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SEP-0298-2018 ft° TOWN OF QUEENSBURY 2 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building& Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: SEP-0298-2018 Date Issued: Monday, October 22, 2018 This is to certify that work requested to be done as shown by Permit Number SEP-0298-2018 has been completed. Tax Map Number: 297.13-1-38 Location: 3 BEACON HOLLOW WAY Owner: Susan Sweet Applicant: Susan Sweet 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 (I4440 4 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. 04116k TOWN OF QUEENSBURY r '� 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 0 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: SEP-0298-2018 Tax Map No: 297.13-1-38 Permission is hereby granted to: Peter Durrin For property located at: 3 BEACON HOLLOW WAY 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: Susan Sweet Septic Disposal-Residential $0.00 Owner Address: 3 Beacon Hollow Way Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Peter Durrin Plans&Specifications Residential Septic Alteration $ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,May 29, 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 of een ry; es. , /y 29 2018 41 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 �- -- �---.—_.._ town of Qticen.o i .- Permit#: U Z� Ss _�1 P:518-761-8256 www.queensbury.ne Tax Map ID#: -? �tr' /2 ( � — Permit Fee $ 7 S �; Invoice#: t` L`� H MAY 2 'flsQ '; : Project Location: �` c 1�1 ( I U L L '' Septic Variance? Yes No Primary Owner(s) ,3 04) T 3t1 �� '. Mailing Address t E-'t�-►Ci-)ti-1 A.Cit i 0 :\ P` Phone & Email (c ,.q: 7_0 a_T--;LA_ Installer/Builder c)E VON2\kt• Mailing Address EAA 0 IAOLLc k` Phone & Email ,r.�1?; 2— t Le(07) Engineer N Mailing Address Phone & Email Contact Person for Building &Code Compliance: cVl9\ i i Lit Phone: , *I$ 2.3Z. I(0(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 9 Installed? (circle one) 1981-1991 130 Spa or Hot Tub Yes No Installed? (circle one) , 1992-Present 110 PARCEL INFORMATION: Topography j, lat Rolling Steep Slope %Slope Soil Nature V Sand Loam Clay Other Groundwater At what depth? Bedrock/Impervious material At hat depth? Domestic Water Supply VMunicipal _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 13 L 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 ibiD ft.; Each Trench ft. t=iVf V Y p 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: AWL'MJ DATE: li‘1.fk SIGNATURE: - DATE: ci,th,iii Town of Queensbury Building&Code Enforcement Revised March 2018 INSPECTION WORKSHEET (SEP-007503-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:SEP-0298-2018Case Module:Permit Inspection Date:10/22/2018Inspection Status:Passed Inspector:John O'BrienInspection Type:Septic Job Address:3 BEACON HOLLOW WAYParcel Number:297.13-1-38 Queensbury, NY 12804 Contact TypeCompany NameName Primary OwnerSweet, Susan ContractorDurrin, Peter Granted PermissionDurrin, Peter ApplicantSweet, Susan Checklist ItemPassedComments Building Inspector NotesYES5/29/18 Septic System Partial Approval -Correct distribution box and install speed levelers. Call for reinspection! 7/11/18 Septic System Not Approved -The 2 Side Leach Lines are draining equally after I adjusted the levelers. The center one is to high The and the outside lines are doing all the work. All 3 Lines need to leach equally for the system to function correctly. Please correct the d-box and call for a recheck. 10/22/18 Septic System Approved-Distribution Box corrected. Soil Type: SandYES Soil Type: LoamYES Type of Water: Municipal / Well WaterYES Waterline separation distanceYES Absorbtion Fields: Total LengthYES160â€™ Length of Each TrenchYES3@50â€™ End looped. Depth of TrenchesYES18â€•-24â€• Size of StoneYES#2 Building to TankYES4â€• sch40 Tank to Distribution BoxYES4â€• sch40 Distribution box to Field / PitYES4â€• pvc to 4â€• pvc perforated end looped Oct 22, 2018Page (2) INSPECTION WORKSHEET (SEP-007503-2018) Checklist ItemPassedComments Opening Sealed:YES5/29/18 Septic System Partial Approval -Correct distribution box and install speed levelers. Call for reinspection! 7/11/18 Septic System Not Approved -The 2 Side Leach Lines are draining equally after I adjusted the levelers. The center one is to high The outside lines are doing all the work. All 3 Lines need to leach equally for the system to function correctly. Please correct the d-box and call for a recheck. End CapYESEnd Looped InletOutlet Pipes & BafflesYES Manholes 12 or less below gradeYES Locations / SeparationsYES Foundation to TankYES10â€™ Foundation to AbsorptionYES17â€™ below basement slab Conforms as per Plot PlanYES Location of system on propertyYESMiddle Rear System Use StatusYES5/29/18 Septic System Partial Approval -Correct distribution box and install speed levelers. Call for reinspection! 7/11/18 Septic System Not Approved -The 2 Side Leach Lines are draining equally after I adjusted the levelers. The center one is to high The outside lines are doing all the work. All 3 Lines need to leach equally for the system to function correctly. Please correct the d-box and call for a recheck. 10/22/18 Septic System Approved-Distribution Box corrected. O'Brien, John (Inspector) Oct 22, 2018Page (3) .1") 3-5/2-can \Ao\10 r c- � .._ , Co ! c,..> a" 7-`-.0 ol-E. co c ! cNt ,LU :01 L1'. 6 Lu_ 0 0 '^,± 3 U 0 C.---' 0 Col O w ,...._______„_. - • q- 0 g 4E' iiA 6 ' ' A , o a) ' d a)(13 Fn- . 1.1) C � ma, 126 5-0I.(53 N 0 co 5 f i i ‘ J <r:~TIC Pl,QT PLAN -SO i I HAVE SEEN OR OBSERVED ALL OBJECTS SUCH AS HOUSES, WELLS, TREES, FENCES, ETC SHOWN ON THIS DOCUMENT.I HAVE PERSONALLY MEASURED THE DISTANCE SET FORTH ON THIS DIAGRAM. (i--.4 ------C-c,-A-vJ--- .5=es---/e A. (61 ao piPe. a SIGNA 1 URE DATE RSA) PAh/ i lb d_h___;,,,,.„._L_L -__L-, ,,oe.,... r..._j_la, I'7 441°'" E C om. T C. a CL-- C',E ,N C '-, S-C-_, •A_____L__5 i M 4 &Pit As acc " 0,,,,, -6—tAcZ Ace../,) e b /-70 zei.t. ). 1--/e/c/ WN OF QU N • BUILDING & ' O B .: rpri.: Reviewed B • 4 4. / .2 loge_ Date: laffir::. *