2006-584 TOWN OF QUEENSBURY
(Et 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060584 Application Number. A20060584
Tax Map No: 523400-239-008-0001-011-000-0000
Permission is hereby granted to:
For property located at: 28 BRAYTON Rd
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: JANE ELRAY JOHNSON LE
HOWELL&DUNLEARY Septic Alteration Residential
Rd Total Value
BOX 189
CLEVERDALE, NY 12820-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2006-584
REPLACEMENT HOLDING TANK(1,000 GALLONS)
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,August 23, 2007
(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.)
f
Dated at the To of ensb ,f'j Jkednesday, August 23, 2006
SIGNED BY f for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20060584 Date Issued: Tuesday, September 26, 2006
This is to certify that work requested to be done as shown by Permit Number P20060584
has been completed.
Tax Map Number. 523400-239-008-0001-011-000-0000
Location: 28 BRAYTON Rd
Owner. RUSSELL C MARWIN
Applicant:
This structure maybe occupied as a:
Septic Alteration Residential
By Omer of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the l
property owner of the responsibility for compliance with Site Plan, /9(
Variance, or other issues and conditions as a result of approvals by the
Planning Board or Zoning Board of Appeals. Director of Building&Code 7 i
nforrement
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% -J. - I .__. OFFICE USE ONLY _-._-_
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TAX MAP NO. PERMIT N0. PERMIT FEE—f 2 ' ', �
0 '
o APPROVALS: ZONING '
TOWN CLERK ' '
AUG 2 2,
.-------------------------- 2006
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID *T
PERMIT.
OWNER:
INSTALLER: C y
ADDRESS: 4 �� ��wr�9pq<r ADDRESS: �� �0 �.
sty d
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PHONE NOS. � ���—_----_ PHONE NOS. �34:ilKZeZ
LOCATION OF INSTALLATION:
................................................:... ....
.......................................... .........
..........................
YEAR BUILT NO.OF I X i.................... ....... ..... ............................................................ RESIDENCE INFORMATION.
i BEDROOMS i = = TOTAL DAILY FLOW
...............................................;.. ...........................;............;......... COMPUTATION
i .......... .......1980 or older ..... ...................................................................... GARBAGE
GRIN
DER
150 gallon per bedroom...................................:........... INSTALED.......................... a1981 •1991 .........................................................................' X ; 130 gallon per bedroom
.....................•............•......................................I...........i.......................................................................... S
' 1992- resent PA OR HOT TUB
• p i i X i 110 gallon per bedroom _ _ INSTALLED?
.............................................:...............................................:...........:
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH?— BEDROCK/IMPERVI )US MATERIAL: AT
WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL _ WELL5Z
(IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS
✓ PERCOLATION TEST: RATE IS 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 ap roved subdivision). Add 250
gallons to the size of the septic tank and leach fiel f rpch garbage nn r, spa or hi pool tub.
,! . ✓ SEPTIC TANK: P-40—
GALLON (MIN. IZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT.
✓ TOTAL SYSTEM LENGTH: FT. SEEPAGE PIT(S): HOW MANY?
✓ SIZE OF EACH FT. X FT.
✓ SIZE OF STONE TO BE USED: # /DEPTH OR THICKNESS FT.
✓ BED SYSTEM SIZE: X
✓ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE
✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: /SIZE OF EACH
✓ GALLONS./TOTAL CAPACITY. GAL.
....:......................:.:..............a....:...,.......,..............,.:........... ..........,,,...,,:,.
NOTE: ..a...... ...,..,...:,,..,....::..:.. ......:.•,...
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 to abid y these and all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL
Queensbury San' ary Sewage osal Ordinance. codes@ciueensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
�- www.aueensburv.net
Signature son spo s ble Date
;; Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
Septic Inspection Report
Office No. (518) 761-8256 Date In pectio t
Queensbury Building &Code Enforcement Arrive: d part: - am
742 Bay Rd., Queensbury, NY 12804 Inspector's Initi
NAME: / K MIT NO.: r —
LOCATION: _ SPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand Loam Clay
Type of Water: Municipal/Well Water
Waterline separation distance
ft. ,��� C�aL. `
Well separation distance
Other wells:
Absorption Field: Total length ft.
Length of each trench
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank "
Tank to 4'
Distribution Box t eid Pit
Opening Seal Y,,M Partial
End Ca
Inlet/Outlet Pipes &Baffles Y N
Location Separations
Foundation to tank
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Engineer Rep2rt and As-Built Y N
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
%Lstcm Use
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
1
(2) NEW 1 ,000 GAL.
i HOLDING TANKS
�1
LANDS N F OF vE
5HED OVEP,0.38' / OBSER
LIANE BROWN Na WHBLS
�s Lo�
a
CLEAP,0.60' 600/327 ON o 27.86
BUILDING CLEAP 0.71
DOCK 2
l ss
1-7�1^
SHED ` RUSHED STONE
W °
OR ��
(n 1 O FRA►dE g7.15' O O Q
DOCK `Np0
BOAT SLIP ' p 2 BBDR0Oo NOVSE a r v
/s
W/ ROOF
Oa VET
vs /F Og o
DOCK ��E E Bid
CHIMNEY OVEP.0.25' $U L. D E P �� \
N0 ,
34
IPF IN CONCRETE A
APPROXIMATE LOCATION OF a
EX. ABSORPTION PfT *'5,EPTIC TANK -
INFILLOR REMOVE ALL COMPONENTS yl z
OF EX. SEPTIC SYSTEM * : 15CONNECT
FROM I OUSE SEWER
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Scale: 1"=20' FROM EXISTING 1,000 GAL HOLC
SEPTIC SYSTEM DESIGN
DESIGN FLOW — EXISTING 2 BEDROOM HOUSE WITH 1,000 GALLON SEPTIC TANK
AND SEEPAGE PIT.
