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SEP-000458-2017 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: SEP-000458-2017 Date Issued: Tuesday, September 26, 2017 This is to certify that work requested to be done as shown by Permit Number SEP-000458-2017 has been completed. Tax Map Number: 309.9-2-1 Location: 200 LUZERNE RD Owner: Homestead Village Applicant: Sanitary Sewer Service This structure may be occupied as a: Residential Septic Alteration 145 Elmhurst 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 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: SEP-000458-2017 Tax Map No: 309.9-2-1 Permission is hereby granted to: Sanitary Sewer Service For property located at: 200 LUZERNE 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 hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Tvce of Construction Owner Name: Homestead Village Septic Disposal-Residential $0.00 Owner Address: 200 Lumme RD 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 145 Elmhurst $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,July 31,2018 (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 of 5 ensb n �I�l0nWi , 17 SIGNED BY: / /YJor the Town of Queensbury. Director of Building&Code Enforcement SEPTIC DISPOSAL PERM Bryce use Only DATE �/ ?i j I �:z Received nnR I_. Tax Map ID '7 ci– dam- TAX MAP ID '5C} �. 1 — `-1� 1 U L -4 LIN'ermit No. S c�Uv t-(,�k -2.0 (7 Permit Fee '�l OIL). 00 if.00ATIONOFINSTALLATION Approvals: APPLICANT t7 �-f �c�r/� �/� PHONE/E-MAIL ADDRESS /�%f INSTALLER/BOiLDER ! Tete,2PHOyNJE/,EMAIL ADDRESS: �JX ZZ 7 Cr(L�/� S ` � / ` 12f--)l OWNER //" PHONE/E-MAIL Address /_ ViONTACT PERSON FOR BUILDING&CODES COMPLIANCE' PHONE G' JIVd RESIDENCE INFORMATION Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow 1980 or older Garbage grinder installed _Y N 1981-1991 � � j Spa or Hot Tub installed _Y -6�fN 1992-Present PARCEL INFORMATION Topography Flat rolling _Steep slope _%slope Soil Nature _Sand _Loam _Clay _Other Groundwater At what depth? N Bedrock/Impervious Material At what depth? 1-14 Domestic Water Supply _ unicipal _Well(d well,water supply from any septic system absorption is—ft.) Percolation Test Rater 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 S c ' x_ Seepage Pit with 03 stone How many: ;size Alternative System Bed or other type? Holding Tank System Total required capacity? Tank sae #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-Bush 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 b these and allregents of the Town of Oueensbury Sanitary Sewa a Disposal Ordinance. Print Name: !)tee GSI Date: �f Z�// Signature: 7 - Date: -7 Zf–/7 Town of Queensbury Building&Codes Septic Disposal Permit July 2014 BORING AND PERCOLATION TEST: NOTE: y) BASEMAP INFORMATION OBTAINED FROM PUBLICALLY AVAILABLE RESOURCES AND ASSUMED CONDITION BASED ON SITE EVALUATION DOES NOT REPRESENT AN ACTUAL FIELD INSTRUMENT SURVEY. 