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SEP-000726-2016 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 at Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: SEP-000726-2016 Date Issued: Tuesday, October 25, 2016 This is to certify that work requested to be done as shown by Permit Number SEP-000726-2016 has been completed. Tax Map Number: 301.12-3-25 Location: 25 HILLCREST AVE Owner: Amy Towers Applicant: IBS Septic 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, �d 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. Amk TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 qW Community Development- Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: SEP-000726-2016 Tax Map No: 301.12-3-25 Permission is hereby granted to: Amy Towers For property located at: 25 HILLCREST AVE 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: Amy Towers Septic Disposal-Residential $0.00 Owner Address: 25 Hillcrest AVE Total Value $0.00 Queensbury,NY 12804 Contractor or Builders Name/Address Electrical Inspection Agency IBS Septic 2 WARREN ST Glens Falls,NY 12801 Plans&Specifications Residential Septic Alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,October 20,2017 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensburyfore the expir on eedate.) Dated at the Town of nsb �T'fturs y er 20,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Revised 4/14/2010 OFFICE USE ONLY L-1 I u0 TAX MAP NO. PERMIT NO. , -- PERMIT FEE APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS- APPLICATION Is SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID P R MIT. VOW OWNER: INSTALLER: —F� v/ 1 lll� 11L, ADDRESS: ] 1 C r 44 , ADDRESS: 2 L iEiyy P Ir q PHONE NOS. Q , I PHONE NOS. 10—� I LOCATION OF INSTALLATION: RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW •• BEDROOMS Gallons Der bedroom GARBAGE GRINDER 1980 or older X 150 = INSTALLED? 1981-1991 X 130 = - SPA OR HOT TUB 1992-present X 110 = INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLI-)NG) STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND LOAM CLAY, OTHER ✓ GROUNDWATER: AT WHAT DEPTH?_ 1 ✓ BEDROCK/IMPERVI )US MATERIAL AT WH DEPTH? ✓ DOMESTIC WATER SUPLY: MUNII IPALJ WELL�(If well:water supply from any septic system absorption is, ft) ✓ PERCOLATION TEST: RATE IS 4V PER M�MUNNUTE PER INCH[mpi] (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: O GALLON(MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder,spa or whirlpool tub. SYSTEM TYPE: O ABSORPTION FIELD(WITH NO.2 STONE) Total length R Each trench X EEPAGE PITS)(WITH NO.3 STONE) How may? n Size? ALTERNATIVE SYSTEM Bed or other type? O HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection,please note that pursuant to Section 13629 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,shall be void. I have read the regulations th respect to this application and agree to abide by these and all ments of the Town of Queensbury QUESTIONS? CALL 761.8256 OR EMAIL Sanitary Sewage Dis rdinance. ^ I / / codes0gueensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION Signatu f Responsible Date www�ueensburv.net Town of Queensbury. 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CENTER PROJECT SERVICES 73 Sheridan Street, Glens Falls, NY 12801 Phone-518-796-2515 October 14, 2016 Project#238 Ivan Bell IBS Septic Queensbury, NY 12804 Re: Proposed Replacement Septic 25 Hillcrest Avenue, Queensbury, NY Dear Ivan: At your request we have reviewed your proposed replacement septic system design of the existing 2 bedroom house at 25 Hillcrest 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 220 GPD and a percolation rate of 1 to 5 minutes,you will need a minimum of 245 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. 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.