2008-068 TOWN OF QUEENSBURY
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9 (518)7 -8 742 Bay Road,Queensbury,NY 12804 5 02 61 201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20080068 Date Issued: Friday, March 14, 2008
This is to certify that work requested to be done as shown by Permit Number P20080068
has been completed.
Tax Map Number. 523400-308-006-0001-061-000-0000
Location: PETRIE Ln
Owner. SAMUEL & VIOLA WAHNON
Applicant SAMUEL & VIOLA WAHNON
This structure may be occupied as a:
Septic Alteration Commercial
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
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 E orcement
Planning Board or Zoning Board of Appeals.
1
��` TOWN OF QUEENSBURY
..
FIrt,ro 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080068 Application Number. A20080068
Tax Map No: 523400-308-006-0001-061-000-0000
Permission is hereby granted to: SAMUEL&VIOLA WAHNON
For property located at: 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 Value
Owner Address: SAMUEL&VIOLA WAHNON
39 SARATOGA ROAD Septic Alteration Commercial
GANSEVOORT,NY 12831 Total Value
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2008-068
septic alteration lots 16 & 18 Petrie Ln
$35.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,March 04, 2009
(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 th xpiration.. .)
Dated at the To of ens ry• Pa j'day, March 04,2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
r
O FI E USE ONLY '
(.,_;c,s,', 6 -
TAX MAP NO. PERMIT NO. ', PERMIT FEE D
APPROVALS: ZONING TOWN CLERK MAR '0 3 2008
APPLICATION FOR SEPTIC DISPOSAL SYSTEM RVir F QUEENSBURY
ING & CODES
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT. ¢
OWNER: Cc ce 4` - ))i6C �`'`- ..4LlIALLER /7 -/9'lid c, toVAf b..?
ADDRESS: ✓ I DRESS: 13o e-/ a9. G/��t33 L cio a2 t Ay.
PHONE NOS. ' ! it )--7b / PHONE NOS. 7/ ' ?O/
LOCATION OF INSTALLATION: Jets tI gill I.Z. 1A1 I g tail., gun AJSI 11 Ay.
NO.OF RESIDENC INFORMATION:
YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW
GARBAGE GRINDER
1980 or older l X 150 gallon per bedroom = INSTALLED?
1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB
1992-present X 110 gallon per bedroom = INSTALLED?
PARCEL INFORMATION:
✓ TOPOGRAPHY: Flat rolling 1/ - Steep slope %Slope
✓ SOIL NATURE: Sand r/ 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 /`.54fi13 per minute 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: 01,6tI O 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
O SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size?
❑ ALTERNATIVE SYSTEM Bed or other type? EL- 6i iii S-SfEI) - (Oats'Ds'fR 47. (a)/EqS
El HOLDING TANK SYSTEM Total required capacity? /75 0 �a L L . 6
t
Tank size? 02 600 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.
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: 9; °a am/pny ,pepart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: CC// L._-
NAME: �j,�� t k �r .�' PERMIT NO.:
LOCATION: L cry / ' -'/6 e INSPECT ON: 3
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' + / - 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 l�
Opening Sealed: Y N r �
End Cap Y N 4101,k ‘1.) 7/9-4-4
/
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 T N
Engineer Report and As-Built Y N
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use Statu
Y Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
9/-1/(41'‘
Septic Inspection Report
Office No. (518) 761-8256 Date Ins "o request received: 2/a `3
1
Queensbury Building&Code Enforcement Arrive: 1-" v.) am/pl t part: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector%Initials: "`'.
NAME: l,(94ki e PERMIT NO.: "41`"e34f-7563--CP/ t�(
LOCATION: I. 13 I-,/'1�c' fe.T c,-f,lode INSPECT ON: ./ 7C6)
RECHECK:., 1-.) l
.- 'JP C.- Cel(A
m n a r i
Soil Type Sa 'Wahl Clay
Type of r: Municipal Well Water
Waterline separati :'-r nce ft.
Well separation distance ft.
Other wells: ft. 9
Absorption Field: Total length L s& 01Vt.I 7 1 t_
Length of each trench -7 .1 a, ft. 20
Depth of trenches `).-- a ft.
Size of Stone & L. J 6%) 1j (4 ,
Seepage Pits: Number
Size: x
Stone Size:
Piping Siz 1, Type
Building to tank �i C.") `f L'
Tank to Distribution Box t k
Distribution Box to Fier` Pi l' t " i
Opening Sealed: Y I 4/ Partial /
End Cap f
Inlet/Outlet Pipes&Baffles AY N
Location/ Separations fr LA Ii, 1
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Engineer Report and As-Built ` _ Y N
Location of System on Property:
la
Front r R r---)eft Side Right Side M keiki ( r�
Front /6 ea8
Middle Front Middle Rear
,,r
System Use Status/
Ap,:•ved ktAt r/ ,,c i&
_A.:rtial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05 - J
n
GRADE SURFACE
DESIGN DATA: TOWARDS THE SWALE
DESIGN FLOW= 700 GPD FOR TWO UNITS W/THREE BEDROOMS EACH (6 BR TOTAL) F
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 1
8 OUTLET DBOX W/SPEED LEVELERS
1750 GALL DC TANK
0
r _28' 1 G.
- IIIII ► ( I
ICI _ I I l f l ICI
1 io
1
t
o
MIN g
to
. .. .1.. ,r tiPti l. 13'-6"-1 13'-6"r
LOTS ORIGINALLY
c.17.- N\
CALCULATE ADDIT
AND SIZE SHALLC
2 BR DOUBLE p CONSTRUCT SWALE RAIN INTENSITY, i
WIDE MOBILE -J BETWEEN DOUBLE ADDITIONAL AREA
HOME WIDE HOMES,GRADE 1960 SF
in SURFACE TO SWALE TIME= 1 HR
/ RUNOFF: 2"X 19
STORAGE CAPACI'
70' 70' TIME FOR FULL S
FOR A 12"DEEP
I--r 12'
0 I APPENDIX 75A SET
,^.) 28' 28' TREATMENT AREA 1
I -I I I -1 \ TREATMENTAREA T
SEPTIC TANK TO W1
�
PARKINGI24'X2O' Ic 1 PARKINGI24'X20' II \
73
i I Ilm I I \
Cr
55.00' I I LSHUT I OFF SHUT OFF
ACCESS ROAD B
v.-
PLAN - DOUBLE WIDE LOT
SCALE 1"= 20'