0-5' MEDIUM FINE SAND NO WATER OR MOTTLING EXISTING SEEPAGE DEVICES (EXCLUDING SEPTIC TANK WITH WILL REMAIN AND BE REUSED) TO BE CRUSHEDPERCOLATION RATE APPROXIMATELY ONE MINUTE IN PLACE AND FILLED WITH NATIVE MATERIAL. NOTE: SOIL CONDITIONS TO BE CONFIRMED BY P.E. PRIOR TO BACKFILLING SYSTEM. 4. Zi I i i SEPTIC DESIGN : APPLICATION RATE = 1 .2 GAL./SF/DAY 3 BEDROOMS AT 100 GALLONS/BEDROOM r< ' =300 GALLONS Pr^ = >> �' USE 3 LINES AT 50 FT. EACH (SPACED 6 FT. ON—CENTER) EXISTING 1000 TREE GALLON SEPTIC TANK (TO REMAIN) PROPOSED 4" PVC SDR -35 (GASKETED BELL) AT 1% MIN. 0 1 TREE PROPOSED DISTRIBUTION BOX #2 (SEE DETAIL - SHEET 2) PINSPECTION REQUIREMENTS: �.� ENGINEER OF RECORD CO D TO INSPECT M TRENCHES PRIOR TO BACKFILLING. " I I I I I N I I I EXISTING EXISTING I I I MOBILE EXISTING MOBILE HOME i i MOBILE HOME HOME o I ! I I I I I I I I I I a I i I I ! I I I I I z I I I T I I I I I I I I I w ! I QL Ld I � a C \ / coI� � U) Cn _ rt o ! o C a m © o Cn ° LOT �� ° LOT 145 �� LOT m'a m o rn % p � 946 wl g � w. �� 944 z U1 Q UP � �O I Z �� 0 S I O Z 2 PARKING ti i U 2U PARKING crnn C t r1 0 Q PARKING W U PARKING 3 U AREA 3CU Q AREA ( r W x a +") AREA ti I LU rz U AREA m U W Y 1 m r 'p i® , a Z co rn r ,;ba OF f JEE o' 10 It- o� } Q �� C O W t s till-DING & 34'3 o0 0o W: oo I mo -0 - f' ws �U o ws ae c <e — v m Z aJ$ `m By' EOP rn W o � � J ~ C3 0 Da M no z- rn ,r r M C� 01 CD ELM UR S T DRIVE EOP ` SEP-000458-20 7 309.9-2-1 mestead Village PROPOSED ABSORPTION FIELD U Elmhurst Drive 3 LINES AT 50 FT. EACH 145 I Septic Alteration (SEE DETAIL -- SHEET 2) residentia '' W I OF 2o CONTRACTOR MUST CONFIRM LOCATION OF SEPTIC DESIGN � EXISTING WATER SERVICE PRIOR TOp COMMENCEMENT OF CONSTRUCTION ANDLOT 145 ELMHURST I o MAINTAIN A MINIMUM 10 FT. SEPARATION $ BETWEEN THE EXISTING WATER SERVICE AND ��©F NE�vHOMESTEAD VILLAk-7r- PROPOSED SANITARY SEWER LATERALSI'1'tVIC J U O T V�N OF QUEENSBUR Y WARREN COUNTY, NEW YORK SCALE. 9 " = 20' JULY 25, 2017 ENVIRONMENTAL DESIGN PARTNERSHIP, LLP o NOTE: N.Y900 ROUTE 146 CLIFTON PARK, . 1 371 -7621 MOBILE HOME UNITS TO BE PLACED WITH A MINIMUM 10 FT. HORIZONTAL SEPARATION. ' "� ENGINEERINGLANDSCAPE CHIT SURVEYING MICHAEL S. MCNAMARA P.E. 71,029 � CONSTRUCTION NOTES: 1) CONSTRUCTION OF ABSORPTION FACILITIES SHALL NOT OCCUR WHEN THE GROUND IS FROZEN OR THE SOIL MOISTURE CONTENT IS HIGH. IF A FRAGMENT OF SOIL FROM APPROXIMATELY NINE INCHES TOPSOIL FOR SETTLING BELOW THE SURFACE CAN EASILY BE ROLLED INTO A RIBBON INSTEAD OF CRUMBLING, THE MOISTURE CONTENT IS TOO HIGH FOR CONSTRUCTION PURPOSES. OBVIOUSLY, SOME SILT OR CLAY I=IIII=I I I=)I =IIII—I I I= -IIII—I I I h - MUST BE PRESENT FOR A RIBBON TO BE FORMED. -I(I I= =IIII=�I I(-I I I )III=III -11MII _ TERRATEX NO. 2 NONWOVEN 2) TRENCH LOCATIONS AND DEPTHS SHOULD BE MARKED BY STAKES BEFORE TRENCHES ARE I-I I EARTH -IIII — IIII- EARTH -IIII= CONSTRUCTION FABRIC OR 0 EXCAVATED. THE NATURAL SURFACE SHALL NOT BE SIGNIFICANTLY DISTURBED. IF THE SITE IS - BACKFILL =IIII=I BACKFILL _ /UNTREATED BUILDING PAPER REGRADED OR SIMILARLY DISTURBED, THE SOIL .SHALL BE ALLOWED TO STABILIZE (I.E., SETTLE I=IIII OR STRAW NATURALLY