BOTH-000116-2016 AGA
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: BOTH-000116-2016 Date Issued: Wednesday, March 15, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000116-2016
has been completed.
Tax Map Number: 308.6-1-61
Location: 0 Petrie LN
Owner: SAMUEL WAHNON
Applicant: Queensbury Village
This structure may be occupied as a: Residential Septic Alteration
Shared system for 32&34 Petrie Lane By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
properly 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: BOTH-000116-2016
Tax Map No: 308.6-1-61
Permission is hereby granted to: Queensbury Village
For property located at: 0 Petrie LN
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: SAMUEL WAHNON Septic Disposal $0.00
Owner Address: 1304 Route 9 Total Value $0.00
Gansevoort,NY 12831
Contractor or Builder's Name/Address Electrical Inspection Agency
Dig A Hole
1304 State Route 9
Gansevoort,NY 12831
Plans&Specifications
Residential Septic Alteration
Shared system for 32&34 Petrie Lane
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 4,2017
(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 Townof en We:W9,2016
SIGNED BY: r the Town of Queensbury,
Director of Building&Code Enforcement
SEPTIC DISPOSAL APPLICATION Office Use Only
Received
DATE: 1 �n Tax Map ID
TAx MAP ID: "' 1 Permit No, F�j }-�} —2Z f b
ZONE: :�ry � �� D Permit Pee k f.�0�y• �,�y'J.�
31 alb
APPLICANT ,�,� �� r` ,� PHONE/E-MAIL-1 1,7q' "2&>
ADDRESS ✓C�Gf � 1 Cil"A�'5f Utt4– _ t�. ,
INSTALLER/ f'� PHONE/E,-M
BUILDER rl �(' -V ~�l 74 Yl6 l
OWNER 7t'8/Z6'0 ]
ADDRESS kT lt'��.. N .`Cfr, I `}
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE:
PHONE/E-MAIL —Tq f �
RESIDENCE INFORMATION
Year Built #of bedrooms X gallons per bedroom =total Daily flow
1980 or older Garbage grinder installed Yes —No
1981-1991 Spa or Hot Tub installed Yes No
1992-Present
PARCEL INFORMATION
Topography Plat rolling Steep slope _%Slope
Soil Nature Sand Loam Clay Other
Groundwater At what depth:
Bedrock/Impervious material At what depth:
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 2EMallons(min,size 1,000 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub
System Absorption field with#2 stone Total length ft.;Each Trench
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&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 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
�o(`f the Town of Queensbury Sanitary Sewage Disposal Ordinance.
PRINT NAME: l�L� DATE:
SIGNATURE: DATE:
b
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
GRADE SURFACE
DESIGN DATA, TOWARDS THE SWALE
D IGN FLOW=700 GPD FOR TWO UNITS W/THREE BEDROOMS EACH(6 BR TOTAL)
N WSTANDARD FIXTURES, (1.6 GPF&3 GPM MAX.)
AN ELGIN SYSTEM IS PROPOSED AS A SUBSTITUTION TO PREVIOUSLY APPROVED
SEEPAGE PITS
1-5 MINUTE PERCOLATION RATE W/APP RATE OF 1.7 G/SF
(28)843 ELGIN MATS REO-D.(44)ROWS OF 7
8 OUTLET DBOX W/SPEED LEVELERS
.1750 GALL DC TANK
17 vS I?5 S14 0-
� r
4
0
1 I
N FILE COPY :
10'
MIN
13'6' 13'-6"
I I
LOTS ORIGINALLY APPR
CALCULATE ADDITIONAL
AND SIZE SHALLOW SW
2 BR DOUBLE z CONSTRUCT SWALE RAIN INTENSITY,i=2"P
WIDE MOBILE S BETWEEN DOUBLE ADDITIONAL AREA FOR
HOME WIDE HOMES,GRADE 1960 SF
SURFACE TO SWALE TIME= 1 HR
RUNOFF:2"X 1960SF
STORAGE CAPACITY OF
70' ' TIME R FULL SWALE
L r r 70 Lo-'"' FOR A O12"DEEP SWAU
3 Z 12' 34
APPINDIX 7,54 rni 28' I 28' I TREATMENT AREA TO PRO
T TREATMENT AREA TO RES
I ISEPTIC TANK TO WATER S
IPARKING 24X20' I ( PARKING 24'X20'
r I I I Th
C1.4
SHUT OFF SHUT OFF
ACCESS ROAD B TOWN OF QU N
BUILDING & O D 4
— — — — — — — — — _BOVie�cved-B
PLAN -- DOUBLE WIDE LOT Date:
SCALE i"=20'
GENERAL NOTES:
1, DESIGN AND ALL WORK FOR TREATMENT SYSTEM
PER NYSHD APPENDIX 75-A
2.ALL ROOF OR HOUSE DISCHARGES SHALL BE
72'-D' DIRECTED AWAY FROM THE TREATMENT AREA.
