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2009-588 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building& Codes (518) 761-8256 CER.'T'IFICATE CIF COMPLIANCE Permit Number: P20090588 Date Issued: Monday, March 25, 2013 This is to certify that work requested to be done as shown by Permit Number P20090588 has been completed. Tax Map Number: 523400-302-018-0002-071-000-0000 Location: I GRIFFING PI Owner: WILLIAM&BARBARA PARKS Applicant: WILLIAM & BARBARA PARKS This structure may be occupied as a: Septic Alteration Residential By Order of Town Board Test Pit/Perc Test Review TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, k7 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. For an EPA homeowner's guide: http llwww epa gov/npdes/pubs/homeowner Guide long customizg pdf 307 ______.-_-`"`FF{CE USEONLYz�R'�___..___. ____.F_ � -.�_______________-_. 1'2— 7r n , TAX MAP NO.-----_---------PERMIT NO. P� PERMIT FEE--------- t ' : 2010 APPROVALS: ZONING____________________TOWN CLERK-_----__-_ ' --,-- ________________________ _______________________________------ ..._r_____.___._._..._ APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJE fO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER: & 1 A�4�f INSTALLER: t ix/t-- ctfCa - ADDRESS:-- --�PLC `i_N_ ----�&A-GJ�----- ADDRESS: C� � _Z Y, - ------------ © --� �ff-- PHONE NOS.-- -- -� ------------------- PHONE NOS.—I_/6_'a `�°-------------------- LOCATION OF INSTALLATION:----------------------------------------------------------------------------------- RESIDENCE YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW INFORMATION: BEDROOMS 1980 or older X 150 gallon per bedroom = GARBAGE GRIN Z INSTALLED? �•IL1 _ 1981 -1991 X 130 gallon per bedroom - 1992-present X 110 gallon per bedroom = SPA AL HOT TUB AA � INSTALLED?_____L�.✓ PARCEL INFORMATION: Ot �� ✓ TOPOGRAPHY: FLAT ROLLI STEEP SLOPE----- SLOPE_--- % ✓ SOIL NATURE: SAND --- LOAM------ CLAY __— OTHER__! ✓ GROUNDWATER: AT WHAT DEPTH?--------- BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?---- DOMESTIC WATER SUPLY: MUNICIPAL_,— WELL---_(If well:water supply from any septic system absorption is:( ft) ✓ PERCOLATION TEST: RATE IS_Z_ M a'l_'_`-e PER MIINUTE PER INCH(TEST TO BE COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: (tea -__GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: ❑ABSORPTION FIELD (WITH NO. 2 STONE) Total length`_ _ft. Each trench ------X ❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many?-_-------- Size?_-_41 ______ ❑ ALTERNATIVE SYSTEM e or other type?_ 2�� __________________________ ❑ HOLDING TANK SYSTEM Total required capacity?---------Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation 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 with respect to this application and agree QUESTIONS? CALL 761-8256 OR EMAIL to abide by these and all requirements of the Town of Queensbury codesO.Queensbury.net Sanitary Sewage Disposal Ordinance. VISIT OUR WEBSITE FOR MORE INFORMATION -ign www.gueensbury.net ature of Person esponsible ate y Town of Queensbury • Community Development Office - 742 Bay Road, Queensbury, NY 12804 +I .� .6�i� � "''gym• �, a. ' OVA Clf-- F, gyred, & believe I'saw evidence of, 4 1. 