FOR A PERIOD OF AT LEAST SIX MONTHS, INCLUDING AT LEAST ONE FREEZE-THAW I —� I—IIII =II I= I I=IIII= CIL _ CL CYCLE) AND NEW PERCOLATION AND DEEP HOLE TESTS CONDUCTED. HEAVY EQUIPMENT USE IN THE =IIII- =IIII= =IIII=I =IIII= / DESIGNATED ABSORPTION SYSTEM AREA SHOULD BE MINIMIZED TO PREVENT SOIL PERMEABILITY TOP OF AGGREGATE 4" PVC MIN. REDUCTION DUE TO COMPACTION PLUS POSSIBLE TRENCH CAVE-IN AND DISTRIBUTION PIPE TO BE WITHIN /�O 000 00 00 MISALIGNMENT/BREAKAGE. 6"-12" of SURFACE �j O RAKE ANY PERFORATIO JOINT / �Q 22 SMEARED 3) AFTER A FINAL GRADE CHECK, TRENCH EXCAVATION MAY BEGIN. TRENCH DEPTH SHALL BE AS (/ U TRENCH o SHALLOW AS POSSIBLE, BUT NOT LESS THAN 18 INCHES. TRENCHES SHALL BE EXCAVATED TO O WALLS DESIGN DEPTH WITH BOTTOMS PRACTICALLY LEVEL. 6Z2 �j0 -�J 4) FOLLOWING EXCAVATION, THE TRENCH BOTTOMS SHOULD BE GRADED BY HAND. THE BOTTOMS OF 2 .� J O/O C0/(� 0 THE TRENCHES SHOULD BE CHECKED BY A TRANSIT, ENGINEER'S LEVEL, OR CARPENTER'S LEVEL TO ASSURE THAT EACH IS PRACTICALLY LEVEL. TRENCH BOTTOMS AND SIDEWALLS SHOULD BE CRUSHED STONE OR IMMEDIATELY RAKED AFTER FINAL GRADING AND AT LEAST SIX INCHES OF AGGREGATE PLACED IN GROUNDWATER BEDROCK WASHED GRAVEL THE TRENCHES. /oR IMPERVIOUS LAYER To 1y2' 5) GRAVITY DISTRIBUTOR PIPE SHALL BE CAREFULLY INSTALLED AT A SLOPE OF %6 TO %32 INCH PER FOOT. PRESSURE OR DOSED DISTRIBUTOR PIPE SHALL BE INSTALLED LEVEL. GRADES SHALL BE CROSS SECTIONAL VIEW LONGITUDINAL VIEW DETERMINED BY AN ENGINEER'S LEVEL, TRANSIT OR CARPENTER'S LEVEL. AN EASY METHOD OF MEASURING THE %6 /NCH PER FOOT SLOPE FOR DISTRIBUTOR PIPE IS TO TAPE A %4 INCH BLOCK TO ONE END OF A STRAIGHT FOUR FOOT BOARD. BY PLACING THE BLOCKED END WITH THE BLOCK FACING DOWN ON THE DOWNSTREAM TOP OF THE DISTRIBUTOR PIPE, A CARPENTER'S LEVEL CAN BE TERRATEX NO. 2 NONWOVEN CONSTRUCTION FABRIC USED TO DETERMINE THE %6 /NCH PER FOOT SLOPE. A %8 INCH BLOCK SIMILARLY USED WOULD BUILDING PAPER OR PERMEABLE RESULT IN A %32 INCH PER FOOT SLOPE. ANOTHER METHOD USED TO ESTABLISH THE GRADE OF /NTREATED EOTEXTILE OR 4" LAYER OF STRAW DISTRIBUTOR PIPE IS BY BATTER BOARDS. AGGREGATE SHALL BE INSTALLED IN THE TRENCHES TOA DEPTH OF AT LEAST TWO INCHES ABOVE THE TOP OF THE DISTRIBUTOR PIPES. ADDITIONALAGGREGATE MAY BE REQUIRED TO BRING THE TOP OF THE AGGREGATE TO WITHIN SIX TO 12 INCHESvIII-II IIII;, 4 OF FINAL GRADE. O O 0 OGS ...._.. ... O.O a, O� _.... 00 O O 6) AFTER THE UPPER AGGREGATE IS PLACED IN THE TRENCHES, THE GEOTEXTILE� 0 0 0 UNTREATED BUILDING o 0 o n o 0 o 0 0 0 0 0 0 0 0 0 0 0 0 I--—PROVIDE CAPS o PAPER, HAY OR STRAW IS TO BE IMMEDIATELY INSTALLED ON THE AGGREGAT€ AND THE TRENCH FLOW o 0 0 0_.0 0 0 0 BACKFILLED WITH EXCAVATED SOIL. IF THE TRENCHES CANNOT BE IMMEDIATE/ Y BACKFILLED, THE O OO v �7 ON LINE ENDS o TRENCHES SHOULD BE TEMPORARILY COVERED WITH AN IMPERVIOUS MATERIAL; SUCH AS TREATED ) O, OO 00 `� O 00� OO o BUILDING PAPER TO PREVENT SIDEWALL COLLAPSE AND SILTATION INTO THE AGGREGATE. ------ - N 7 SPACING OF ABSORPTION TRENCH 6' O.C.THE EARTH BACKFILL IS TO BE MOUNDED SLIGHTLY