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SEP-0206-2018 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-0206-2018 Date Issued: Thursday, May 3, 2018 This is to certify that work requested to be done as shown by Permit Number SEP-0206-2018 has been completed. Tax Map Number: 302.19-1-25 Location: 40 WESTERN AVE Owner: Helen Mozal 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 J4 .41 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. S,. -- TOWN OF QUEENSBURY , i742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 — , Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: SEP-0206-2018 Tax Map No: 302.19-1-25 Permission is hereby granted to: IBS Septic For property located at: 40 WESTERN 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: Helen Mozal Septic Disposal-Residential $0.00 Owner Address: 40 Western AVE Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency IBS Septic 2 WARREN ST Glens Falls,NY 12801 Plans&Specifications Residential Septic Alteration $ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,May 1,2019 (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 ue bury; Tue•e,'Y,jY a 1>2018 1 SIGNED BY: if„. \ for the Town of Queensbury. Director of Building&Code Enforcement = ) SEPTIC DISPOSAL PERMIT AP'AP)gcaleE f O,flce ..e ,nly Toy ofQ bu 742 Bay Road,Queensbury,NY 12804 i C '� P:518-7f 1-8256 www.queensbury.net Permit :I 1 o — 0 Ze&--z_�( r APR 31) 2018 u Tax Map ID#: -3 07 -a 1 6( — !'2 I Permit Fee: $- - L' ; Invoice#: 0 33 TOWN OF CIL EEN aBURY I Project Location: L4 0 ("re S4i + r - BUILDING 3,Se�pt�q ariance Yes No Primary Owner(s) AA 0 2—rrl t Mailing Address .14 4-0 \4te5 -1-e( h e, Phone & Email 5[ic -1€0 — CI 9 I Installer/Builder IS �jen +i c Mailing Address 2 OW,Pr VU eArfPr‘,S4. ()\: , 1 Phone & Email E l t•—°1 / -- 9-L-1 Engineer �~j'Q- o,`' Mailing Address I? (1i)( A1itt Phone & Email 'S 1 —1 4 t—'M., [1 Contact Person for Building&Code Compliance: C1vAc xe.,A Phone: 1-18 ,45 k Qii RESIDENCE INFORMATION: Year Built Gallons #of bedrooms X gallons per =total daily flow / per day bedroom Garbage Grinder Yes N¢ 1980 or older 150 Installed? (circle one) '/ 1981-1991 130 Spa or Hot Tub Yes S„ Installed? (circle one) 1992-Present 110, rA PARCEL INFORMATION: Topography at Rolling Steep Slope %Slope Soil Nature .. Sand Loam Clay Other Groundwater At w at depth? i Bedrock/Impervious material At hat depth? Domestic Water Supply Municipal _Well (if well,water supply from any septic system absorption is ft.) Percolation Test Rate:`) .53 per minute per inch (test to be completed by licensed engineer/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION: Tank sizeL' daV"gllons(min.size 