3. OWNER/CONTRACTOR RESPONSIBLE FOR
ASBUILT SKETCH OF ACTUAL LOCATION OF
SEED TO COMPONENTS.
4. PRIOR TO EXCAVATING CONTACT NYS DIGSAFE AT
GRASS 1-1500-9152-7962.
5. PERCOLATION RATES TAKEN FROM APPROVED
SEEPAGE PIT DESIGN BY VDS,3-16-93.
t� 7.TREES AND ROOTS SHALL BE REMOVED IN
�N-SITU SAND TREATMENT AREAS.
8.SEAL UNUSED INLETS OF SEPTIC TANK.
10,ALL COMPONENTS TO BE SET ON A LEVEL 12"
SWALE CROSS SECTION STONE BASE.
11. D-BOX TO BE 8 OUTLET W/SPEED LEVELERS,
SCALE: 1/2"= 1' CAULK OULTET SEALS.
12.SEPTIC TANK TO BE FM OR EQUAL W/4000 PSI
CONCRETE AND 5-9% ENT.AIR
13.WATER SUPPLY IS MUNICIPAL,
MOUND TOPSOIL TO
ALLOW FOR SETTLEMENT
6-12"TOPSOIL
WHITE
ANTI--SILTATION
FABRIC
843 ELGIN MAT n
N IT IS A VIOLATION OF THE LAW FOR ANY PERSON,
UNLESS ACTING UNDER THE DIRECTION OF THE
�j LICENSED ENGINEER,TO ALTER ANY ITEM OR
IN—SITU SAND PORTION OF THIS DOCUMENT IN ANY WAY.
THE ENGINEER HAS NOT BEEN RETAINED TO
PERFORM OR PROVIDE INSPECTIONS OR
4"PERFORATED PIPE/ CERTIFICATIONS ASSOCIATED WITH THIS PROJECT.
IF IN THE COURSE OF THIS PROJECT A CONDITION
11-\—IN-SITU SAND N EXISTS WHICH DISAGREES WITH THAT AS
REPRESENTED ON THESE PLANS.THE CONTRACTOR
SHALL STOP WORK AND NOTIFY THE ENGINEER OR
GROUNDWATER OR IMPERVIOUS LAYER ASSUME ALL RESPONSIBILITY ARISING THEREFROM.
R IS THE RESPONSIBILITY OF THE
OWNERTO ENSURE THAT ALL
ELGIN DETAIL MATE IAL ORD REDOCOMPLIES WITH PROJECT
SCALE: 1/2" = 1' REQUIREMENTS.
FOR SINGLE WIDE HOMES,
OFF FOR DOUBLE WIDE HOMES "+'+�A a1•. w a
r-
OUR FOR 100 YEAR STORM
!FIDE: 980 SF/UNIT X 2 = '`P yPN M.
3 CF(100 YR STORM)
E IS 7 SF/FT X 55' = 385 CF, s, T ti ? M1
+ .