3s, we is ? ^ c, fie, ces,,etc:, -se;it OW l'1lav: e o�nx Tea iota sot firth on ne diagi S I G N ATUPE DATE y i i ptic I spection Report Office No. (518) 761-8256 Date In7zv Queensbury Building&Code Enforcement Arrive: : am/pm 742 Bay Rd., Queensbury, NY 12804 InspectNAME: P r LOCATION: !' RECHECK: Comments and/or diagram Soil Type: Sand/ Loam Clay Type of Water: Municipal Well Water , () Waterline separation distance Well separation distance ft. Other wells: ft. Well Casing Length 50' +/ - Y N N/A 150'to well required if NO Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: 11 Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field I Pit Opening Sealed: Y N End Cap Y N Inlet/Outlet Pipes&Baffles Y N Manholes 12"or less below grade VY N (provide extension collar if Yes Y N Location/Separations Foundation to tank z ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built _Y_N ETU Maintenance Contract ___Y N provided Location of System on Property: 4Frontr Left Side Right Side Middle Front Middle Rear S ste proved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\801ding Codes FormsUnspection Forms\Septic Inspection Report-03 2910.doc Septic Inspection Report Office No. (518) 761-8256 Date Ins io request received: Queensbury Building &Code Enforcement Arrive: - am/p p�,I��,part: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: (7 NAME: PERMIT NO.: ' � ( LOCATION: 65,91F ' vcio C INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand Loam Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + J - Y N N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field Pit Opening Sealed: Y N End Ca Y N Inlet/Outlet Pipes&Baffles Y N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Re rt and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear system Use Status: A oved artial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-01.1)\Building&Codes\Inspection Forms\Septic Inspection Report.doc �cc)VIA 1 Septic Inspection Report Office No. (518) 761-8256 Date Inspect!qPvwj6est received: Queensbury Building&Code Enforcement Arrive: __I;�6 am/pry I �pa/rt: am/pm 742 Bay Rd., Quee , NY 12804 Inspectors Initials: V NAME: PERMIT NO.: LOCATION: Q_ INSPECT ON: S RECHECK: Comments and/or diagram Soil T m Clay T of Wa r: Munici ell Water Water me se paration distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/ - Y N N/A 150'to well required if NO Absorption Field: Total len th ft. Length of each trench ft. &. Ej Depth of trenches it. Size of Stone Seepage Pits: Number Size: x Stone Size: Pi in Size T Building to tank Tank to Distribution Box �` R Distribution Box to Field Pit � `r Opening Sealed: N End Ca N Inlet/Outlet Pipes&Baffles V1 Y N Manholes 12"or less below grade Y N (provide extension collar if Yes -_Y_N N Location Separations Foundation to tank 5 ft. Foundation to absor tion ft. Separation of Pits ft. Conforms as per Plot Plan Y Engineer Report and As-Built Y V N �o�tit GAL/- PP��'✓��� ETU Maintenance Contract Y_ N provided Locat n System on P pe Zro Rear oefti d e Right Side Middle Front Middle Rear System U !!KApproved tial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Fo►ms\InspecUon Forms\Septic Inspection Report 03 2910.doc VISION Engineering SOIL CORING & DEEP TEST HOLE FIELD LOG Project: 247-TOQ Deep Test Holes Location(on site): NE Comer Date: 12/14/2009 Temperature: 30 °F Weather: Sunny Test Hole* 1 Address: 1 Griffing Place Soil Survey Map Queensbury, NY 12804 Designation: 1 2 County: Warren 1 Soil Series: 2 Slope Class: Remarks: (site description,usage,anticipated daily wastewater flow,etc.) Septic System Replacement; 3-Bedroom, Single-Family Dwelling Depth Boundary Color Moisture (inches) Condition Soil Texture Soil Structure Consistency Stickiness State Matrix Mottling 0-9 dark brown ---- topsoil -- -- -- -- 9-18 orange-brown ---- fine sand single-grained loose none dry 18-22 dark brown -- topsoil --- -- -- -- 22-45 orange-brown -- loamy medium sand single-grained loose none dry 45-68 gray-brown -- medium-coarse sand single-grained loose none moist 1. Describe and record the average thickness of each horizon. 