SEP-0550-2018 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-0550-2018 Date Issued: Tuesday, September 18, 2018
This is to certify that work requested to be done as shown by Permit Number SEP-0550-2018
has been completed.
Tax Map Number: 296.14-1-7
Location: 78 MONTRAY RD
Owner: Paradise Park Queensbury LLC
Applicant: Morning Star Excavation & Septic
This structure may be occupied as a: Residential Septic Alteration, Lot 12
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the ( 4149 4
‘1At
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.
K � ' TOWN OF QUEENSBURY
4 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
f
- -_- Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: SEP-0550-2018
Tax Map No: 296.14-1-7
Permission is hereby granted to: Morning Star Excavation& Septic
For property located at: 78 MONTRAY 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
Type of Construction
Owner Name: Paradise Park Queensbury LLC . Septic Disposal-Residential $0.00
Owner Address: 4010 202ND ST Total Value . . $0.00
Bayside,NY 11361
Contractor or Builder's Name/Address Electrical Inspection Agency
Morning Star Excavation&Septic
59 Blanchard RD
Gansevoort,NY 12831
Plans&Specifications
Residential Septic Alteration,Lot 12
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,August 28,2019
(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 ..te.
Dated at the To f uee b /1
Q bury; T s;. :ust 28,2018
SIGNED BY: �' for the Town of Queensbury.
Director of Building&Code Enforcement
ii � i
SEPTIC DISPOSAL P iA79- PLICPAT+In N Office Use Only
742 Bay Road,Queensb 12804
rg
TncrnofC2uernS irry P:518-761-8256 w wWid nt utkt ,t 2 4 20 P #: STaxMapID#: zi ,L4 _ 18
I1 -] rmit
Permit Fee:$ �,. ; Invoice 0 / Z•
�n 1 uvviv t- ENSBURY
Project Location: � 1 r' -v+ v _ yll taDPS eptic Variance? Yes No
Primary Owner(s) & S AN .
Mailing Address
Phone & Email -
Installer/Builder /V la" Sirs'-. . a ),r SD4-- c___, 1-1-c .
Mailing Address s i a I)/,c ,i Q c
Phone & Email (C(0 7ciJ 2-2-T
Engineer k
Mailing Address 3 ��� G Ai"C- V
Phone & Email ( St'6) 22-2-- /3r3 T
Contact Person for Building&Code Compliance: �c7✓ le'ZA�'✓ Phone:( fl? �ciPf 3
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)
1981-1991 130 Spa or Hot Tub Yes No
Installed? (circle one)
1992-Present 110 2-2_0
PARCEL INFORMATION:
Topography £ _Flat Rolling Steep Slope %Slope
Soil Nature Sand Loam Clay Other
Groundwater At what depth? "►' 72.4
Bedrock/Impervious material At what depth? 4--72..``
Domestic Water Supply Municipal _Well(if well,water supply from any septic system absorption is_ft.)
Percolation Test Rate: /=/(= per minute per inch (test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION:
Tank,size fQ 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 2 ft.; Each Trench it, 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: -_.c9..-- I DATE: ceZrfir
SIGNATURE: 9N_______._.__ DATE: `:S-(Z V .
Town of Queensbury Building&Code Enforcement V Revised March 2018
INSPECTION WORKSHEET (SEP-006483-2018)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:
Inspection Date:
Inspector:
Case Module:
Inspection Status:
Inspection Type:
SEP-0550-2018
09/07/2018
John O'Brien
Permit
Partial Pass
Septic
Job Address:Parcel Number:78 MONTRAY RD
Queensbury, NY 12804
296.14-1-7
Contact Type Company Name Name
Primary Owner Paradise Park Queensbury LLC [Paradise Park Queensbury LLC ] ,
Contractor Morning Star Excavation & Septic [Morning Star Excavation & Septic] ,
Applicant Morning Star Excavation & Septic [Morning Star Excavation & Septic] ,
Granted Permission Morning Star Excavation & Septic [Morning Star Excavation & Septic] ,
Engineer Hastings, Kevin
Checklist Item Passed Comments
Building Inspector Notes NO 9/7/18 Septic System Partial Approval
Remaining Items:
- Install Charcoal Filter on leach field vent.
- Submit engineer's Final Inspection Report & As-Built
Soil Type: Sand NO
Soil Type: Loam NO
Soil Type: Clay YES
Type of Water: Municipal / Well Water YES Municipal
Waterline separation distance YES
Absorbtion Fields: Total Length YES 99 ft
Length of Each Trench YES 3 @ 33 ft
Depth of Trenches YES 18 - 60 inches. (Charcoal Vent System Installed)
Size of Stone YES #2
Size:NO
Stone Size:NO
Building to Tank YES 4 inch sch40 pvc
Tank to Distribution Box YES 4 inch sdr35 pvc
Distribution box to Field / Pit YES 4 inch sdr35 pvc to 4 inch pvc perforated
Opening Sealed:YES
Sep 07, 2018 Page (5)
INSPECTION WORKSHEET (SEP-006483-2018)
Checklist Item Passed Comments
End Cap YES End looped for Vent.