1,000 gallons,add 250 allons for each garbage cylinder or spa/hot tub System Absorption field with#2 stone Total length f p ft.; Each Trench .S ft. Seepage Pit with#3 stone How many: ;Size: 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: Jr pp U DATE: ]o —1 t SIGNATURE: DATE: g %/ Town of Queensbury Building&Code Enforcement Revised March 2018 RUCINSKI HALL ARCHITECTURE >' "` Ronald Richard Rucinski „�r. Ethan Peter Hall , • 134 Dix Avenue , Glens Falls NY 12801 Voice 518 741 0268 Fax 518 741 0274 Email ephall©nycap.rr.com • Mozal Residence—Barber Drive 15 June 2018 John O'Brien—Town of Queensbury Building Department 742 Bay Road Queensbury NY 12804 Re: Replacement of existing Septic System At the above referenced project location this office observed the installation of the new sewage disposal field prior to back fill. These installations are acceptable to this office. If there are any questions please contact our office to discuss. Regards, si .4�. , Oil .4, ,, ?Wrii*J-j',„,Z=,*,:). '-,= /a ` .! .,max,,+`,t£: �'' `i Ethan Peter Hall 1; e ''"" Architect ECEOW ED a yl,:, ,,-;a t1 . il JUN 18 2018 TOWN OF QUEENSBURY BUILDING&CODES \\RHA-FS\acad\Ivan Bell Septic(IBS)1Mozal Residence\Letter 15 June 2018.doc 1 SF2- 02°'criCeE V i -11 MAY 0 3- 2018 • AS BUILT TOWN OF QUEENSBURY BUILDING&CODES • ------__ • rice / er-t Zi$ 11111111111111 IP <72' c 1,4,4,fc.) Llo (pe5-1--ern uet3 (1- I oe6r-efo tic • GRADING NOTES GENERAL NOTES BEFORE ANY CLEARING OR GRUBBING OF THE SITE IS INITIATED, AND DURING INFORMATION SHOWN ON THIS DRAWING IS TAKEN FROM EARTHWORK PHASES, SEDIMENT TRAPS SHALL BE CONSTRUCTED IN ALL STORM WARREN COUNTY TAX MAP AND NOT FROM ACTUAL TOPOGRAPHIC SURVEY INFORMATION AFTER EVERY STORM EACH SEDIENT TRAP SHALL BE INSPECTED BY THE CONTRACTOR FAILURES OR CLOGGING. ANY FAILURE OR CLOGGING SHALL BE IMMEDIATELY 0 RECTED.FOR LEGEND 2'-0" 4'-0" 2'-0" ALL BARE-EARTH AREAS SHALL BE SEEDED AND MULCHED AS SOON AS IS REASON- —-- - - - - — PROPERTY LINE ABLY POSSIBLE TO PREVENT EROSION, AND EVERY BARE-EARTH AREA SHALL BE ------------- - --- 10'-0" PROPERTY LINE SETBACKS SEEDED AND MULCHED BY OCTOBER 1ST. TEMPORARY RAPIDLY GROWING COVER OVERFILL TO ALLOW CROPS, SUCH AS RYE GRASS AND MILLET MAY BE USED FOR TEMPORARY SURFACE E -E -E -E UNDERGROUND ELECTRIC SERVICE Nod DESCRIPTION DATE FOR SETTLEMENT . REVISIONS SMALL BENCHES AND TEMPORARY INTERCEPTOR DITCHES, INCORPORATING SEDIMENT ss —"ss ss —ss SANITARY SEWER TRAPS, SHALL BE CONSTRUCTED WHERE LONG SLOPES ARE STRIPPED OF COVER GRASSES, OR WHERE FILL AREAS ARE EXTENSIVE. LLJ y — — WATER SERVICE 'x EARTH NEW SWLES AND UNLINED DITCHES SHALL INCORPORATE MATTING OR NETTING E/rl EDGE OF PAVEMENT 