SEP-0334-2018 �^ TOWN OF QUEENSBURY
� 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
--__ Community Development - Building & Codes (518) 761-8256
CERTIFICATE OFCOMP 1ANCE
Permit Number: SEP-0334-2018 Date Issued: Thursday, June 20, 2019
This is to certify that work requested to be done as shown by Permit Number SEP-0334-2018
has been completed.
Tax Map Number: 301.13-2-82
Location: 16 CHIPPEWA CIR
Owner: Eric Gilbert
Applicant: Jarrett Engineers, PLLC
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
Community Development-Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: SEP-0334-2018
Tax Map No: 301.13-2-82
Permission is hereby granted to: Eric Gilbert
For property located at: 16 CHIPPEWA CIR
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: Eric Gilbert Septic Disposal-Residential $0.00
Owner Address: 16 CHIPPEWA CIR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Residential Septic Alteration
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,June 12, 2019
(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 bury; 4 ot,
2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
SEPTIC DISPOSAL PERMIT APPLICATION Office use Only
742 Bay Road,Queensbury,NY 12804
P:.518-761-8256 Permit#: t)Ei) ' ZQ 1 J
Tax Map ID#; 301.13-2-82 Permit Fee: $ J ; Invoice#: `?
Project Location: 16 Chippewa Circle Septic Variance? Yes No
Primary Owner(s) Eric Gilbert
Mailing Address 16 Chippewa Circle,Queensbury,NY 12804
Phone & Email 518-232-7729 / ern
_gilbertGhotmail.com
Installer/Builder TBD
Mailing Address .JUG
Phone &Email
Engineer JARRETT Engineers,PLLC + siQ
Mailing Address 12 East Washington St.,Glens Falls,NY 12801
Phone & Email 518-792-2907 / bholmes@jarrettengineers.com
Contact Person for Building&Code Compliance: Eric Gilbert Phone: 518-232-7729
RESIDENCE INFORMATION:
Year Built Gallons #of bedrooms X gallons per =total daily flow
per day bedroom Garbage Grinder Yes No
1980 or older 150 Installed? (circle one) X
1981-1991 130 Spa or Hot Tub Yes No
1992-Present 110 5 110 550 1
Installed? (circle one) X
PARCEL INFORMATION:
Topography _ Flat Rolling Steep Slope %Slope
Soil Nature Sand Loam Clay Other
Groundwater At what depth? 9.5'4-
Bedrock/Impervious material At what depth? N/A
Domestic Water Supply X Municipal _Well(if well,water supply from any septic system absorption is.aft.)
Percolation Test Rate: per minute per inch (test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: Using existing dry wells, only adding one 1000 gal septic tank
Tank size 1000 gallons(min.size 1,000 gallons,add 250 gallons for each garbage cylinder or spa/hot tub
System Absorption field with#2 stone Total length ft.; Each Trench ft.
Seepage Pit with#3 stone How many: 3 ;Size: 3 - 8x8 d wells
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 and approved.
The installed system must match the septic 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 known 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: Eric Gi DATE:
SIGNATURE: DATE: Z3
Town of Queensbury Building Code Enforcement Revised March 2018
INSPECTION WORKSHEET (SEP-000147-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
SEP-0334-2018Permit
Case Number:Case Module:
Thu Jan 10, 2019Partial Pass
Inspection Date:Inspection Status:
John O'BrienSeptic
Inspector:Inspection Type:
16 CHIPPEWA CIR301.13-2-82
Job Address:Parcel Number:
Queensbury, NY 12804
Contact TypeCompany NameName
Primary OwnerGilbert, Eric
EngineerJarrett Engineers, PLLC
ApplicantJarrett Engineers, PLLC
Granted PermissionGilbert, Eric
Checklist ItemPassedComments
Building Inspector NotesNO1/10/19 Septic System Partial Approval
- Install new additional 1000 gal septic tank and connected to
distribution box.
- Tee baffles Installed in outlet of existing 1000 gal. septic
tank, inlet and outlet of new 1000 gal. septic tank.
- Levelers installed in distribution box.
Remaining Items:
- Submit Engineer's Report and As-Built
Seepage Pits: NumberYES3 Existing Seepage Pits
Building to TankYESExisting
Tank to Distribution BoxYES4" sdr35 pvc
Distribution box to Field / PitYES4" sdr35 pvc
Jan 10, 2019Page (1)
INSPECTION WORKSHEET (SEP-000147-2019)
Checklist ItemPassedComments
Foundation to TankYESExisting 1000 gallon septic tank 10'+
New 1000 gallon septic tank 12'
Foundation to AbsorptionYESDistribution box 22'
Separation of PitsYESExisting
Engineer Report and As-BuiltNO1/10/19 Septic System Partial Approval
- Install new additional 1000 gal septic tank and connected to
distribution box.
- Tee baffles Installed in outlet of existing 1000 gal. septic
tank, inlet and outlet of new 1000 gal. septic tank.
- Levelers installed in distribution box.
Remaining Items:
- Submit Engineer's Report and As-Built
Location of system on propertyYESFront yard
System Use StatusNO1/10/19 Septic System Partial Approval
- Install new additional 1000 gal septic tank and connected to
distribution box.
- Tee baffles Installed in outlet of existing 1000 gal. septic
tank, inlet and outlet of new 1000 gal. septic tank.
- Levelers installed in distribution box.
Remaining Items:
- Submit Engineer's Report and As-Built
O'Brien, John (Inspector)
Jan 10, 2019Page (2)
GENERAL NOTES:
G-1)AERIAL IMAGE(GIS)TAKEN FROM GOGGLE EARTH.
G-2)BASE MAP PARTIALLY TAKEN FROM PLANS PREPARED BY JARRETT ENGINEERS,PLLC FOR'"OPOSED POOL AND
LANDSCAPING"DESIGN,ISSUED 4/17/16 TO THE TOWN OF QUEENSBURY FOR PERMIT TO CONSTRUCT,AND LIMITED FIELD
G I LB E RT RESIDENCE MEASUREMENTS BY ACTUAL
ENGINEERS,PLLC MEASUREMENTS SHALL BE CONSIDERED APPROXIMATE ONLY,AS THEY ARE
NOT FROM AN AC(VAL SURVRV EY.