InletOutlet Pipes & Baffles YES
Manholes 12 or less below grade YES
Locations / Separations YES
Foundation to Tank YES 4 ft
Foundation to Absorption YES 20 ft
Conforms as per Plot Plan NO 9/7/18 Septic System Partial Approval
Remaining Items:
- Install Charcoal Filter on leach field vent.
- Submit engineer's Final Inspection Report & As-Built
Engineer Report and As-Built NO 9/7/18 Septic System Partial Approval
Remaining Items:
- Install Charcoal Filter on leach field vent.
- Submit engineer's Final Inspection Report & As-Built
Location of system on property YES Left side rear of mobile home
System Use Status NO 9/7/18 Septic System Partial Approval
Remaining Items:
- Install Charcoal Filter on leach field vent.
- Submit engineer's Final Inspection Report & As-Built
Sep 07, 2018 Page (6)
O'Brien, John (Inspector)
ECE11 %7En
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TOWN OF QUEENSBURY
BUlLDiNG&CODES
ENGINEERING
DESIGN REPORT
FILE COPY
FOR
A REPLACEMENT .
SEWAGE DISPOSA () STEM
:OWN OF QUE -N, B
f
Reviewed By.
PARADISE MOB L OME
PARK LOT #12
TM # 296.14-1-7
296.14-1-7 SEP-0550-2018
Paradise Park Queensbury LLC
78 Montray Rd, Lot 12
Residential Septic Alteration .
Kevin L.Hastings,P.E 2 BEDROOM RESIDENCE LOT#12
Consulting Engineers 78 MONTRAY ROAD QUEENSBURY
3 Jackson Avenue TOWN OF QUEENSBURY,WARREN COUNTY,NEW YORK Date: 8/21/18
South Glens Falls,NY 12803 Scale:As Shown
Phone:518-222-1338/Fax: 518-747-2166 Sheet 1 of 9
SOIL AND PERCOLATION TEST DATA:
TEST PIT— 1:
0"—8" SAND (FILL)
8"— 12" TOPSOIL/ORGANICS
12"—24" MED. BROWN/ORANGE SAND
24" - 72"+ TAN SAND
NO LEDGE ROCK TO DEPTH
NO S.H.G.W. /MOTTLING TO DEPTH
STABILIZED SOIL PERCOLATION RATE: 1 MINUTE 10 SECONDS PER INCH
USE 1-5 MINUTES FOR BASIS OF DESIGN CALCULATIONS
SOILS INVESTIGATION AND PERCOLATION TEST PERFORMED
BY KEVIN L. HASTINGS, P.E., ON AUGUST 9, 2018.
USE CONVENTIONAL ABSORPTION TRENCH DISPOSAL FIELD
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Hits?..Aa
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s No.076269
AR A�
Kevin L. Hastings, P.E 2 BEDROOM RESIDENCE LOT#12
Consulting Engineers 78 MONTRAY ROAD QUEENSBURY
3 Jackson Avenue TOWN OF QUEENSBURY,WARREN COUNTY,NEW YORK Date: 8/21/18
South Glens Falls,NY 12803 Scale:As Shown
Phone:518-222-1338/Fax:518-747-2166 Sheet 2 of 9
BASIS OF DESIGN:
THE EXISTING SEWAGE DISPOSAL SYSTEM WAS LOCATED AND FOUND TO
BE NOT IN GOOD REPAIR. A FIELD INSPECTION OF THE DISTRIBUTION BOX
WAS COMPLETED BY MORNING STAR SEPTIC SERVICE, WHICH RESULTED
IN A FAILING REPORT. A NEW REPLACEMENT SYSTEM (SEPTIC TANK, D-
BOX,AND ABSORPTION TRENCHES) IS REQUIRED FOR CODE COMPLIANCE.
•
ESTIMATE MAXIMUM DAILY FLOW: (USE WATER SAVING FIXTURES)
EXISTING DWELLING: 2 BEDROOM @ 110 GPD = 220 GPD
SEPTIC TANK DESIGN:
USE : PRE-CAST CONCRETE TANK w/PVC BAFFLES = 1,000 GALLONS
ABSORPTION TRENCH SYSTEM DESIGN:
PERCOLATION RATE = 1-5 MINUTES PER INCH
APPLICATION RATE = 1.20 GPD/S.F.