0 a a GEOTEXTILE FABRIC W �3 x ►� BACKFILL �- OVER SEED AND MULCH WHEN THE INVERT SLOPE EXCEEDS 2% ALL SWALES AND a o UNLINED DITCHES SHALL BE SEEDED WITH REED-CANARY GRASS FOR FOUR (4) H z = Q 2 MIN. " FEET EITHER SIDE OF THE SWALE OR DITCH CENTERLINE, AT A RATE OF 25 SEWAGE D I S P 0 S A L SYSTEM NOTES 0 �a o °� 4 PERFORATED POUNDS PER ACRE. AFTER DUNE, ALL SEEDING SHALL ALSO BE IMMEDIATELY MULCHED. W $ o W Z LATERAL THERE SHALL BE NO CHANGE ON THESE PLANS IN ADVANCE OF OR DURING �- 0- z ALL EROSION CONTROL MEASUREMENTS TO CONFORM TO NEW YORK STATE CONSTRUCTION, VATHOUT RRIOR APPROVAL OF THE DESIGN PROFESSIONAL OR THE _ z g p o� 0p�o N �\ GUIDEIJNES FOR URBAN EROSION & SEDIMENT CON1R0�, TOWN BUILDING INSPECTOR'. 0 ma o OQ Qoa$� INSITU MATERIAL WAS TO 1 1 HE FINAL GRADING SHALL BE DONE TO ACCOMPLISH POSITIVE DRAINAGE DESIGN, CONSTRUCTION, MATERIAL STANDARDS AND INSPECTION REQUIREMENTS z (IMPERVIOUS LAYER) z' WASHED CRUSHED STONE Q o z SWLES AND DITCHES. SHALL COMPLY WITH THE LATEST EDITION(S) OF THE NEW YORK STATE J E? o 6'-0' _ DEPARTMENT OF HEALTH wASTEWATER TMENT STANDARDS - INDIVIDUAL W E HOUSEHOLD SYSTEMS APPENDIX 75-A. Q 5 a s n LEVEL TRENCH BOTTOM _ TEST PIT INFORMATION SEPTIC TANK TO BE SET ON A LAYER OF COMPACTED PEA STONE OR WASHED _ N o a o 0 GRAVEL. �' v a W TEST PIT INFORMATION TAKEN - BY (J) c } a o oz } ETHAN P. HALL - RUCINSKI HALL ARCHITECTURE SEPTIC TANK TO HAVE SCIi 40 PVC »T" AT INLET AND OUTLET. Z Q'N n a z - INLET 12 BELOW FLOW�LINE, 6 ABOVE FLOW LINE °' A B S 0 R P TI O N TRENCH SECTION, a OUTLET 14" BELOW FLOW LINE, 6» ABOVE FLOW LINE C� o o ��- a o N.T.S. 3 AIR SPACE ABOVE 'or TO;TO TOP OF TANK o C a TP� 1 � �W �� >�w NO ROOF, FOOTING, FLOOR, COOLING WATER, BACKWASH DRAINS, ETC., SHALL BE 0-6" TOPSOIL CONNECTED TO THE SEWAGE SYSTEM. NO SUMP PUMP, CONDENSATE, WATER SOFTENER, SPAS, OR HOT TUBS SHALL BE DRAINED INTO THE SYSTEM. 6-22" MEDIUM BROWN/RED SAND W/ GRAVEL WORK IS TO BE AS SHOWN & THERE SHALL BE NO CONSTRUCTION OF SEPTIC SYSTEMS WITHIN 100' OF A NOTED AND IN ACCORDANCE -- REMAINDER OF TEST PIT WILL BE PROVIDED PRIOR TO SYSTEM INSTALL CLASSIFIED BODY OF WATER. WITH MANUFACTURER'S BARRIER MATERIAL AS LOT IS ENCLOSED BY CHAIN LINK FENCE WHICH MUST BE REMOVED BEFORE RECOMMENDATIONS, TRADE EXCAVATOR CAN ACCESS THE SITE HOUSE TO SEP11C TANK: 4"0 PVC SCHEDULE 40 WITH TIGHT JOINTS, MINIMUM ASSOCIATION PUBLISHED " —I I I I I— NTH 1/4" PER FOOT. SEPTIC TANK TO DISTRIBUTION BOX: 4"0 PVC SDR 26 RECOMMENDATIONS AND GENERALLY ACCELOCAL 6 MAX. I f _ ROOTS TO 18" TIGHT JOINTS, MINIMUM PITCH 1/8" PER FOOT. SANITARY DISPOSAL FIELD: CONSTRUCTIONPINEDUSTRY NO WATER 4 0 PERFORATED PLASTIC PIPE MAXIMUM SLOPE 1/16 PER FOOT, CAP ALL ENDS. - PRACTICES. �000 -- .