G-3)CONTRACTOR TO LOCATE EXISTING UTILITIES PRIOR TO CONSTRUCTION;CONTACT DIG SAFELY NEW YORK
WASTEWATER SYSTEM MODIFICATIONS ENGINEER I ME AND RECORD FRE#.VERIFY BUILDING CONNECTIONS,LOCATION AND ELEVATION,PRIOR TO IN TIATING
CONSTRUCTION;CONFLICTS OR DISCREPANCIES SHALL BE REPORTED TO THE OWNER OR ENGINEER IMMEDIATELY.NOTIFY
ENGINEER IMMEDIATELY IF SITE CONDITIONS ARE NOT AS INDICATED.
16 CHIPPEWA CIRCLE TOWN OF QU S
TOWN OF QUEENSBURY, NEW YORK BUILDING & o
Reviewed By
Date:
EXISTING
WOODLAND
s'
9' YILIi
!�A
SR
............._...._...._.__..._
E
wa LOCATION
CHIPPEWA
EXISTING CIRCLE
WOODLAND
PROPOSED
POOL WEST'- ! TO Gtrr
EXISTING MOUNTAIN '
GAZEBO ROAD y
E
EXISTING PROPOSED M I
ASPHALT PERMEABLE
DRIVEWAY PAVER PA710 IXISTINCi ;', Mx
PATIO � � P
EXISTING
GARAGE LOCATION PLAN
SCALE:N.T.S.
EXISTING
RESIDENCE
LEGEND:
LINE TYPE: EXISTING E C E O
EXISTING STRUCTURES/OBJECTS/UTIUTIES WOODLAND
SURVEYED AND OR FIELD VERIFIED: - -
PROITIES: STRUCTURES/OBJECTS/ JUN 0 8 2018 FILE��� ����
UTILITIES: i 1� U
PROPERTY LINE: -.- -,. Ittr4F4 �
TREE LINE: __
FENCES:CHAIN LINK,WOODEN: —X-.—X— ---C}—'Com.- T0�N 6JF ( �t.� URY
SYMBOLSIABBREVIATIONS: CHIPPEWA B I ; ,;-J a d
CIRCLE E?tJP��5�tsJ��n (°1'}�t--
POTABLE WATER PW __ .....,.�.,.__,._,...._ ...,....- _.. �......�.,..
GRAVITY SANITARY SEWER
GAS LINE GAS
UNDERGROUND POWER LINE UG-P
UNDERGROUND COMMUNICATION LINE j� UG-C (�1 PROPERTY SCALE:SEE GRAPHIC PLAN 3011_13-'2„8'1' SEP-0334-2018
REVISION INDICATOR: GRAPHIC SCALE V i
TEST HOLE:(11TP If 20 0 10 20 40 80 Gilbert, Eric
PERCOLATION TEST:19 PT# 16 Chippewa Circle
NOTE:G-1 NOTE# (IN FEET)
NOTE REFERENCE TAG: SEE DRAWING Residential Septic Alteration
Cl
DETAIL##FOR NOTE JARRETT Engineers' PLLC
DETAIL REFERENCE TAG: DS
SEE DRAWING#FOR DETAIL Civil&Environmental Engineering
A SECTION CUT DIRECTION 12 EAST WASHINGTON STREET PHONE:(518)792-2907 GLENS FALLS,N.Y. 6/08/18 /A\ SUBMITTED TO THE TOWN OF QUEENSBURY FOR PERMITTING
SECTION REFERENCE TAG: Z7Ir— LETTER PRO# 16-019 DATE REV# ISSUED/REVISIONS
SEE DRAWING#
FOR SECTION uMenTs xm-,vlDen�N suDmaroD TFnv DasrcN nux ae aseD onEr NOH Txe uaE sD���:en m Txe,ssue�Rer,>u,er suKxAeov«.Txer.•awY rvnr Px xssD ma nmc:NeN
RkETT aN01xeEFsFtic nYiv Ut,t'Urvetm IA&Ei.E:>Ae'�s<UdD DON
coN6TRUCTtoN' YAE USEU FUx sA R�USER SHALE HtN.D IARFFTf eNYnieE 9Firt�S NARMtSel nnn nEYErvD JNHRett NOInEEN9.nu'MxOU ANY Uw.UTHOR�2HU UaE'
April 5,2018 SUBSURFACE INVESTIGATION
IJ witnessed/performed bjARREXr Egenccrs, PLLC
EXISTING TEST
GARAGE
XE PATIO ISTING TP NUMBER DEFSOILDESCRIPTION
TP180405-01 0-10' fine sand/organic topsoil
EXISTING 10-20' medkim brown fine sand with trace medium sand
ASPHALT fine sand/organic topsoil(root penetrations
DRIVEWAY 211-24" thoughout)
24-114" reddish brown fine sand with trace medium sand
&4"-6'cobbles
114" bottom of hole,limit of reach of excavator
no evidence of bedrock,mottling,or seasonally
high ground water
PERCOLATION TESTS
PERCTESiN SOILDESCRIPTION
PT180405-01 reddish brown fine sand,trace medium sand
EXISTING stabilized percolation rate of I min 2 sec
RESIDENCE
PTI80405-02
lililt- e brown very fine-fine sand with
some sft
stablized percolation rate of 0 min 46 sec
EXISTING GO PRECAST
Wastewater Desip h9orination
DRYWELL STRUCTURE Design Basis
Town/Village/City,of: Queensbury
W/I'OF STONE AROUND
county/state: NIS Dept of Health
(TYP.3 LOCATIONS)
WaterSuody
Municipal Water Supply
Wastewater Flow
Note:One bedmom to be added to edsting 4 bedroom residence.Proposed total:Sbech n
5 bedmorns x 110 gpd4)edrwm(post M4 water saverfixtures requarecill
550 gpd design flow
NEW 1,000 GAL EXISTING(4"0?) Treatmerx
EXISTING PVC EFFLUENT SEPTICTANKTO Septic-rark 15W gal lark required for 5 bedroom residence
