SEP-000491-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
y Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: SEP-000491-2017 Date Issued: Wednesday, August 23, 2017
This is to certify that work requested to be done as shown by Permit Number SEP-000491-2017
has been completed.
Tax Map Number: 301.12-1-20
Location: 20 HELEN DR
Owner: MICHAEL DONAHUE
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, Y
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-000491-2017
Tax Map No: 301.12-1-20
Permission is hereby granted to: Sanitary Sewer Service
For property located at: 20 HELEN 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: MICHAEL DONAHUE Septic Disposal-Residential $0.00
Owner Address: 20 Helen 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
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 11,2018
(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 expt tion date.)
Dated at the Town of eensb iday t 11,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
it7v *' a- 13
SEPTIC DI&POSAL PERW Office Use Onty
CATS $LIVI LReceived
Tax Map iD 3/ /
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Year Built y or Uadrooms ;;etla aper bedroom =Tam{Daily Flow
1080 or older Garbagagdriderinstalled _Y zN
1991-1991 Y30 SpacrHotTubtnstalled _YXN
1992-Present
PARCaL ANl97A'N1 ma
Topography Aat.Wrq _b9eepslope _%Siva
Bbl Nature Sand _iaam _CAW _other
Groundwater At whetdeplh?
BedrookllmpervfouaMaterial Atwhard®pl"
Demestie Water Supply _ unidpel —Wall Cif well,wateroupplyfrom any saptlosyatem absorption is_ft.)
Percolation Ted Rate per minutaper ineh(tag tobeaomp)atedbyHo nsedenglnearinglarchbacl)
RAOPOSEO 9VIO MFOR NEW F:OlLR`Ta/1CT7FAn7
TanKSize VQpfL_qauons ywnirnurn size 1,000 Gdons,add 2SO gallons to size ibr each garbage 9finder or spa or hottub)
3lizism Type Ab3ogftn field with iR alone I To)ai lempt! ft:Each trench
SMA"aRWMA tone How many: ffie
AltemaWe eYatern Bed orother"s?
Holding Tank System Totalretluiredcapar;%? Tankstze #ofterds_
Nmtea• 1)Plein system&associated electrical work must be inspected by a Town approved electrical inspeetlon agency;2)We wui no longer
avow oyetems to be covered urrdl such time as an As-Bulft plan[a received&approved. The Inslalieci System must match the septic system
fa9out oni119—nD 61611110"
®�cI.ARAizorv: Any permit or approval granted which is based upon or is granted In reliance upon any material representation or
failure to matte a ffimartai!act or circumstance know by or on behalf of an applicant, shall be void. i have read the regulatione
and agree 10 abide byy#ese and ail rgt�i merr�ofthe Town of Queensbury Sang Saw Disposal Ordinanos.
PrintNama // oil P /��e /C��. !V '/7
Signature: t - Date:
SepboDisposal Permit July 2014
Town or Queensbury Bullding&Codes
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SERVICES
73 Sheridan Street._ Glens Falls, NY 12801
Phone- it'
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WE August 8, 2017
George Drellos 'E'._AUG a 2(it7 D Project#260
Sanitary Sewer Service TOWN OF MQUEEhiSSURV I
Queensbury,NY 12804 BUILDING& MOE,
Re: Proposed Replacement Septic
20 Helen Drive, Queensbury,NY
Dear George:
At your request, we have reviewed your proposed replacement septic system design of the
existing 3 bedroom house at 20 Helen 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 330 GPD and a percolation rate of
1 to 5 minutes, you will need a minimum of 347 sf of absorption area. We recommend using 20
R 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,
v✓
Thomas R. Center Jr, P.E.
301.12-1-20 SEP-000491-2017
Donahue, Michael
20 Helen Drive
Residential Septic Alteration
1