• j $6" MAX. NO MOTTLING THE BEST DESIGNED AND INSTALLED SEPTIC SYSTEM WILL EVENTUALLY FAIL TO o _. ��dJoo SLOPE 000 -- FUNCTION PROPERLY WITHOUT PERIODIC MAINTENANCE. INADEQUATE SEPTIC TANK 12" MIN. 12" MIN MAINTENANCE CAN RESULT IN CLOGGING OF THE TANK AND SEWAGE BACKUP INTO PERCOLATION TEST INFORMATION THE HOME AND/OR SEWAGE OVERFLOW ONTO THE GROUND SURFACE. FAILURE TO PERIODICALLY CLEAN A SEPTIC TANK COMMONLY RESULTS IN CLOGGING OF SOIL oU'�c�nOd 4" PERFORATED PVC LATERAL, SURROUNDING THE ABSORPTION FILED BY OVERFLOWING SOLIDS NOT REMOVED BY SLOPE 1/16"-1/32" PER FT. TEST PIT INFORMATION TAKEN - 18 APRIL 2018 BY THE SEPTIC TANK. O ETHAN P. HALL - RUCINSKI HALL ARCHITECTURE �I--I 00 LEVEL TRENCH BOTTOM 04 NOTES: THIS DESIGN IS INTENDED TO PROVIDE SUBSURFACE SEWAGE DISPOSAL ONLY FOR N INSITU MATERIAL THE LOT IT IS SHOWN ON. NO ADDITIONS INVOLVING LIVING OR SLEEPING AREAS (IMPERVIDUS LAYER) DO NOT INSTALL TRENCH IN WET SOIL MAY BE ADDED TO THIS BUILDING WITHOUT THE APPROVAL OF THE BOARD OF Q� PT- 1 HEALTH, TOWN OF QUEENSBURY AND REDESIGN OF THE SUBSURFACE DISPOSAL SYSTEM. 0 RAKE SIDES AND BOTTOM OF TRENCH PRIOR TO PLACING GRAVEL OR STONE. 2 PRE SOAKS DROPPED 12 INCHES LESS THAN 10 MIN. THE SEAL AND SIGNATURE ON THIS PLAN SPECIFICALLY EXCLUDES CERTIFICA11ON FOR f f QO FUTURE EXPANSION OR REPLACEMENT. 1st TEST 1 -45» 3rd TEST 1 -53» � l ABSORPTION TRENCH PROFILE END OF PLUGGEDAUNLDEISSLL RINTERCONNECTED L IBUTOR PIPES UST BE 2nd LEST 1'-49" ESSDWELLING THANS2TO HAVE WATER SAVING GPM SHOWER HEADS, LOW WATER USE TOILETS, SINK FLOW BUT NO LIMITED TO: V -� N.T.S. SLOPE DISTRIBUTOR PIPE ® 1/16 -1/32 PER FT. RESTRICTORS. OBSERVE WATER CONSERVATION PRACTICES. " SEPTIC TANK SHALL BE INSPECTED ANNUALLY TO DETERMINE SCUM AND SLUDGE ACCUMULA11ON BY THE HOMEOWNER OR A QUALIFIED SEWAGE HAULER. THE SEPTIC SYSTEM DESIGN AMOUNT OF BUILD-UP NOTED AT EACH INSPECTION SHOULD BE RECORDED AND or* • r•.� '�"'� � MAINTAINED BY THE HOMEOWNER. THE TANK SHALL BE PUMPED WHENEVER THE H CC3 BOTTOM OF THE SCUM LAYER IS WITHIN 3" OF THE BOTTOM OF THE OUTLET " /� DESIGN FLOW - EXISTING 3 BEDROOM HOUSE WITH NEW STANDARD WATER BAFFLE OR SANITARY T". THE PUMP-OUT CLEARANCES ALSO APPLY TO ANY w y SAVING FIXTURES AT 110 gpd PER BEDROOM = 330 gpd CHAMBER IN MULTI-COMPARTMENT TANKS OR TO TANKS IN SERIES. MOST TANKS �3 SEPTIC TANK - 1,000 gal TANK REQUIRED- REUSE EXISTING SHOULD BE PUMPED OUT EVERY TWO TO THREE YEARS. 