LINES(SCHEMATICALLY BE PLUMBED AHEAD 10'MIN BUILDING SEWER Provided; Edstlrg 1=pl precast coricrete tank
SHOWN ACTUAL PIPE OF EXISTING DI DISTANCE TO
ROUTES ARE
SHOWN,
KNOWN) SEPTIC TANK RESIDENCE New 1000 gal precast concrete tank
(TYP-) (NSF approved effluent fifter sized for mirL 550 gpd
W/1/16°filtration)
4-0 EFFLUENT PIPING
(1%MIN.SLOPE) Seomdary (E)IISTING)
EXISTING 1,000 GAL Leaching Device: ftwtdl
Existing Sall Percolation Rate: <5 minAnch stabilized rate
TP#180405-01 (3
`SEPTIC TANK
Leach Pit Stzirc
PT#180405-02
EXISTINGD-BOXTO Required: 550 11 L2 gpdlsf = 458 sf required
BE REPLACED NEW Existing: 3-8 foot 0 Leach Pits x 8'High = 603sfe)dsft
EXISTING TREELINE
5-HOLED-BOX C-0
603sf>458sf Therefore the odstinal Ir"tern has enough capacity to handle
a S bedroom(SSD gp:Q wastewaterflow
NEW 4-0 PVC SDR 35
EFFLUENT PIPE ROUTED TO
CONNEICTEXISTINGAND
PROPOSED SEPTIC TAN KS
-d/
EXISTING RHODODENDRON
TO BE REMOVED
f,\PROPOSED SEDIMENT
N PT#180405-01 \=ECl CONTROLBARRIER
....... 6/08/18 /A\ SUBMITTED TO THE TOWN OF QUEENSBURY FOR PERMITTING
DATE REV# ISSUED/REVISIONS
„eiaer,s�«r a�Knao�a oxer nun eon es used�s„xr meas
1A.—.—I—1ARILESS ANDoP�—..A.— --...D
of N, WASTEWATER PLAN
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WASTEWATER SYSTEM MODIFICATIONS
GRAPHIC SCALE GILBERT RESIDENCE
2'�6" 10, 16 CHIPPEWA CIRCLE
TOWN OF QUEENSBURY,NEW YORK
CHIPPEWA
CIRCLE (IN FEET) JARRETT Engineers, PLLC
H THOMAS JARRETT Civil&Environmental Engineering
9WASTEWATER PLAN P E.#57509 12 EAST WASHINGTON STREET GLENS FALLS,N.Y.
1 SCALE:1"=5' COPYRIGHT Q 2018 PHONE:(518)792-2907
JUNE 2018 PRO#16-019 SHEET 2 OF 4
IIIAT�= 111T
.A_ I_ —ESHEET 22.34 PLOTTED/REVISED 06/08/181130 AM
GENERAL WASTEWATER NOTES
G-1 CONSTRUCTION OF NEW PIPING AND TANKS SHALL BE IN CONFORMANCE WITH APPLICABLE NYSDEC,NYS DEPT.OF
HEALTH,AND LOCAL COUNTY/TOWN STANDARDS,AS WELL AS DETAILS/SPECS ON THESE DOCUMENTS.CONFLICTS SHALL
BE BROUGHT TO ENGINEERS ATTENTION PRIOR TO CONSTRUCTION.
G-2 INSTALLATION OF WATER SAVER FIXTURES THROUGHOUT RESIDENCE REQUIRED(POST 1994).NO KITCHEN GARBAGE
GRINDERS,OR SPAS/HOT TUBS ARE TO BE CONNECTED TO THE WASTEWATER DISPOSAL SYSTEM.
TANKS/STRUCTURES
T-1)PRECAST STRUCTURES SHALL BE AS SUPPLIED BY FORT MILLER CO.,INC.OR EQUIVALENT.REFERENCES TO HEAVY DUTY
REFER TO FORT MILLER CO.DESIGNS FOR H-20 TRAFFIC LOADING.HDPE TANKS SHALL BE AS SUPPLIED BY FRALO,
NORWESCO,OR OTHER APPROVED EQUIVALENT.
T-2)TANKS/STRUCTURES INSTALLED IN TRAFFIC AREAS SHALL BE HEAVY DUTY CONSTRUCTION(DESIGNED FOR(H-20)
WHEEL LOADING).
T-3)THE LOCATIONS OF ALL BURIED STRUCTURES SHALL BE DOCUMENTED BY INSTALLATION OF PERMANENT MARKER(S)
OVER BURIED COVER(S),AND MEASUREMENT"TIES"TO PERMANENT FEATURES,AND SHOWN ON(RECORD)
DRAWINGS(SEE GENERAL NOTES).
T-0)ALLTANKS SET BELOW SEASONALLY HIGH GROUNDWATER ELEVATIONS SHALL BE ANCHORED AGAINST POSSIBLE
FLOATION USING HEAVY DUTY TANKS WITH 6"EXTENDED INTERGAL BASES,OR BY AN ALTERNATIVE METHOD
APPROVED BY ENGINEER.
T-5)TANKS/STRUCTURES SHALL BE SEAMLESS CONSTRUCTION OR SHALL HAVE WATERTIGHT JOINTS(ASTM C1227).WALL
PENETRATIONS SHALL BE KOR-N-SEAL,OR OTHERWISE WATER TIGHT AS APPROVED BY ENGINEER.TANKS TO BE
TESTED WATER TIGHT BY M ETHOD APPROVED BY ENGINEER(ENGINEER TO WITNESS).
T3)CONTRACTOR TO INSTALL TANKS/STRUCTURES TO(RELATIVE)ELEVATIONS SHOWN;DOCUMENT ELEVATIONS OF
EXISTING FEATURES PRIOR TO START OF CONSTRUCTION.
T-7)SEPTIC TANKS SHALL HAVE AN NSF APPROVED OUTLET EFFLUENT FILTER DESIGNED FOR THE FLOW RATE/TYPE IN THE
SYSTEM.FOR SEPTIC TANKS PLUMBED IN SERIES THE EFFLUENT FILTER SHALL BE LOCATED ON THE OUTLET OF THE
DOWNSTREAM TANK ONLY.FRAME AND COVER TO BE PROVIDED OVER FILTER FOR MAINTENANCE ACCESS,AND
PERMANENT MARKERS SHALL BE PROVIDED OVERALL OTHER TANK OPENINGS UNLESS OTHERWISE DIRECTED BY
OWNER.
