� NOTE:
= 5 - 20 COARSE SAND AND GRAVEL
NOTE:
It bS q'tiok3ifon of New York State Education Law Article 145 SectEon 7209 for dhy'person, 7
',AS BUILT AN DW.N. BY: ZNM
_ gf Villess h`z is acting under the diraation of a licensed professional engineer,to all
an
TED , 3 ;,
'a CONSTRUCTION DOCUMENTATION
NO SEASONAL HIGH GROUNDWATER NOTED 3 If�m f„any way. if an item bealing the seal of an engineer, altered,the a terincU
f
po&iJer shall affix to the item his seal and the notation"altered by followed by his IS REQUIRED,ENGINEER MUST BE C H K D BY:" B W W
agrkd and the date of such alteration,and a specific description'of the alteration. NOTIFIED AND PERFORM SITE
INSPECTION PRIOR TO BACKFILL DATE 10-22-15
N @ 20 — 1 3 MINUTES i D YlWG IS THE PROPERTY OF BRET W.WINCFIIP ENGINEERING P.C.ALL DIMENSIONS
PERCOLATION / _ .y rar Hfs-.
IA I(IPORMATION IS f0 BE VERIFIED BY THE CONTRACTOR BEFORE CONSTRUCTION.' SHEET NO. 1 OF 2
SITE PLAN ' i,- i ,
I F
_ I
TEST HOLE #3 - 10-13 15 •
11 11 it , ' - - , - - - rvi , (PROJECT: GROOS RESIDE
TAX MAP-#240.6-1-20 '
1, G OS R S
1
"'�
TOPSOIL
l 0
0
6
TO N
6" - 24" COARSE SAND AND GRAVEL
EF
„ . h'i
� ITER of :SITE PLAN
� P" do
NO SEASONAL HIGH GROUNDWATER NOTED `
I +1', TOWN OF QUEENSBURY;'WARREN COUNTY, NY
:
= 1 3 MINUTES , PROJECT No,
PERCOLATION @ 24 / NEIGHBORING DRILLED WELL ' 'Ls 08301� P.O. Box l 16,. 6272 State Route 9 „
E�ppFE gjQNP�'� Chestertowh,:New York 12817 > ® � 43
S
(5 8)
WINCH
1
hone 1 49 255 T
. ,
JENG-� NEE
RIN �PC
-
51
DATE: 11 02 115 .� Fax ( 8) 494-2566S- 00
I
,
` ' r
,