2AIN AT 5 MIN/IN IS 1 HOUR
ICES: v-r" oretprs �OF
LINE: 10' Y �u ter le{� ti CgminJC x �J'.510�
20' /
RYAN M. BURNS, NYS P.E. LICENSE No.084062
DESTROY PREVIOUSLY DATED DRAWINGS
1 12/14 RB ENG. COMMENTS
NO. DATE BY REVISIONS
�4r5 Wnet4 ¢IUPSTATE DESIGN ASSOCIATES {
F.tin ` RESIDENTIAL DESIGN AND CIVIL ENGINEERING
f RYAN M. BURNS, P.E. IRA S.ALLER, P.E.
f ` 1p 180 PLEASANT STREET 10 MADELINE DRIVE
KEESEVILLE, NY 12944 SARATOGA SPRINGS NY
Ftartman C� Y tt: r �� P:518-572-0256 518-573-2549 12866
3 � Danni'latown� Fa W"4q F: 518-536-905B
QUEENSBURY VILLAGE MHP
PROJECT: ELGIN SEPTIC RUNOFF DESIGN
LOCATION: PETRIE LANE,QUENSBURY NY
LOCATION MAP, SCALE: 1 " = 3 MILES DATE: 10/10/07
DRN. BY: RMB SHEET NO. T
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GRADE SURFACE
DESIGN DATA: TOWARDS THE SCALE
DESIGN FLOW=700 GPD FOR TWO UNITS W/THREE BEDROOMS EACH (6 BR TOTAL)
NEW STANDARD FIXTURES, (1.6 GPF&3 GPM MAX.)
AN ELGIN SYSTEM IS PROPOSED AS A SUBSTITUTION TO PREVIOUSLY APPROVED
SEEPAGE PITS
1-5 MINUTE PERCOLATION RATE W/APP RATE OF 1.7 G/SF o
(28) 843 ELGIN MATS REQ'D, (4) ROWS OF 7
8 OUTLET DBOX W/SPEED LEVELERS
1750 GALL DC TANK
0
FILE COPY
10'
MIN
l3�
13' 6" 13,_6"
LOTS ORIGINALLY APPR
CALCULATE ADDITIONAL
AND SIZE SHALLOW SW
2BR DOUBLE o CONSTRUCT SWALE RAIN INTENSITY, d=2"P
WIDE MOBILE BETWEEN DOUBLE ADDITIONAL AREA FOR
HOME WIDE HOMES,GRADE 1960 SF
Lo SURFACE TO SWALE TIME = 1 HR
RUNOFF: 2"X 1960SF
70, STORAGE CAPACITY OF
U� 70' ) b� TIME FOR FULL SWALE
CSU FOR A 12"DEEP SWALE
32— 12' 34
0
'q APPENDIX 75A SETBACK
28 28' I TREATMENT AREA TO PRO
F 9 I TREATMENT AREA TO RES
SEPTIC TANK TO WATER S
PARKINGf 24'X20' I PARKING 24'X20'
55.00'
SHUT OFF SHUT OFF
ACCESS ROAD B TOWN O F Q U N
BUILDING & 0 D
— — — — -- - — — -Reviewed
PLAN-- DOUBLE-WIDE LOT Date:
SCALE 1" = 20'
GENERAL NOTES:
1. DESIGN AND ALL WORK FOR TREATMENT SYSTEM
PER NYSHO APPENDIX 75-A
2.ALL ROOF OR HOUSE DISCHARGES SHALL BE
12'-D" DIRECTED AWAY FROM THE TREATMENT AREA.
3. OWNER/CONTRACTOR RESPONSIBLE FOR
ASSUIL7 SKETCH OF ACTUAL LOCATION OF
SEED TO COMPONENTS,
GRASS 4. PRIOR TO EXCAVATING CONTACT NYS DIGSAFE AT
1-800-962-7962.
5. PERCOLATION RATES TAKEN FROM APPROVED
SEEPAGE PIT DESIGN BY VDS, 3-16•-93.