PIPING
P-1)ALL GRAVITY SEWER PIPE&FITTINGS SHALL BE PVC SDR 26 OR 35(SEE PLANS),ASTM D3034;OR HPDE SDR 17,ASTM
D3350;INSTALLATION SHALL BE IN ACCORDANCE WITH ASTM D2321,UNI-BELL"HANDBOOK OF PVC PIPE,DESIGN,AND
INSTALLATION",AND MANUFACTURER'S RECOMMENDATIONS.
P-2)GRAVITY SEWER PIPE JOINTS TO BE BELL&SPIGOT PUSH ON TYPE,ASTM D1312,DESIGNED FOR USE WITH PROJECT
WATERTIGHT JOINTS(TYP.) WATERTIGHT MANHOLE FRAME&COVER; PIPING
SYRACUSE CASTINGS#1502 OR EQUIVALENT;
FINISHED GRADE �GRADETO DRAIN AWAY FROM COVER P-3)GRAVITY SEWER SHALL BE INSTALLED AT STRAIGHT&CONTINUOUS GRADE BETWEEN STRUCTURES(I.E.NO LOW OR
PERMANENT MARKER HIGH POINTS),UNLESS OTHERWISE DIRECTED HEREON OR BY ENGINEER.GRAVITY SEWER SHALL BE LAID AT THE
OVER COVER _ PRECAST CONCRETE FOLLOWING MINIMUM GRADES:RAW SEWAGE:4"@ 2%6"@ 1%SETTLED SEWAGE(EFFLUENT):4"AND 6"@ 0.5%±.
—••I 2'-0" r RISER AS REQ'D ALL SEWER SHALL BE LEAKAGE TESTED BY A NYSDEC APPROVED METHOD.
SOIL PIPE;INSTALL 12"(MIN.) ___ EFFLUENT PIPE;INSTALL P-4)HDPE PIPE AND FITTINGS ARE TO BE JOINED BY THE BUTT(HEAT)FUSION PROCESS,AND JOINING EQUIPMENT SHOULD
AS SHOWN SOIL PIPE;
I PLAN' L •• EF SHOWN ON PLAN BE AS APPROVED BYTHE MANUFACTURER.PROPERLY EXECUTED ELECTRO-FUSION FITTINGS MAY BE USED.
T U EXTRUSION WELDING OR HOT GAS WELDING OF HDPE PIPING SHOULD NOT BE USED FOR APPLICATIONS WHERE SHEAR
IN 3" 0 OUTLET OR STRUCTURAL STRENGTH IS IMPORTANT.MECHANICAL JOINT ADAPTER,FLANGES,UNIONS,GROVED COUPLERS,
J TRANSITIONS FITTI NGS,AND SOME MECHANCIAL COUPLI NGS MAY BE USED TO MECHANICALLY CONNECT HDPE PIPE.
15" 1g^ ANON-SHRINK GROUT REFER TO MANUFACTURES RECOMMENDATIONS.
4"SANITARY TEE MIN. P-5 THERMOPLASTIC PIPING MAY BE ROUTED AROUND OBSTRUCTIONS BY BENDING PIPE ON A SMOOTH CURVE,AS
TREATED LUMBER MARKER )
L NSF APPROVED EFFLUENT FILTER ABOVE ALL BURIED COVERS; RECOMMENDED BY THE MANUFACTURER.
NATIVE BACKFILL SET LEVEL W/GRADE
THOROUGHLY COMPARED ("POLYLOK PL-122",OR
EQUIVALENT)
FORT MILLER PRECAST
SEPTIC TANK OR EQUIVALENT'
10'±�/r /�X,/\//\\ ���\ PROVIDE ADJUSTABLE LEVELING
\ \/ /\�
• ----�►—6"(MIN.) '
12"(MIN.)� .. - - DEVICE ON EACH OUTLET
INLET OUTLET
PROVIDE EXTENDED BASE FOR
ANTI-FLOTATION PURPOSES 4"PVC GRAVITY SEWER
OR EQUIVALENT(NOT REQUIRED) FORT MILLER BOX @ 0.5%MIN.SLOPE
OR EQUIVALENT
CRUSHED STONE FOUNDATION UNDISTURBED NATIVE SOIL
12"MIN.OF CLEAN SAND
OR PEA GRAVEL FOUNDATION
\SEPTIC TANK DETAIL / — \DISTRIBUTION BOX
D1 SCAIE NTS D 1 SCALE:N.T.S.
6/08/18 1 /A\ I SUBMITTED TO THE TOWN OF QUEENSBURY FOR PERMITTING
DATE REV#J ISSUED/REVISIONS
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u�e�K.e•���aon;°"�;oo�T„eews`�_o�«`,°sEMOP�aR�,repovaeERs.��o
of"Ewy �ERs��Ho WASTEWATER DETAILS�e��� N �yyD1
P s�4p�9� WASTEWATER SYSTEM MODIFICATIONS
GILBERT RESIDENCE
'
16 CHIPPEWA CIRCLE
TOWN OF QUEENSBURY,NEW YORK
JARRETT Engineers, PLLC
H.THOMAS JARRETT Civil&Environmental Engineering
P E #57509 12 EAST WASHINGTON STREET GLENS FALLS,N Y
COPYRIGHT 0 2018 PHONE:(518)792-2907
ao,Es =,00E JUNE 2018 PRO#16-019 SHEET:3OF4
era�x;sirsEo si�cwEEa is uNuwru� BASESHEET 22 x 34 PLOTTED/REVISED 06/08/18 11 30 AM
EROSION&SEDIMENT CONTROL CONSTRUCTION NOTES: SAND BAGS LAID TIGHT EROSION&SEDIMENT CONTROL
END TO END,PERPENDICULAR
1)CONTACT PERMITTING AUTHORITIES REGARDING CONSTRUCTION START DATE,AND ENGINEER TO SCHEDULE A TO DIRECTION OF FLOW GEOTEXTILE FABRIC:FILTER X,MIRAFI 100x, STEEL OR 2"x 2" ESC-1)LAND DISTURBANCE IS DEFINED AS DISRUPTION OF ESTABLISHED GROUND COVER/SOIL,AND NO LAND DISTURBANCE SHALL
HARDWOOD POSTS TAKE PLACE UNLESS PROVISIONS ARE IN PLACE TO CONTROL EROSION AND SEDIMENTATION.LAND DISTURBANCE SHALL NOT
&TIE JOINTS 6"MINIMUM
PRE-CONSTRUCTION MEETING,PRIOR TO START OF CONSTRUCTION. STABILENKA T140N,OR EQUIVALENT;OVERLAP EXCEED LIMITS SHOWN ON DRAWING WITHOUT APPROVAL OF THE PERMITTING AUTHORITY.