— NEW FIXTURES TO BE INSTALLED IN EXISTING RESIDENCE.
— FAILURES OF EXISTING SEEPAGE PITS MAKE
EXISTING SYSTEM UNUSABLE.
— DUE TO SITE CONSTRAINTS HOLDING TANK SYSTEM WILL
BE REQUIRED TO REPLACE EXISTING SYSTEM.
NEW HOLDING — USE EXISTING 1,000 GAL. SEPTIC TANK AND (2)
TANK SYSTEM NEW 1,000 GALLON HOLDING TANKS TO MEET AOOO
GALLON CAPACITY REQUIRED BY TOWN 0r QUEENSBURY
FOR A TWO BEDROOM HOUSE. ' PROVIDE 3" sa
PEA GRAVEL UNDEF
ALARM SYSTEM — NEW HOLDING TANK ALARM SYSTEM
SHALL BE INSTALLED PER TOWN OF QUEENSBURY
SEWER CODE SECTION 136-11.
TANK BUOYANCY — TANK BUOYANCY CHECKED ASSUMING 24" BURIAL DEPTH
AND MAXIMUM HIGH GROUND WATER 12" BELOW TOP OF TANK.
— CONTACT ENGINEER IF CONDITIONS ARE DIFFERENT THAN
ASSUMED.
SOILS DATA
TEST PIT
0-11" TOP SOIL
11-37" FINE SILTY SAND SOME CLAY
37-48" CLAY WITH FINE SILTY SAND (MOIST)
MOTTLING AT 37"
NO GROUND WATER OBSERVED AT BOTTOM OF BORING
TEST PIT BY NACE ENGINEERING — 5/26/04
s
/ HEAVY DUTY MANHOLE FRAME
f / �AND COVER (TYP.) AND COVER (TYP.)
SYRACUSE CASTINGS#1304B OR EQUAL SYRACUSE CASTINGS #130413' EQUAL /
CONCRETE EXTENSION RINGS N i CONCN,TE EXTENSION RINGS
I AS REQUIRED (TYP.) AS REIUIRED (TYP.)
j 4-PVC 4"PVC 4"PVC
I FROM EXISTING 1.000 GAL HOLDING TANK
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j ALARM /2 -VISUAL k AUDIBIt ALARM
I! + ACTIVATE SOLEIOID TO
SHUT OFF WATERSUPPLY
N I
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+i _ALARM #1 — VISUAL do AUDIBLE ALARM #1 — VISUAL h AUNBLE
i!� \ SIGNAL SIGNAL
1.000 SEAMLESS SEPTIC TANK ! 1,000 SEAMLESS SEPTIC TANK
i FORT MILLER OR EQUAL FORT MILLER OR EQUAL( H-20 RATED)
(H-20 RATED) !
\ MERCURY FLOAT
SNITCH NTH
WEIGHT(TYP.)
00
PROVIDE 3' SAND OR--Q0000
0 PROVIDE 3" SAND OR --00 00 p0��
PEA GRAVEL UNDER TANK PEA GRAVEL UNDER TANK
IEW HOLDING TANK #2 NEW HOLDING TANK #3
HOLDING TANK SYSTEM
MOTES
1. ALL UNITS SHALL COMPLY NTH THE REQUIREMENTS OF THE NEW YORK
STATE DEPARTMENT OF HEALTH AND SHALL BE PRECAST CONCRETE
AS MANUFACTURED BY FORT MILLER OR EQUIVALENT.
2. ALL STRUCTURES TO BE PLACED ON FIRM,COMPACT SAND OR
GRAVEL FOUNDATION. WHEREVER EXISTING FOUNDATION CONDITIONS
ARE UNSUITABLE, 6" OF CRUSHED STONE SHALL BE PLACED AS
NECESSARY TO ACHIEVE A STABLE FOUNDATION.
3. ALARM COMPONENTS TO BE INSTALLED IN SECOND &THIRD TANK.
ALARM NOTES
1. USE TWO STAGE ALARM SYSTEM:
- ALARM 1 TO TURN ON VISUAL SIGNAL WHEN SECOND TANK IS FULL AND
THIRD TANK 15 HALF FULL.
- ALARM 2 TO TURN ON AUDIBLE SIGNAL WHEN THIRD TANK IS 95%FULL
AND TO SHUT OFF SOLENOID VALVE ON WATER SUPPLY.
2. ALARM SYSTEM COMPONENTS SHALL COMPLY KITH TOWN OF OUEENSBURY CODE
SECTION 136-11 B- 9, 10, 11. 12, 13, 14. 15. 16, & 17.
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