7.TREES AND ROOTS SHALL BE REMOVED IN
�IN-SITU SANDTREATMENT AREAS.
8.SEAL UNUSED INLETS OF SEPTIC TANK.
10.ALL COMPONENTS TO BE SET ON A LEVEL 12"
SWALE CROSS SECTION STONE BASE.
11. D-BOX TO BE 8 OUTLET W SPEED LEVELERS,
SCALE: 1/2"= 1' CAULK OULTET SEALS, /
12. SEPTIC TANK TO BE FM OR EQUAL W/4000 PSI
CONCRETE AND 5-9%ENT.AIR
13. WATER SUPPLY IS MUNICIPAL.
MOUND TOPSOIL TO
ALLOW FOR SETTLEMENT
6-12"TOPSOIL
WHITE
ANTI-SILTATION
FABRIC
843 ELGIN MAT
`'4ITT
IT IS A VIOLATION OF THE LAW FOR ANY PERSON,
o UNLESS ACTING UNDER THE DIRECTION OF THE
LICENSED ENGINEER,TO ALTER ANY ITEM OR
IN-SITU SAND PORTION OF THIS DOCUMENT IN ANY WAY.
THE ENGINEER HAS NOT BEEN RETAINED TO
PERFORM OR PROVIDE INSPECTIONS OR
4"PERFORATED PIPE CERTIFICATIONS ASSOCIATED WITH THIS PROJECT.
t� z IF IN THE COURSE OF THIS PROJECT A CONDITION
�--fiN-SITU SAND N EXISTS WHICH DISAGREES WITH THAT AS
REPRESENTED ON THESE PLANS.THE CONTRACTOR
SHALL STOP WORK AND NOTIFY THE ENGINEER OR
GROUNDWATER OR IMPERVIOUS LAYER ASSUME ALL RESPONSIBILITY ARISING THEREFROM.
IT IS THE RESPONSIBILITY OF THE
ELGIN DETAIL OWNER/CONTRACTOR TO ENSURE THAT ALL
MATERIAL ORDERED COMPLIES WITH PROJECT
SCALE: 1/2"= 1' REQUIREMENTS.
FOR SINGLE WIDE HOMES,
DOFF FOR DOUBLE WIDE HOMES
�fnSr prucs " CaE�Af the W'artdJ,.
IOUR FOR 100 YEAR STORM ' .. ? sn� $' p i iNF ui�'c i� yc� OF: NS
•I�
WIDE: Sao SF/ UNIT X 2 = _. E%, 235d i -•, . i �,(,P f�N M.@UR�
Corl'i°le Puck 7o- (p
33 CF(100 YR STORM) Tjl T i,� 'y(i Gem
_E IS 7 SF/FT X 55' = 385 CF. iit f'{�,` 11
RAIN AT 5 MIN / IN IS 1 HOURS
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fw RYAN M. BURNS, NYS P.E. LICENSE Na. 084062
DESTROY PREVIOUSLY DATED DRAWINGS
za„,n SITE
Cyt t 1 12/14 RB ENG. COMMENTS
NO. DATE BY REVISIONS
UPSTATE DESIGN ASSOCIATES
RESIDENTIAL DESIGN AND CIVIL ENGINEERING
'CIO, ¢ J 1 RYAN M. BURNS, P.E. IRA S.ALLER. P.E.
180 PLEASANT STREET 10 MADELINE DRIVE
{ KEESEVILLE,NY 12944 SARATOGA SPRINGS NY
H��tmgn !. � :•'' f 9 L1i P:518-572-0256 518-573-2549 12866
Gtnlrlawwn Fe "o4' F: 518-536-9058
1 Cry (� 5��� I g QUEENSBURY VILLAGE MHP
rrtth� I'!. fl�ynoli PROJECT: ELGIN SEPTIC[RUNOFF DESIGN
LOCATION: PETRIE LANE,QUENSBURY NY
LOCATION MAP, SCALE: 1 ” = 3 MILES DATE: 10/10/07
DRN. BY: RMB SHEET NO.
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