ABOVE THE ORIGINAL GROUND LEVEL I.E., NOT SLOPE PIPE TRENz" PER .C. N COMPACTED) TO ALLOW FOR SETTLING. FOLLOWING SETTLEMENT, THE ENTIRE AREA SHOULD BE TRENCH BOTTOM 'TO BE NEAR = GRADED WITHOUT THE USE OF HEAVY EQUIPMENT AND SEEDED WITH GRASS. HEAVY EQUIPMENT LEVEL AND RAKED SHALL NOT ENTER THE ABSORPTION FACILITY AREA OR THE PROPOSED EXPANSION AREA AFTER THE TRENCH PROFILE SUBSURFACE SEWAGE TREATMENT SYSTEM HAS BEEN CONSTRUCTED. w 8) A MINIMUM HORIZONTAL SEPARATION OF 10 FEET SHOULD EXIST BETWEEN THE HOUSE SEWER AND o ANY WATERLINE. WHERE LINES MUST CROSS, THE WATER SERVICE LINE SHALL BE AT LEAST 12 �I INCHES ABOVE THE HOUSE SEWER. IF A WATER LINE MUST PASS BELOW THE HOUSE SEWER, THE VERTICAL SEPARATION MUST BE AT LEAST 18 INCHES. W. 9) ROOF, FOOTING, GARAGE, CELLAR AND SURFACE WATER DRAINAGE MUST BE EXCLUDED FROM THE NOT TO SCALE = wi SYSTEM. WATER_ SOFTENER, WATER RECHARGE AND BACKWASH ,WASTES.NORMALLY ARE NOT TO BE. y' DISCHARGED -TO- THE_SYSTEM-,UNLESS.-A SEPARATE 'SUBSURFACE DISCHARGE -r AN AREA 250 FEET t` v FROM WELLS OR WATER COURSES IS UNAVAILABLE. til _ o JI = L 4 J 4 OI ti W 1 � I. it O ti a •� W Q J J W GRADE °x .® .... . ......... NO TE: z I. PIPE JOINTS TO BE SEALED WITH w ASPHALTIC MATERIALS OR EQUIVALENT. 12" MIN REMOVABLE COVER -7 2. INVERT ELEVATIONS OF ALL OUTLET PIPES MUST B QUAL. ` L E E a: W • •' 3. THE SLOPE OF OUTLET PIPES BETWEEN THE DISTRIBUTION BOX AND THE DISTRIBUTOR LATERALS ° SHOULD BE I/8" PER FOOT. BAFFLE _ Q o. INVERT INLET e 2"MIN EL EV. = a o 3 J O O O O U T L E l-2 CONTRACTOR TO USE SPEED LEVELERS AS SUPPLIED BY FORT MILLER TO o. EQUALIZE FLOW. w 0 U /2" MIN T 14 5 E_L' MHu' `RS T DRI V. -F CLEAN SAND OR PEA GRA VEL 0 L NT_#2 - 1 N � � r rte T N OF QUEEEN•SBURY WARREN COUNTY, NEW YORK N CAE L : 1 " -- .2C7 _ .S° � ' JULY 2,5, 2017 NOT TO SCALE ` lu 1 ✓fit _-r w —` < EN" IFIRON MENTAL DESIGN O 900 ROUTE 146 CLIFTON PARK, N.Y. 12065 (518) 371 -7621 s< ENGINEERING LANDSCAPE ARCHITECTURE LASURVEYING MICHAEL S. McNAMARA _...... ,. P.E. 71,029 ENVIRONMENTAL DESIGN ect) PARTNERSHIP, LLP. 900 New York 146 Clifton Park,NY 12065 (P)518.371.7621 (F)518.371.9546 edpllp.com September 26, 2017 � � 2_. ����nJ D � v rF- Mr. John O'Brien Queensbury Building & Code Enforcement SEP 2 6 2017 742 Bay Road TOWN F RY Queensbury, NY 12804 OQUEENSBU Via email: johno@queensbury.net ILDING&CODES Regarding: Homestead Village Mobile Home Park Lot 145 Elmhurst Dear John: On August 1, 2017, our office inspected the above referenced Homestead Village Mobile Home Park lot. The purpose of this visit was to observe the installation of the new septic system designed by EDP. Based on my review of the plans and our observation of the installation it is my opinion that the system was installed substantially in compliance with the intent of the design plans. Please feel free to call if you have any questions. Very truly yours, � w , A���. Michael McNamara, P.E. Cc: Kevin Kenyon, P.E. NYSDOH C\Documents\WINWORD\Homestead MHP\Homestead Village MHP lot 145 Elmhurst inspection.docx