SEP-000406-2017 TOWN OF QUEENSBURY
4k 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: SEP-000406-2017 Date Issued: Wednesday, July 19, 2017
This is to certify that work requested to be done as shown by Permit Number SEP-000406-2017
has been completed.
Tax Map Number: 308.18-1-9
Location: I 1 BROOKSHIRE TRCE
Owner: Anne Paolano
Applicant: Sanitary Sewer Service
This structure may be occupied as a: Residential Septic Alteration
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 12804-5904 (518)761-8201
OL Community Development- Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: SEP-000406-2017
Tax Map No: 308.18-1-9
Permission is hereby granted to: - Sanitary Sewer Service
For property located at: 11 BROOKSHIRE TRCE
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
Tome of Construction
Owner Name: Anne Paolano Septic Disposal-Residential $0.00
Owner Address: 11 Brookshire TR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Sanitary Sewer Service
PO Box 224
Glens Falls,NY 12801
Plans&Specifications
Residential Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,July 10,2018
(If a longer period is required,an application for an extension most be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town ora
n�ond Ju 117
SIGNED BY: (wA't'_I'I{// for the Town of Queensbury.
Director of Building&Code Enforcement
SEPTIC DISPOSAL PERMIT Office use ONv
DM Received
Tax Map ID 3091,
/-
TAX MAP lD Permit No.
Permit Fee
LOCATIONDFWSTALLAflOyN� /J� Approvals: �
APPLICANT N!�'2.. I CC/'D -/O�NCJ PHONE/E-MAIL
ADDRESS /f /�/ /i//`��JGc /S//1(/ C �ACr
AWALLER/BUILOER: (0-1V1CP PHONE/E-MA!
ADDRESS:
Po zz ,� /�-47-111 /V,� G LE ` s
OPHONE/E--MAI
Address �� �r CJLii C �//�CC TOVVN OF QUEENS'
CONTACT PERSON FOR BUILOMO&CODES COMP rANGE- PHONE
RESIDENCE INFORMATION
Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow
1980 or older Garbage grinder installed
1981-1991 �O ! �jQ Spa or Hot Tub installed _Y _N
1992-Present
PARCEL INFORMATION ! 7- (, a`� - c
1 �, r i�
Topography Flat rolling _Steep slope _%slope
Soil Nature _ end _Loam _Clay r l U L 0 7 2017
Groundwater At what depth?
Bedrock/Impervious Material At what depth `N n`: '
Domestic Water Supply _Municipal —Well(dwell,water supply from ariy sepiic sysgem a5soip n _
Percolation Test Rate: - per minute per inch(test to be completed by licensed engineering/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank Size 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 ft.:Each trench x
Seepage Ph with#3 stone How many: ;size
Alternative System -f-'Bed or other type? 40'X 2
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-BuIR plan is received&approved. The installed system must match the septic system
layout on file-no exceptions.
DEc1ARAnm 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 abidejthese and a(Ftequints of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Print Name: Date: 7-6-/7
Signature: Date: 7 —G —/7
Town of Queensbury Building&Codes Septic Disposal Permit July 2014
1 &C0r�ii_A ��
�4Nr✓ naoL a
0
ZQ CL
C / `! o
°p o� �` o
Q
d c m
i 5 s d
m L
L
aUL07 2017 ' � ° o� � -0OF QUEENSBW'V 0 ao 0 mDING&CODES O M d
_ o a 00
o / LL0
h ar: L�
j } PERMIT PLOT PLAN l
a
I HAVE PERSONALLY MEASURED THE DIST NCE
I FROM THE PROPERTY LINES TO HE
1✓l0 V.s{ s P 0 ED STRU RE RSI ) I7
3
J
TE
— SIUNAIUKt
LL
I Q
421-r;'AlC T A i nr IPA" 1:0
CENTER PROJECT
SERVICES
73 Sheridan Street, Glens Falls,NY 12801
Phone- 518-796-2515
July 5, 2017
George Drellos Project#258
Sanitary Sewer Service
Queensbury,NY 12804
Re: Proposed Replacement Septic
11 Brookshire Trace, Queensbury,NY
Dear George:
At your request, we have reviewed your proposed replacement septic system design of the
existing 4 bedroom house at 11 Brookshire Trace 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 440 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 25 ft long absorption bed with 4 - 20 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.
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.
EE CE 11 V E
1
I JUL 01 2011
i OWN OF QUEENSBLIY '•
BUILDING&CODES
i
308.18-1-9 SEP-000406-2017
Paolano, Anne
11 Brookshire Trace I
Residential Septic Alteration
r fe` '
1
THIS PLAN TO BE ON PROJECT
SITE AT!ALL TIMES FOR THE
DURATION OF CONSTRUCTION
i
TOWN OYi `.J L'-
Reviewed BY:
D oo "
� m
C: m t
m
omo m p
�
�Z
�
m � � t [Qm i
Zo FC)Mi NG j
iCNi ti !
�O � (1)-yj-" .,..�.,....,. i'�b
U \inmm
t .�
CENTER PROJECT Z
SERVICES
73 Sheridan Street, Glens Falls,NY 12801
Phone-518-796-2515
July 5,2017
George Drellos Project#258
Sanitary Sewer Service
Queensbury,NY 12804
Re: Proposed Replacement Septic
11 Brookshire Trace, Queensbury,NY
Dear George:
At your request, we have reviewed your proposed replacement septic system design of the
existing 4 bedroom house at 11 Brookshire Trace 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 440 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 25 ft long absorption bed with 4 - 20 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.
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.
_ P-4ob •
iVU 1� E0VEt-
JUL 0 7 2017CODES
l