2. Record each horizon boundary in terms of distinctness. Designate as Very Abrupt(<0.5 cm),Abrupt(0.5-2 cm),Clear(2-5 an),Gradual(5-15 cm) or Diffuse(>15 cm). 3. Record the topography of the horizon boundary. Designate as Smooth, Wary, hrag dar(undulating boundary), or Broken (discontinuous or intermingled horizons or irregular pockets). 4. Indicate the color of each horizon. The matrix color is the majority color within the peds,and the mottle color is the minority color within the peds. Record ped surface color where colors exist that are associated with an organic coattclay film/carbonate massletc. Record the percent of mottles as Few(<2%),Common(2-20%),or Many(>20%). Record the mottle contrast as Faint,Distinct,or Prominent. 5. Soil texture: Designate as Sand,Loamy Sand, Sandy Loam,Loam, Silt Loam, Silt,Sandy Clay Loam, Clay Loam,Silty Clay Loam,Sandy Clay, Silty Clay,or Clay. Sand,loamy sand,and sandy loam may be further classified into coarse,medium fine,fine,and very fine. 6. Soil Structure: Designate peds as Granual,Blocky,Prismatic,Columnar,Platy,Single-Grained,or Massive. Structure grade shall be described for peds as Weak,Moderate,or Strong. 7. Soil Consistencv:Designate as Loose,Friable, Firm,or Extremely Finn. Indicated ND for not determinable,if too wet for test. 8. Record sticidness as Non-Sticky(little or no soil adheres to fingers after release of pressure),Slightly Sticky(soil adheres to both fingers with little stretching upon separation), Moderately Sticky(soil adheres to both fingers and stretches some on separation),or Very Sticky(soil adheres and stretches greatly). 9. Record the moisture state of each horizon. Designate as Dry or Moist. 10. Roots:Record the quantity,size,and locations of roots. Record quantity as Few,Corrmhon,or Many. Record size as Very Fine(<1 mm),Fine(1-2 mm),Medium(2-5 mm),Coarse(5-10 mm),or Very Coarse(>10 mm). Location shall be noted to be Between Peds,In Cracks, Throughout,In Mat at Top of Horizon,or Matted Around Rock Fragments. Boundary Condition Observed at Depth: Bedrock: N/A ft. Groundwater: 69 in. ft. Impervious Strata: N/A ft. Mottling: 50 in. ft. Slope of Site: 0-2 % Ground Cover: ®Grass ❑Wooded ❑ Barren ❑Crops ❑Shrubs Landscape Position: ❑Depression ❑Hill Top ❑Side Slope V] Foot Slope Describe Roots: (Quantity, Size, and Location) Common, Medium-Fine to 50 in.± 16 Pearl Street•Suite 200•Glens Falls,NY•12801 •P:518.792.9264•F:518.792.9282 www.visionengineering.org 73 Sheridan Street, Glens Falls, NY 12801 Phone-518-796-2515 February 1, 2010 Project# 127 Dave Hatin Code Enforcement Officer Town of Queensbury 742 Bay Road Queensbury, NY 12804 Re: 1 Griffing Place—Replacement Septic System Dear Dave: On December 14, 2009,I performed a deep soil test pit and percolation test at the Parks residence located at 1 Griffing Place in Queensbury. The test was performed to the northeast of the existing residence in the location where construction of a new leach field is proposed. The residence has