BOTH-000335-2015 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-000335-2015 Date Issued: Tuesday, November 24, 2015
This is to certify that work requested to be done as shown by Permit Number BOTH-000335-2015
has been completed.
Tax Map Number: 279.15-I-29
Location: 3 AZURE DR
Owner: Mary Ponda
Applicant: Mary Ponda
This structure may be occupied as a: Residential Septic Alteration
By Order of Town Board
TOWN OF QUEEEENSBURY
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 12804-5904 (518)761-8201
QL Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000335-2015
Tax Map No: 279.15-1-29
Permission is hereby granted to: Mary Ponda
For property located at: 3 AZURE 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
Owner Name: Mary Ponda Septic Disposal $0.00
Owner Address: 3 Azure DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Hutchins Engineering
169 Haviland RD
Queensbury,NY 12804
Plans&Specifications
Residential Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 10,2016
(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 ween /� Mo d y, r 16,2015
SIGNED BY: /vJ for the Town of Queensbury.
Director of Building&Code Enforcement
BOTH 000 335-2015
SEPTIC DISPOSAL PERMIT Mary Ponda
(Hutchins Engineering)
DATE 11/12/15 3 Azure Drive
Residential Septic Alteration
TAx MAP ID 279.15-1-29 I Permit No. off OG�J�33-o�0/S
u -- -- Permit;F e !)
LOCATION OF INSTALLATION 3 Azure Driv
NOV 1. 3 201 Approya s:
9
APPLICANT Maly Ponda --,i_ '.)�if- -IJSE;tJR1PHo E/E-MAIL (518) 744-4244
ADDRESS 3 Azure Drive, Queens ury NY 12804
INSTALLER/BUILDER: PHONE/E-MAIL
ADDRESS:
WNER Mary Ponda PHONE/E-MAIL (518) 744-4244
Address 3 Azure Drive, Queensbury NY 12804
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: Hutchins Engineering PHONE(518) 745-0307
RESIDENCE INFORMATION
Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow
1980 or older 3 110 330 Garbage grinder installed Y X N
1981-1991 Spa or Hot Tub installed Y X N
1992-Present
PARCEL INFORMATION
Topography X Flat rolling _Steep slope _%slope
Soil Nature Sand X Loam Clay _Other
Groundwater At what depth?
Bedrock/Impervious Material At what depth?
Domestic Water Supply Municipal X Well(if well,water supply from any septic system absorption is 100 ft.)
Percolation Test Rate: per minute per inch(test to be completed by licensed engineering/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank Size(Existing) 1,000 gallons(minimum size 1,000 gallons,add 250 gallons to size for each garbage grinder or spa or hot tub)
System Type Absorption field with#2 stone Total length 200 ft.;Each trench 40 L.F. x 5 Trenches
Seepage Pit with#3 stone How many: _;size
Alternative System Bed or other type?
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;2)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 know 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.
Print Name: Ma onda Date: 11/12/15
Signature:
Town of Queensbury Building&Codes Septic Disposal Permit July 2014
HavyRoad
Queensbury,
NY 12804
Hutchins Engineering Phone:(518)745-0307
Fax:(518)745-0308
November 23, 2015
Town of Queensbury Building Department
742 Bay Road
Queensbury, NY 12804
Re: Septic System Absorption Field Replacement
Mary Ponda, 3 Azure Drive
Tax Map ID: 279.15-1-29
Our office prepared a wastewater design for Mary Ponda at the above-referenced property. The
system consists of an existing 1,000-gallon precast concrete septic tank and a pipe-in-stone
absorption field containing five laterals at 45 feet each for 225 LF of trench.
A representative from our office visited the site during system installation. Based upon our site
inspection and our discussions with the installer, it is my opinion that, with the exception of
surface finishing and turf establishment, the system was installed in general conformance with
the approved plan and the attached record drawing.
Please contact me if you have any questions or if you require additional information.
Best Regards,
G. Thomas Hutchins, P.E. -
Enclosure 9107 T 0 J30
Cc: Mary Ponda
Pit
Ca p 1 2Q15
G.Thomas Hutchins,P.E.
...
,
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SUGGESTED: POLYETHYLENE
POL. � ,
EXTENSION TO GRADE WITH
TAMPER RESISTANT ACCESS
COVER (NON TRAFFIC AREAS)
I` -
,
TEE BAFFLE WASTEWATER SY T SETBACK.SCHEDULE
L
12" MIN. COVER
! PROPERTY LINE WELL HOUSE
,
1 » TIC:
/4 PER FOOT a EP NK 10
°, . . » fTA
I S S0' :- 10' f
MIN. SLOPE ., 12 MIN. COVER
° \ l 4 1/8 PER,FOOT
DISTRIBUTION BOX ,
3"
MIN. SLOPE 'ABSORPTION.,FIELD 10 100 20
4 HOUSE SEWER -
\F
LIQUID LEVEL
° \ i � 4" EFFLUENT SEWER
WATERTIGHT SLEEVE }'
_ fi
I
& SEAL (TYP.) BAFFLE a '.
°I —2 MIN.
16" 18 . `t :
MIN. USE.SPEED LEVELERS TO
ASSURE•ALL-OUTLETS ARE AT =+
is EXACTLY THE SAME ELEVATION _:' SITE LOCATION
I.
a _
2" MIN DROP
OCATION MAP
4„ PVC SDR-35 SOLID HEADER BETWEEN INVERTS
TO ABSORPTION.FIELD, 118 i
LIQUID DEPTH PER FOOT_ MIN SLOPE
30" MIN.
DD .
60 MAX.
f
` SEPTIC TANKWOTES
'UNITS ,SHALL`=COMPLY WITH THE REQUIREMENTS OF THE NEW YORK -'STATE-
DEPARTMENT- ;OF HEALTH AND SHALL BE OF PRECAST CONCRETE S 4 WASTEWATER Y T 1'1 DE
A 1 SIGN YT INSTAL TION NOTES
° -MANUFACTURED :BY UTOPIA ENTERPRISES OR EQUIVALENT. 4 3A ! CONSTRUCTION 'SHALL BE AS ' SHOWN ON THIS DRA WING
r BEDROOM RESIDENCE ( H _ W AND IN
MINIMUM 2X WIDTH ;; ACCORDANCE_ WITH THE N.Y.S. 'DEPARTMENT OF, HEALTH INDIVIDUAL
MAXIMUM 4X WIDTH .4 ALL STRUCTURES SHALL BE -PLACED ON FIRM, COMPACT SAND OR GRAVEL BASE. DESIGN FLOW — 110 GPD/BEDROOM
e. HOUSEHOLD SYSTEMS __-AND .;