2)EROSION&SEDIMENT CONTROLTO BE INSTALLED PRIORTO ANY OTHER CONSTRUCTION. FLOW 24 (MAX.)TYP. ESC-2)FROM DAY 1 OF CONSTRUCTION UNTIL FINAL SITE STABILIZATION,ALL EARTHWORK SHALL BE CONTROLLED TO PREVENT
_ EROSION&SEDIMENTATION IN ACCORDANCE WITH PROVISIONS SHOWN ON THESE PLANS AND/OR THE"NEW YORK GUIDELINES
3)NYSDEC TRAINED PERSONNEL IN EROSION AND SEDIMENT CONTROL SHALL INSPECT SITE DAILY AND MAINTAIN FOR URBAN EROSION AND SEDIMENT CONTROL",USDA-NRCS,AND THE URBAN EROSION AND SEDIMENT CONTROL COMMITTEE,
LOG/REPORT BOOK. TYPICAL LATEST EDITION.
HARD SURFACE TIE POINTS
(NEW YORK STANDARDS AND SPECIFICATION FOR EROSION AND SEDIMENT CONTROL'BLUE BOOK"CAN BE FOUND AT: ESC-3)EROSION CONTROL MEASURES SHALL BE EMPLOYED FROM DAY 1 OF CONSTRUCTION UNTIL FINAL SITE STABILIZATION TO
http-.//—.dec.ny.gov/chemical/29066.htmi SECURELY FASTEN WIRE PREVENT EROSION;OPTIONS INCLUDE:A)GRADE DISTURBED AREA AND SEED(TEMPORARY OR PERMANENT)IMMEDIATELY AFTER
OTHER ENVIRONMENTAL CONTROLS: I�5'MAXIMUM�I FENCE TO POSTS& CURRENT WORK IS COMPLETED OR TEMPORARILY SUSPENDED,B)MULCH WITH STRAW,BARK MULCH,STONE,ETC.,C)APPLY
SAND BAGS FABRIC TO FENCE EROSION CONTROL MATTING,OR D)OTHER,AS APPROVED
1.)PROTECT SITE DURING CONSTRUCTION IN ACCORDANCE WITH NYSDEC STORMWATER DESIGN MANUAL AND NYS ESC-4)FROM DAY 1 OF CONSTRUCTION UNTIL FINAL SITE STABILIZATION,SEDIMENT CONTROL MEASURES SHALL BE MAINTAINED IN
EROSION&SEDIMENT CONTROL GUIDLINES("BLUE BOOK");LATEST EDITION STEEL OR WOOD POST WITH FULL OPERATIVE CONDITION UNTIL PERMANENT SITE STABILIZATION IS COMPLETE AND PERMANENT GROUND COVER ESTABLISHED
2.)TEMPORARY FUELTANKS SHALL BE PROVIDED WITH SECONDARY CONTAINMENT EQUALTO 100%OF TANK CONTENTS, AS DEFINED BY NYSDEC STANDARDS.
AND AREA UNDER FUEL LINES SHALL BE COVERED IN WOODCHIPS,ABSORBENT MATTING,OR OTHER APPROVED WOVEN WIRE FENCE
ABSORBENT MATERIALS. (14.5 GAUGE MIN.; ESC-5)FOR PROJECTS IN THE LAKE GEORGE BASIN:
6"MESH SPACING AS REQUIRED) ESC-SA)WITHIN 500 FEET OF THE MEAN HIGH WATER OF ANY LAKE,POND,RIVER,STREAM,OR WETLAND,NO LAND AREA,
INCLUDING AREAS STOCKPILED WITH EARTHEN MATERIALS,WHICH HAS BEEN CLEARED MAY BE MADE OR LEFT DEVOID OF
T 1'-4" GROWING VEGETATION FOR MORE THAN 24 HOURS WITHOUT A PROTECTIVE COVERING SECURELY PLACED OVER THE ENTIRE AREA
SHEET FLOW DRAINAGE FLOW I —L. AND/OR EROSION CONTROL DEVICES PROPERLY INSTALLED TO PREVENT SEDIMENTS FROM ENTERING THE WATER BODY.
A C� 1' �FLOW 1•_ ACCEPTABLE PROTECTIVE COVERINGS INCLUDE NATURAL MULCH OF A DEPTH OF TWO INCHES,ROCK RIP-RAP,NON-DEGRADABLE
FLOW
B �4'MIN. 8, MATERIALS SUCH AS PLASTIC OR CANVAS COVERINGS,AND IMPERVIOUS STRUCTURES.
FLOIN I �4'(MIN.) ESC-5B)IN AREAS WHERE SOIL DISTURBANCE ACTIVITY HAS BEEN TEMPORARILY OR PERMANENTLY CEASED,TEMPORARY AND/OR
4'MIN. 1 MEDIUM RIP RAP(TYP.) GEOTEXTILE FABRIC DRAIN ROCK PERMANENT SOIL STABILIZATION MEASURES SHALL BE INSTALLED AND/OR IMPLEMENTED WITHIN SEVEN(7)DAYS FROM THE DATE
1 --y' -7' GEOTEXTILE FABRIC THE SOIL DISTURBANCE ACTIVITY CEASED.THE SOIL STABILIZATION MEASURES SELECTED SHALL BE IN CONFORMANCE WITH THE
4"x6"TRENCH MOST CURRENT VERSION OF THE TECHNICAL STANDARDS, NEW YORK STANDARDS AND SPECIFICATIONS FOR EROSION AND
BUTT BALES TOGETHER, NON-WOVEN GEOTEXTILE FABRIC 1�" WITH COMPACTED BACKFILL 1'-0"
I.E.:NO GAP SEDIMENT CONTROL,AND IN THE LAKE GEORGE BASIN SHALL BE IN ACCORDANCE WITH LGPC REGULATION 646-4.15(C).