an existing failed septic system which will be decommissioned upon completion and certification of the replacement system. The results of the testing are as follows: Deep Soil Test Pit 0—7" Topsoil 7— 18" Fine Sand 18—22"Topsoil 22—45" Loamy Medium Coarse Sand 45 —68"Medium Coarse Sand Mottling observed @ 50" Groundwater observed @ 69" Percolation Test Stabilization percolation rate - 1" in 2 minute, 07 seconds The hole was presoaked and the test was run 3 times until it stabilized with three consecutive runs of 1:47, 1:58 and 2:07 respectively. The design flow for this 3 bedroom residence at 110 gpd per bedroom requires 366 sf of absorptive area. The new replacement absorption system should consist of a new 1,000 gallon septic tank located on the north of the residence, a new distribution box, a 20 foot wide by 20 feet long absorption bed (400 sf) with 4 — 15 foot long laterals located to the northeast of the residence. See the typical detail sheet attached for installation details. Please call me if you have any questions. Sincerely, Thomas R. Center, PE Town of Queensbury• Building&Codes Enforcement Office■742 Bay Road Queensbury,NY 12804 DEEP HOLE/PERC TEST 3 Request for Town Engineer Review ;" Property Owner: h/ i Ili#," PAf/Cs Phone: Property Owner's Address: / 6/,��,'„ /Ac-e Location of Test: _ A/j� CG r,7 ti v ✓Gn r V,/" ( Tax ID#: 30 2 •/ r o2' 71 *Applicant's Engineer: T—Om eenT-ee , eenrei Phone: 7 f&"',25-1 Serv.rt S Applicant's Agent: Phone: Additional Notes: fiQ/,9/-e 007ePt 7- -T& r C x/ T�i�s �/�,I-eW Svf;��.� 1. Reason for Request? New Septic System 19 Replacement Septic System Failed Septic System Subdivision ElSite Plan Review 2.Are Wetlands present? 1-1 YES 54 NO UNKNOWN *Note: Applicant is required to engage an engineer for design and testing of the system. The Town Engineer's responsibility is to witness system testing only. PLOT PLAN: Plot plan, to scale, to be submitted with application FEE SCHEDULE: 200 Flat Fee Date Paid: , . Check No.: b. OR Fee to be determined during To Be Determined: Site Plan /Subdivision review process SIGNATURE: In carrying out the provisions of Article IV, the Local Board of Health or the enforcement officer may engage the services of a qualified professional consultant for expert review and recommendation arising from the carrying out of the provisions of Art. IV, including but not limited to the review of plans, specifications and reports, attendance at inspections, dye tests, deep hole test pits, septic related deep hole and percolation tests, system installations, and any other aspect of any matter contained in this Art. IV, and any costs incurred in such review shall be paid to the Town by the owner of the property before any approval can be granted under this Art. IV shall become effective within 30 days of presentment of an invoice for same, whichever is sooner. Such costs shall not exceed $1,500 without prior written notice to the party to be charged with same. My signature below indicates I have thoroughly read and understand the instructions, agree to the submission requirements and have completed the application. I also fully understand that additional engineering fees may be necessary per Town of Queensbury Local Law 136-14D. SIGNATURE OF APPLICANT: Date: SIGNATURE OF AGENT: Date: Original (B&C File) Canary (Planning) Pink(Applicant) Gold (Town Clerk) r LU t21N W \ I W \ _ \ l7 I rz f S- 4`-14'-E � N ' Eli "9 Z Qy'�. �y' y�NGE CDENE2 ep`<\ N -`�' MAP OF A PART OF LAMPS oW C.ARL ° PI;aPOSE'D To BE CoNVE''(F-V DAV10 F & MA12►LYN F, CoHF_W TowW or Q "eF_ ►_lGBUp_y W AeRR W CO. Woe w yor-t, SCALD 1 . so' MAR. 161,19cos i ' FROM THE OFFICE OF 1 ctiul_T:rr aN1? mcrOrtMcK LICUS.U) c.a 0 SURVI--rarS 304 GLEN STREET j GLENS PALLS;NEW YORK III 1 1 INSTALLATION OF DISPOSAL FIELDS CONCRETE OR STOW APPRONMAT: MARKER ASMCOVER ALL 1. CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING, 6. ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL GRACE REOOMMEND�m AND SHALL BE IN ACCORDANCE WITH THE N.Y.S. AND TO DIVERT SURFACE RUNOFF FROM ADJACENT AREAS AWAY DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS,AND FROM THE DISPOSAL FIELD. FFn ro ASTM F481-76 INSTALLATION OF THERMOPLASTIC PIPE AND MET BAFFLE t S co7RU� CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS 7. REMOVE LEAVES,ROOTS,PLANTS AND ORGANIC DEBRIS.PLOW SURFACE PRIOR ALL � OM DV2. NO HEAVY EQUIPMENT SHALL BE ALLOWED WITHIN THE LIMITS TO SPREADING FILL MATERIAL. FORT MILLER OR OF THE DISPOSAL FIELDS AFTER PIPE INSTALLATION HAS BEGUN. S. DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION FIELD AREA, AL MIN.SLOPE O O 3. AFTER EXCAVATION OF ABSORPTION BED TO THE DEPTHS REWIRED, 9. PLACE FILL AND ALLOW TO STABQRE IN ACCORDANCE WITH NEW YORK STATE Ile PER FOOT THE WALLS AND FLOOR OFABSORPTION BED SHOULD BE CLEANED DEPARTMENT OF HEALTH STANDARDS. AND RAKED TO ACHIEVE AN EVEN SURFACE AND TO LOOSEN NEW two GAL SEPTIC TANK 1/s'PER FOOT ALL OUTIET TEE SMEARED SECTIONS OF TRENCH. SAME 4. PLACEMENT OF CRUSHED STONE,PERFORATED PIPE AND UNTREATED BUILDING DISTRIBUTION BOX BISE aF s>Em teYEtERs PAPER OR STRAW SHALL BE AS SHOWN,AND CARE SHALL BE —ciii— a A�OI EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND OTHER WASTE MATERIAL IN THE STONE AND PIPE. S. THE PIPE SHOULD BE LAID AT THE GRADES AND TO THE RELATIONSHIPS SHOWN ON THIS DRAWING,MAINTAINING STRAIGHT CONTINUOUS GRADES WITHOUT SAGS,HUMPS,SEPARATED JOINTS OR OTHER UNSUITABLE CONDITIONS.THE PIPE SHALL BE LAID Opp WITH THE HOLES DOWN IN ALL CASES. NEW 1,000 SEPTIC TANK N.T.S. 12'MAX — Ir- �I "� 6'MIN. =2�130T�TQM .B(t}`m,., 4'PERFORATED PVC L �""�-`-INTERCONNECT ENDS 6'MIN. OF LATERALS LATERAL,LAID LEVEL STANDARD ABSORMION BED PROFILE N.TH oARAaE HOUSESWALE AT UPHILL SIDE OF BED TO DRAIN RUNOFF AWAY FROM BED SLOPED TO DRAIN SEPTIC TANK AT LEAST -0. _- w FROM WELL ANo/o• FROM HOUSE/PROP.UNE H, 2o'-W SASEUENT WALL EARTH TIGHT JOINT SOH a L' M PPE MIN. 6'TO 12'BACKFILL FILL ON SLOPEDF t/B•JFL SEE t�CfIE a I OR�GEOTEXTILE g51RIBunGH BOX at"118'AT. 2'MIIMIN. 4'P& TED (SEE NOTE L 10 SEE NOTE B 1 SEE �B PROW 6 , 3/4'TO 1 1/2' 2'-8' S'-0' g�_ ' CRUSHED STONE (T%} 0 5-0' 24 MIN.2-e' SEWAGE DISPOSAL LAYOUT cARVAR = NOTES, ELEVATION _ 1. TILE HELD M BE 100'OR MORE FROM ANY LAKE,SWAMP,DITCH OR wATERcowm AND 1O' CH MORE FROM ANY WATER LINE UNDER PRESSURE OR G-GROUND POOL STANDARD ABSORPTION RED SECTION 2 FOR SEWAGE PIPE BETWEEN HOUSE AND DISTRIBUTION BOX USE DUCTILE OR CAST IRON PPE,OR SCHMINU LO PW WITH CEMENTED.OKM J. DISCHARGE FOOTING.ROOF AND COLLAR DRAINAGE AWAY FROM SEWERAGESYSTEM. SEPTIC SYSTEM L. DISPOSAL HELD SHALE BE CONSTRUCTED PARALLEL CENTER PROJECT I ARKS RESING PLACE DETAILS IENCE WITH CORmUR UNETL S. FOR RAM ABSORPTION TRENM ssTMS HORIZONTAL SEPARATION 73 SHERIDAN STREET DISTANCES SHALL BE MEASURED FROM TK EDGE OF THE EDL ,QUEENSBURY NY GLENS FALLS,NY ras titer scALs:NOT TO sceta DAM DE/aL/to