2 WHEN SEPTIC TANK IS PUMPED, THE SEPTIC TANK, BAFFLES/TEES, HOUSE P ABSORPTION FIELD - 1 TO 5 MIN. PERC. RATE - APPLICATION RATE / N CONNECTION AND OUTLET SHALL BE INSPECTED. BAFFLES/TEES THAT HA 5 1.2 gal/day/sq. ft. - 330 gpd DIVIDED BY 1.2 gal/day/sq. ft. = APR 3 0 275 s ft. OF TRENCH REQ'D. AT 2' WIDTH PER LATERAL. USE 4 LATERALS AT 35' 280 sq. ft. OF APPLICATION AREA. DETERIORATED AND NO LONGER PERFORM AS DESIGNED SHALL BE REPLACE q' CRACKED OR BROKEN LINES MUST BE REPAIRED OR REPLACED. = ----- 4? TOWN OF QUE NS"RY v� REMOVE EXIST. FENCE ANY COMPANY EMPLOYED TO CLEAN AND SERVICE THE SEPTIC TANK MUV BE WILDING& :0 � � AS NECESSARY TO ACCESS YARD DEC PERMITTED SEPTAGE HAULER. SEPTIC TANKS SHOULD NOT BE WASHED OR �: c DISINFECTED AFTER BEING PUMPED OUT. c M cd SEPTIC TANK ADDITIVES SHALL NOT BE USED IN THE SEPTIC SYSTEM. ADDITIVES ARE UNNECESSARY FOR THE PROPER OPERATION OF DISPOSAL SYSTEMS AND () MAY CAUSE THE SLUDGE AND SCUM IN THE SEPTIC TANK TO BE DISCHARGED Rj RBER AVE INTO THE ABSORPTION FIELD, RESULTING IN PREMATURE FAILURE. 0 CONCRETE OR STONE DO NOT DISPOSE OF EXCESS GREASE OR FAT INTO THE SEP11C 4� 0.4 MARKER ABOVE ALL SYSTEM. DO NOT POUR OR DUMP ABNORMAL AMOUNTS OF CLEANING CHEMICALS �/ N BURIED COVERS OR CLEANERS INTO SINKS OR TOILETS. - ---- - - � � FGWIWD RECOMMENDED. WHENEVER SEPTIC TANKS ARE TO BE ABANDONED IN THE EVENT OF PUBLIC SEWERS ARE INSTALLED TO HANDLE HOUSEHOLD WASTES, THE TANKS SHOULD BE --� - + REMOVED OR PUMPED OUT AND FILLED WITH SOIL TO PREVENT FUTURE CAVE-IN. INLET BAFFLE 12" MIN. COVER OVER — ' Z ALL STRUCTURES NO VEHICULAR TRAFFIC OR PARKING SHALL BE ALLOWED ON ANY PORTION OF00 its'-0" _- C� f®9 I #1 DISTRIBUTION BOX THE ABSORPTION FIELD OR THE SEWAGE DISPOSAL SYSTEM. O 14 ;;, \ U-� ' ' BY FORT MILLER OR MAIN.- 1 �� '+ }��' ',''; �` I I EQUAL FINAL GRADE SHOULD BE GRADED SO AS TO DIVERT ANY RUN-OFF AWAY FROM r I';'; ' `,';'; ' GARAGE �� (� FROM SEPTIC 4" PVC THE ABSORPTION FIELD. N o ',; (NO gASEMEHT) , I�Z TANK I , M 0 0 0 iV °$°°°°°` LOT PLAN W ° i ALL OUTLET INVERTS SEPTIC P i N TO BE SET AT ;' ';', Io ' ° SEEN OR OBSERVED ALL OBJECTS is v HOUSE PEA HOUSES, WELLS,TREES, FENCES, ETC i �� a EXACTLY THE SAME ! 1MIN• ,10 ';ij +;`�'i ' ' ELEVATION. > N GRAVEL r�THIS DOCUMENT.I HAVE PERSONALLY ;. �; ;,;�;' ';';'I �= ., ; (USE OF SPEED LEVELERS IHEDISTANCESETFORTHONTHISDIAGRAM. % N d ) REQUIRED) DATEco _ +�• YCAD FILE NAME t N > ►` + DISTRIBUTION BOX F ALE CoP ACAD\IBS\MOZAL\c-1 C O OCAI N.T.S. SCALE M �' AS NOTED I' THE SEAL BELOW IS AN ORIGINAL SEAL DRAWN BY AND IS ED INK. ONLY SEALS IN RED INK SHALL IBERCONSIDERED TRUE ORIGINALS EXISTING TANK TO BE INSPECTED DRAWING TITLE _ — - AND REUSED- ! SITE PLAN r ! NEW D-BOX OFPEX EX LOCATION INSTALL NEW IST. DISPOSAL AS NECESSARYOOTLET BAFFLE TOWN OF QUA°"�c�. AND SEPTIC SYSTEM TO BE EXISTING FENCE ABANDONED BUILDING & O DESIGN Reviewed By: PLOT PLAN Date: NOTES NOT TO SCALE V �704N DRAWING No. C- 1