NOTES:
GEOTEXTILE FABRIC WRAPPED DIKE CONSTRUCTED USING ESC-SC)GROUND CLEARING OR GRADING ACTIVITIES WHICH OCCUR DURING THE PERIOD OCTOBER 15TH TO APRIL 15TH,DURING
4FABRIC
AY BALES,AS SHOWN ABOVE ORIGINAL GRADE CRUSHED STONE AND LIGHT 1)THIS DETAIL IS APPLICABLE TO SHEET FLOW DRAINAGE ON A TEMPORARY OR WHICH GERMINATION OF VEGETATION TYPICALLY WILL NOT TAKE PLACE,SHALL BE REQUIRED TO INCORPORATE EXTRA MEASURES
RIP RAP SEMI-PERMANENT BASIS(1 YEAR MAXIMUM)FOR EROSION CONTROL. DURING REVEGETATION IN ORDER TO REDUCE EROSION AND MAINTAIN WATER QUALITY.THESE EXTRA MEASURES INCLUDE,BUT
2"x 2"HARDWOOD STAKES OR RE-BARS ARE NOT LIMITED TO,THE USE OF SCREEN MESH,NETTING,EXTRA MULCH,AND SILTATION FENCES.
DRIVEN FLUSH WITH BALE;2 STAKES 2)SILT FENCE SHALL BE PLACED ON SLOPE CONTOURS TO MAXIMIZE PONDING EFFICIENCY.
PER BALE REQUIRED,ONE VERTICAL,ONE ANGLED NOTES:
3)MAXIMUM SLOPE LENGTHS CONTRIBUTING RUNOFF TO A SILT FENCE PLACED ON A SLOPE: ESC-6)ALL CONSTRUCTION ACTIVITY SHALL STOP IF EROSION AND/OR SEDIMENTATION IS EVIDENT,INCLUDING IF IN PLACE
1)THIS STRUCTURE IS SUITABLE FOR EROSION CONTROL OF SHEET FLOW DRAINAGE ON CONTROLS ARE DAMAGED OR DESTROYED OR ARE INADEQUATE.CONSTRUCTION ACTIVITY SHALL NOT RESUME UNTIL SUCH TIME
4"MIN. MODERATE SLOPES,OR AS ACHECK DAM SEDIMENT TRAP IN A DRAINAGE DITCH;IF USED AS A AS CONTROLS ARE IN PLACE TO PREVENT FURTHER ENVIRONMENTAL IMPACT AND UNTIL SUCH TIME AS THE PRIOR IMPACT I5
8"MIN. P. CHECK DAM,PROVIDE OVERFLOW CAPABILITY. REMEDIATED.
(TY ) SLOPE STEEPNESS MAX.SLOPE LENGTH
2)"A"TO BE 2 OR GREATER FOR TEMPORARY DIKES AND 2.5 OR GREATER FOR PERMANENT2:1 25 FT ESC-7)DETAILS SHOWN ON THIS DRAWING ARE ONLY EXAMPLES OF APPLICABLE EROSION AND SEDIMENT CONTROL SYSTEMS;
@ STAKE EARTH DIKES. CONTRACTOR TO DETERMINE"BEST MANAGEMENT PRACTICE(S)"AND SUBMIT TO OWNER/ENGINEER FOR APPROVAL.
3:1 50 FT
BEDDING DETAIL, 3)"B"TO BE HEIGHT SHOWN ON PLAN OR EQUAL TO HEIGHT OF ADJOINING GROUND OR 41 75 FT EARTHWORK&TURF ESTABLISHMENT:
NOTES: MAXIMUM 18"HIGH.
5:1 OR FLATTER 100 FT ET-1)ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION UNLESS OTHERWISE DIRECTED ON THESE PIANS OR 8Y
1)THESE DETAILS ARE APPLICABLE TO SHEET FLOW DRAINAGE ON DISTURBED SOILS,HAY BALE 1NSPECT AND REPAIR FENCE AFR EACH OWNER.
DIKES ARE NOT SUITABLE FOR STREAM CHANNELS. EARTH DIKE 9)(MAX.RECOMMENDED STORAGE HEIGHTTORM EVENT AND REMOVE SEDIMENT AS NEEDED; ET-2)TOPSOIL,PLANT/SEED,AND MULCH DISTURBED AREAS TO ESTABLISH PERMANENT VEGETATIVE GROWTH(GRASS OR OTHER
2)HAY BALE DIKES MAY BE USED FOR TEMPORARY(180 DAYS MAXIMUM)EROSION CONTROL NATIVE/NATURALIZED GROUNDCOVERS);CONTACT OWNER AND/OR LOCAL SOIL CONSERVATION SERVICE FOR RECOMMENDED
5)REMOVED SEDIMENT SHALL BE DEPOSITED TO AN AREATHAT WILL NOT CONTRIBUTE MATERIALS AND APPLICATION.
SEDIMENT OFF-SITE AND CAN BE PERMANENTLY STABILIZED.
COMPOST 2"X2"WOODEN STAKES ET-3)CONTRACTOR TO PROTECT EXISTING STRUCTURES&PERSONAL PROPERTY DURING WORK.WHERE POSSIBLE,ROUTE PIPING
STRAW BALE DIKE PLACED AT IO'O.C. OUTSIDE OF ROOT ZONES OF MAJOR TREES AND AROUND OTHER FEATURES,AS PRACTICAL AND AS DIRECTED BY OWNER.
FILTER SOCK MAX.SPACING SILT FENCE
ET-4)NO CLEARING OR GRUBBING BEYOND THE CLEARING LIMITS LABELED SHALL OCCUR UNLESS APPROVED IN ADVANCE BY
N'W N'W W W W ENGINEER AND PERMITTING AUTHORTTY(IES).
