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1989-907 BUILDING PERMIT TOWN OF QUEENSBURY No. 89-907 WARREN COUNTY, NEW YORK a 0 PERMISSION is hereby granted to MRS. WALTON (/0/1/ i'E ) IS OWNER of property located at 20 Twi cwood L./We- Street, Road or Ave. in the Town of Queensbury,To Construct or place a Sewage alteration w at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is same 2. CONTRACTOR or BUILDER'S Name Queensbury Sewer _ (Ja_y Sweet) 3. CONTRACTOR or BUILDER'S Address r— (Z) L 4. ARCHITECT'S Name 5. ARCHITECT'S Address 0 0 6. TYPE of Construction—(Please indicate by X) C07 ( 1 Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. Existing tank with two 6' x 8' seepage pits as per application and plot plan. 8. Proposed Use Sewage Alteration. rri $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 15, 19 91 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the r town of Queensbury before the expiration date.) --I m Dated at the Town of Queensbury this 15th Day of November 19 89 A L SIGNED BY (7,00 for the Town of Queensbury Building and Zonin spector QWry,OF QLEENSBUrY TOWN OP QUEENSBURYif-02 5 k —` API �I Y 9N FOR ✓„ .„5 5 SEPTIN0p1iS40 i) PERMITO W N OF QUEENSBURY Alb BUILDING awe. & CODE DEPT, S DEPT. REVIEWED BY DATE 1 .5""s--27 !DATE `5— 7 LOCATION OF PROPERTY FOR INSTALLATION c'a77,0 „ c,7„=,,C Owner's Name: /1 a_-f \_ Telephone: Address: 4.„)C /,(d-e- Installer's Name: `v�,f4Ct,,/`' .,/>�cj-'-�/- Telephone: 77:--(26-rir Number of bedrooms (residential only) q Total daily flow (compute (d 150 gal per bedroom) Topography: Circle one: Flat Rolling Steep Slope % of Slope"' _j__. Soil Nature: Circle one 411, Loam Clay Other /Depth: Feet 0 Ground Water: At what depth? -0 Feet 7.0 Bedrock or Impervious Material: At what depth? Feet ' �., * 9 Percolation test: Circle e not required required rate min. inch. 11 `, ,s, 0 Domestic water supply: circle oneolfingeBM Well Other PP fe If domestic water supply is a wel : g°© `9 Separation: Water supply from septic absorption feet1/4 PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench feet/Total system length • feet SEEPAGE PIT(S): Number of / Size each k feet by feet Size of stone to be used #3 /Depth or Thickness .2 feet C A SO ************************* I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Rueenstw Sanitary Sew e Dispos Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: /�� ! 6-- 1 OVER r Se.tic S stem Ins ectio s: A. All applications for septic system installation, alteration or repair, as required by the Town of Queen-bury Sanitary Sewage Ordinance, shall be submitted to the Building Dep rtment at least 24 hours before start of construction and shall includ- a plot plan showing: 1 .) the proposed location o the system 2. ) location and distance t• lot lines 3.) location and distance to structures 4. ) location and distance t any water supply 5.) size and dimensions of .11 tanks, distribution boxes, tile fields and/or dryw-lls B. Nu system shall be covered befor inspection and approval by the building Inspector. Failure to omply with this requirement may result in the uncovering of the _ystem by the installer and a fine of up to $250.00. C. An approved copy of the plot pla shall be available on the construction site. Failure to produce said p of plan at time of inspection may result in an immediate work stopmage. D. Should unforeseen problems durin: construction prevent proper installa— tion, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury B ilding Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 Remarks: j { G (A) ic 7 • ; a of ti 1 awn of Queen3bur/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 C)ueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME 44/p/e--,7 LOCATION 7 fG )ATE // / j6 PERMIT NO. If'Q42 1 SOIL TYPE -MP- Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch PYPE of SYSTEM: absorption field, total length Length of each trench )epth of trenches Size of gravel SEEPAGE PITS{Number of) Size- 4ft. X ( ft. ;ravel size -Ll 'IPING: S'ze 1 Type 31dg. to tank e�rSJ— ank to (list. box. Lt f.7(�'C )ist. bo): to field/pit Y zi )penings sealed? S NO Partial .00ATION,'SEPARATIONS: 'oundation to tank k:105_ft. 'oundation to absorption 0 ft. ,bsorption to lot line ft. separation of pits /6 ft. ,OCATIO YSTEM ON PROPERTY(circle one) ront CP- Left side - Right side - OMMEN YSTEM USE APPROVED Ni tit 1 Bud viing IF s•-ctor +.l 1/86 and vl