REQUIRED ABSORPTION TRENCH LENGTH
220 GPD - 1.20 GPD/SF - 2 SF/FT. = 92 L.F.
USE: 2 TRENCHES (DISTRIBUTION LATERALS) @ 46 L.F. LENGTH EACH
OR EQUIVALENT TRENCH CONFIGURATION TO ACHIEVE 92 L.F. TOTAL
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No.076269
Kevin L.Hastings,P.E 2 BEDROOM RESIDENCE LOT#12
Consulting Engineers 78 MONTRAY ROAD QUEENSBURY
3 Jackson Avenue TOWN OF QUEENSBURY,WARREN COUNTY,NEW YORK Date: 8/21/18
South Glens Falls,NY 12803 Scale:As Shown
Phone:518-222-1338/Fax:518-747-2166 Sheet 3 of 9
DESIGN NOTES & SPECIFICATIONS:
1) THE LOCATION OF THE REPLACEMENT DISPOSAL FIELD (SEE PLOT
PLAN) HAS BEEN ESTABLISHED BY THIS DESIGN, AND ANY CHANGE IS
SUBJECT TO REVIEW AND APPROVAL BY THE DESIGN PROFESSIONAL
PRIOR TO WORK. ALL DISPOSAL TRENCH LATERALS SHALL BE OF EQUAL
LENGTH. THE BASIS OF DESIGN CALCULATIONS ARE PRESENTED ON PAGE
3 OF THIS REPORT.
2) THE CONTRACTOR MAY REMOVE ANY REMNANT PIECE(S) OF THE
EXISTING DISPOSAL FIELD(S) AS FOUND IN THE COURSE OF THE WORK.
ALL WASTE MATERIAL SHALL BE REMOVED FROM THE SITE FOR LEGAL
DISPOSAL.OFF-SITE.
3) ALL SEPARATION DISTANCES TO NEWLY INSTALLED ADJOINING
TRENCHES AND SETBACKS TO PROPERTY LINES SHALL BE MAINTAINED
PER NYSDOH APPENDIX 75A, AND LOCAL MUNICIPALITY CODES.
4) THE CONTRACTOR SHALL COMMUNICATE WITH THE ENGINEER OF
RECORD THE INTENTIONS OF HIS LAYOUT, PRIOR TO INSTALLATION, AND
DISCUSS ANY SITE LIMITATIONS THAT HAVE POTENTIAL TO INHIBIT HIS
WORK.
5) THE CONTRACTOR MAY NOT PLACE BACKFILL MATERIAL (SAND, LOAM,
TOPSOIL) ON ANY COMPONENT UNTIL A FINAL INSPECTION HAS BEEN
COMPLETED BY THE ENGINEER OF RECORD.
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I.
So No.076269 'ia
tau. --‘41;.44. .
Kevin L.Hastings,P.E 2 BEDROOM RESIDENCE LOT#12
Consulting Engineers 78 MONTRAY ROAD QUEENSBURY
3 Jackson Avenue TOWN OF QUEENSBURY,WARREN COUNTY,NEW YORK Date: 8/21/18
South Glens Falls,NY 12803 Scale:As Shown
Phone:518-222-1338/Fax:518-747-2166 Sheet 4 of 9
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Date: 8/21/18
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1# 2
LOT
As Shown
•
LOT•..,• ,.......,..
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BEDROOMD COUNTY,
RESIDENCEAduEENSB 17 NEW YORK
2 ,,NTRAy yROWARREN
78uEEUNsBTJR
Hastings,P.E
TOWN OF
Kevin'"Engineerslia
Consultinge 12803 1166
nr,Avenue_my -47-....
3 Jacks-"ns Falls,•-“,,,ax:518-i
South Gle8_222-1338/r
Phone:51 Scale:sh eet 50f9
KEVIN L. HASTINGS, P.E.
CONSULTING ENGINEER
Mailing Address: 3 Jackson Avenue
South Glens Falls,New York 12803
Tel: (518) 222-1338
September 7, 2018
i
Mr. John O'Brien i 1 i I� ��
Building Inspector ! �; SEP 17 2018 lJ
Town of Queensbury
742 Bay Road i TOWN OF O!:BBNSBURY
Queensbury,New York 12804 I BUILDING&CODES
Re: Paradise MHP
Sewage Disposal System-Engineer's Certification
Lot#12 Replacement OWTS
AS BUILT
Dear Mr. O'Brien,
The construction of a replacement sewage disposal system for the residence at Paradise Mobile
Home Park (TM#296.14-1-7) Lot#12 has been completed. The installation was completed by
Lou DeRidder of Morning Star Septic Service, who was also present for the final inspection.
As the design professional of record, I certify to the following statements:
1. Engineering design report with specifications and details were prepared August 21, 2018
by Kevin L. Hastings, PE for a 2 bedroom maximum(220 gpd) single family mobile
home;
2. Design documents were compliant with the Town sanitary health codes, and the NYS
Health Department Appendix 75-A, as applicable;
3. Field observation of constructed works on September 6, 2018, by Kevin L. Hastings, PE
and prior to earth backfill of trenches and structures;
4. Completion of the work appeared to be in substantial conformance with the design
engineering report, with the following exceptions:
- final seed & mulching to be completed in 2018 by owner;
The as-built schematic of the replacement sewage disposal system with location ties to the
dwelling is attached for your records.
If you have any questions or require additional information,please contact me immediately.
Sincerely,
Uri*. et Q:Lati:140
Kevin L. Hastings, PE