DITCH STABILIZATION GUIDELINES
,O FLOW 1' (GUIDELINES ARE PROVIDED TO OFFER ALTERNATIVES FOR STABILIZATION,AS NEEDED;ADDITIONAL
A MIN. OR MORE AGGRESSIVE TREATMENTS MAY BE NECESSARY DEPENDING ON SITE CONDITIONS)
B�4,MIN+1 EXISTING
CONTOURS DS-1)0-6%:SEED&MULCH
DS-2)6-10%:SEED&MULCH W/TEMPORARY EROSION CONTROL MATTING
4'MIN. C MEDIUM RIP RAP(TYP.) \ (EX.NORTH AMERICAN GREEN MODEL:P300 OR APPROVED EQUIVALENT)
NON-WOVEN GEOTEXTILE FABRIC .yo0' DS-3)10-15%:SEED&MULCH W/TEMPORARY OR PERMANENT EROSION CONTROL MATTING
j (EX.NORTH AMERICAN GREEN MODEL:C350 OR APPROVED EQUIVALENT)
DIKE CONSTRUCTED USING ■ \ j _ — — ,">� ■ 1
sy DS-4)15%+:SEED&MULCH W/PERMANENT EROSION CONTROL MATTING
ORIGINALGRADE CRUSHED STONE AND LIGHT \- (EX.NORTH AMERICAN GREEN MODEL:P5S0 OR APPROVED EQUIVALENT)
NOTES: RIP RAP _ iii��� / • OR OTHER APPROVED MEASURES(STONE CHECK DAMS AND/OR RIP RAPPED CHANNEL)
1)THIS STRUCTURE IS SUITABLE FOR EROSION CONTROL OF SHEET FLOW DRAINAGE ON MODERATE SLOPES,OR AS A CHECK • SLOPE STABILIZATION GUIDELINES
DAM SEDIMENTTRAP IN A DRAINAGE DITCH;IF USED AS A CHECK DAM,PROVIDE OVERFLOW CAPABILITY. • • (GUIDELINES ARE PROVIDED TO OFFER ALTERNATIVES FOR STABILIZATION,AS NEEDED;ADDITIONAL
2"X2"WOODEN ■ COMPOST FILTER OR MORE AGGRESSIVE TREATMENTS MAY BE NECESSARY DEPENDING ON SITE CONDITIONS)
2)"A"TO BE 2 OR GREATER FOR TEMPORARY DIKES AND 2.5 OR GREATER FOR PERMANENT EARTH DIKES. STAKES PLACED SOCK
3)"B"TO BE HEIGHT SHOWN ON PLAN OR EQUAL TO HEIGHT OF ADJOINING GROUND OR MAXIMUM 18"HIGH. 10'O.C. SS-1)0-25%:SEED&MULCH
4)SEDIMENTTO BE REMOVED WHEN 25%OF THE DIKE'S FUNCTIONAL VOLUME HAS BEEN LOST. SS-2)25-33%:SEED&MULCH W/TEMPORARY EROSION CONTROL MATTING
(EX.NORTH AMERICAN GREEN MODEL:S75BN OR APPROVED EQUIVALENT)
5)DIKES TO BE REMOVED AND AREAS STABILIZED WITH AN APPROPRIATE VEGETATION THAT MATCHES SURROUNDING 1.)COMPOST FILTER SOCKS WILL BE PLACED ON THE CONTOUR WITH BOTH TERMINAL ENDS OF THE SOCK
AREAS AND MULCHED TO PREVENT EROSION. EXTENDED 8 FEET UP SLOPE AT 45 DEGREE ANGLE TO PREVENT BYPASS FLOW. SS-3)33-50%:SEED&MULCH W/TEMPORARY OR PERMANENT EROSION CONTROL MATTING ON
SLOPES
2.)DIAMETERS DESIGNED FOR USE SHALL BE 12"-32"EXCEPT THAT 8"DIAMETER SOCKS MAYBE USED FOR (EX.NORTH AMERICAN GREEN MODEL:SISOBN OR APPROVED EQUIVALENT)
RESIDENTIAL LOTS TO CONTROL AREAS LESS THAN.25 ACRES.
SS-4)50-100%:SEED&MULCH W/PERMANENT EROSION CONTROL MATTING ON SLOPES
3.)COMPOST SOCKS SHALL BE ANCHORED IN EARTH WITH 2"X 2"WOODEN STAKES DRIVEN 12"INTO THE (EX.NORTH AMERICAN GREEN MODEL:SC15OBN OR APPROVED EQUIVALENT)
SOIL ON 10 FOOT CENTERS ON THE CENTERLINE OF THE SOCK.
NE DIKE SS-5)10016+:SEED&MULCH W/PERMANENT EROSION CONTROL MATTING ON SLOPES 6/08/18 A SUBMITTED TO THE TOWN OF QUEENSBURY FOR PERMITTING
4.)THE MAXIMUM SLOPE LENGTH ABOVE A COMPOST FILTER SOCK SHALL NOT EXCEED THE FOLLOWING (EX.NORTH AMERICAN GREEN MODEL:C125BN OR APPROVED EQUIVALENT) DATE REV# ISSUED/REVISIONS
(CONTRACTOR MAY USE THE DETAIL SHOWN ABOVE FOR SEDIMENT CONTROL FOR CONCENTRATED FLOWS) LIMITS (OR OTHER APPROVED STRUCTURAL MEASURES)
(CONTRACTOR MAY REFER TO NEW YORK STANDARDS AND SPECIFICATION FOR EROSION AND SEDIMENT CONTROL oes�ax w.r xe used onw roe Txe use srecwex mTxe�ssueixers�om x�acxAxovemev eur exrr xe useu eoxAxr arxex
oxseouexr nes�cxwoxx,xxrxovr rxe wxmen coersexr or�exxerr encmeexs,e�.ec o
"OWE BOOK"FOR OTHER METHODS OF EROSION AND SEDIMENT CONTROL coxsrxucnox•nur xe wex eo useR sxnu xo�o aAxxerr excweeas,ruc xexxeessnnu oaeaxoaexxerr excixeecs,au exox
(CONTACT ENGINEER PRIOR TO MAKING SUBSTITUTIONS) DIAMETER SLOPE% "
(IN.) 2 S 10 20 15 33 , 50 i ,��pF"Ewyo ENVIRONMENTAL CONTROL DETAILS EC1
8 300 200 100 s0 40 30 1 20
1 12 375 250 125 65 I 50 40 1 25 I g Jq� WASTEWATER SYSTEM MODIFICATIONS
1 18 500 275 Iso 70 15 45 1 30 I
24 650 325 zoo 130 100 60 3S 1 GILBERT RESIDENCE
32 Rao 42 ns 150 1 120 75 so I 16 CHIPPEWA CIRCLE
4 TOWN OF QUEENSBURY,NEW YORK
COMPOST FILTER SOCK � •� �'
JARRETT Engineers, PLLC
(CONTRACTOR MAY USE ANY OF DETAILS SHOWN ABOVE FOR SEDIMENTCONTROL OF SHEET FLOW ONLY) H.THOMAS JARRETT C1Ull&Environmental Engineering
(CONTRACTOR MAY REFERTO NEW YORK STANDARDSAND SPECIFICATION FOR EROSION AND SEDIMENT CONTROL"BLUE BOOK"FOR OTHER METHODS OF EROSION AND SEDIMENT CONTROL(CONTACT ENGINEER PRIOR TO MAKING SUBSTITUTIONS) P E#57509 12 EAST WASHINGTON STREET GLENS FALLS,N.Y.
SEDIMENT CONTROL BARRIER(SHEET FLOW) COPYRIGHT 02018 PHONE:(518)792-2907
EC1 SCALE:N.T.S. wue ^ Ao�x xF_E JUNE 2018 PRO#16-019 SHEET:4OF 4
SHEET FLOW BARRIER DEVICE SYMBOL: xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xvA,cEersEoMs,,msxisw',E,, BASESHEET 22x34 PLOTTED/REVISED 06'DS/181130AM
TARRETT Engineers, PLLC Civil&Environmental Engineering
Transmitted via Email
June 20, 2019
AS BUILT
John O'Brien
Town of Queensbury
Building & Codes \-'41
742 Bay Road
Queensbury,NY 12804 2 d20 \-3\
\\‘‘\ \ !UN '
Re: Eric Gilbert Residence \ t 0 4 91E CODEa.- M--
16 Chippewa Circle
SEP-0334-2018
Wastewater Disposal System
JE# 16-019
Dear John:
This letter is to certify that representatives from this office visited the Eric Gilbert
residence during construction to observe the upgrades of the on-site wastewater treatment
system. Based on our field observations, it is our belief that the system has been
constructed substantially in conformance with the June 8, 2018 `Submitted to the Town
of Queensbury for Permitting' design plans entitled, "Wastewater system Modifications
Gilbert Residence". Revision A dated 6/08/16.
If you have any questions, please do not hesitate to contact us at (518)792-2907 or via
email at
Sincerely,
JARRE'I'1' Engineers, PLLC
2019.06.20
09:04:42 -04'00'
Robert U. Holmes II,P.E.
Project Manager
F:\DataFile\2016 Proj\2016 Resid\16-019 Gilbert\Working Docs\16019 19xxxx WW Cert\Srce Files\16019 190620 WW Cert Ltr.doc
12 East Washington Street 518 792-2907
Glens Falls, NY 12801
INSPECTION WORKSHEET (SEP-003637-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:SEP-0334-2018 Case Module:Permit
Inspection Date:Thu Jun 20, 2019 Inspection Status:Passed
Inspector:John O'Brien Inspection Type:Septic
Job Address:Parcel Number:16 CHIPPEWA CIR
Queensbury, NY 12804
301.13-2-82
Contact Type Company Name Name
Applicant Jarrett Engineers, PLLC
Granted Permission Eric Gilbert
Primary Owner Eric Gilbert
Engineer Jarrett Engineers, PLLC
Checklist Item Status
Building Inspector Notes Passed
1/10/19 Septic System Partial Approval
- Install new additional 1000 gal septic tank and connected to distribution box.
- Tee baffles Installed in outlet of existing 1000 gal. septic tank, inlet and outlet of new 1000 gal. septic tank.
- Levelers installed in distribution box.
Remaining Items:
- Submit Engineer's Report and As-Built
6/13/19 Septic System Partial Approval
- Submit Engineer's Report and As-Built
6/20/19 Septic System Approved
- Received Engineer's Report and As-Built
Seepage Pits: Number Passed
3 Existing Seepage Pits
Building to Tank Passed
Existing
Jun 20, 2019 Page (1)
INSPECTION WORKSHEET (SEP-003637-2019)
Checklist Item Status
Tank to Distribution Box Passed
4" sdr35 pvc
Distribution box to Field / Pit Passed
4" sdr35 pvc
Foundation to Tank Passed
Existing 1000 gallon septic tank 10'+
New 1000 gallon septic tank 12'
Foundation to Absorption Passed
Distribution box 22'
Separation of Pits Passed
Existing
Engineer Report and As-Built Passed
1/10/19 Septic System Partial Approval
- Install new additional 1000 gal septic tank and connected to distribution box.
- Tee baffles Installed in outlet of existing 1000 gal. septic tank, inlet and outlet of new 1000 gal. septic tank.
- Levelers installed in distribution box.
Remaining Items:
- Submit Engineer's Report and As-Built
6/13/19 Septic System Partial Approval
- Submit Engineer's Report and As-Built
6/20/19 Septic System Approved
- Received Engineer's Report and As-Built
Location of system on property Passed
Front yard
Jun 20, 2019 Page (2)
INSPECTION WORKSHEET (SEP-003637-2019)
Checklist Item Status
System Use Status Passed
1/10/19 Septic System Partial Approval
- Install new additional 1000 gal septic tank and connected to distribution box.
- Tee baffles Installed in outlet of existing 1000 gal. septic tank, inlet and outlet of new 1000 gal. septic tank.
- Levelers installed in distribution box.
Remaining Items:
- Submit Engineer's Report and As-Built
6/13/19 Septic System Partial Approval
- Submit Engineer's Report and As-Built
6/20/19 Septic System Approved
- Received Engineer's Report and As-Built
Jun 20, 2019 Page (3)
O'Brien, John