BOTH-000114-2016TOWN OF QUEENSBUR.Y
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000114-2016
Tax Map No: 308.6-1-61
Permission is hereby granted to: Queensbury Village
For property located at: 0 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
Tyne of Construction
Owner Name: SAMUEL WAHNON Septic Disposal 0.00
Owner Address: 1304 Route 9 Total Value 0.00
Gansevoort,NY 12831
Contractor or Builder's Name I Address Electrical Inspection Agency
Dig A Hole
1304 State Route 9
GansevooM NY 12831
Plans&Specifications
Residential Septic Alteration
Shared system between 40&42 Petrie Lane
40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:Saturday,March 4,2017
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 ueens Wed a arch 9,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
C) 4
SEPTIC DISPOSAL APPLICATION Office Use Only
Received
DATE: 3 C Tax Map ID
TAX MAP ID: - " I V E. Permit No. Dilar--1
Permit Fee 040 1 r,y. -A9,_
ZONE:
APPLICANT PHONE/&MAIL
ADDRESS
INSTALLER/
a ,
PHONE/, O
BUILDER
OWNER AZ,,//
t
2S Z.' QF 1
ADDRESS C9 Ltt N
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: 9144LJl3fl1
PHONE/E-MAIL f? L) f
RESIDENCE INFORMATION
Year Built of bedrooms X gallons per bedroom =total Daily flow
1980 or older Garbage grinder installed Yes No
1981-1991 Spa or Hot Tub installed Yes No
1992-Present
PARCEL INFORMATION
Topography Flat rolling Steep slope Slope
Soil Nature Sand Loam Clay Other
Groundwater At what depth:
Bedrock/Impervious material At what depth:
Domestic Water Supply Municipal 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 sizeL--&gallons(min.size 1,000 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub
System Absorption field with#2 stone Total length ft.;Each Trench
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&approved.. The installed system must match the
septic system 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: DATE:
SIGNATURE:DATE;
Town of Queensbury Building&Codes Principal Structure Application Revised September 2614
GRADE SURFACE
DESIGN DATA: TOWARDS THE SWALE
DESIGN FLOW= 700 GPD FOR TWO UNITS W/THREE BEDROOMS EACH (6 BR TOTAL)
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 a
28) B43 ELGIN MATS REO'D, (4) ROWS OF 7
8 OUTLET DBOX W/SPEED LEVELERS
1750 GALL DC TANK
I m
QD
0
E
O
N
10' FILE COPNfMIN
N
f
LOTS ORIGINALLY APPR
CALCULATE ADDITIONAL
AND SIZE SHALLOW SW
2 BR DOUBLE p CONSTRUCT SWALE RAIN INTENSITY, i=2"F
WlQE M081LE BETWEEN DOUBLE ADDITIONAL AREA FOR
HOME WIDE HOMES, GRADE 1960 SF
SURFACE TO SWALE TIME = 1 HR
RUNOFF. 2'X 1960SF
STORAGE CAPACITY OF
70' 70' Lo TIME FOR FULL SWALE
FOR A 12"DEEP SWALE
f, D 12'
l
APPENDIX 75A SETBACK
M 28' I 28' I TREATMENT AREA TO PRO
TREATMENT AREA TO RES
SEPTIC TANK TO WATER S
PARKING 24'X20' I I PARKINGf 24'X20'
SHUT OFF SHUT OFF
TODUNOFQu EN
ACCESS ROAD BACCESS
BUILDING O
Reviewed_
P1 1N - DOUBLE WiDE, ,QT
Reviewed--
SCALE 1"= 20'
GENERAL NOTES:
1. DESIGN AND ALL WORK FOR TREATMENT SYSTEM
PER NYSHD APPENDIX 75-A
2.ALL ROOF OR HOUSE DISCHARGES SHALL BE
12'--0" DIRECTED AWAY FROM THE TREATMENT AREA.
3. OWNER/CONTRACTOR RESPONSIBLE FOR
ASBUILT SKETCH OF ACTUAL LOCATION OF
COMPONENTS.
SEED TO 4, PRIOR TO EXCAVATING CONTACT NYS DIGSAFE AT
GRASS 1-800-962-7962.
5. PERCOLATION RATES TAKEN FROM APPROVED
SEEPAGE PIT DESIGN BY VDS,3-16-93.
7.TREES AND ROOTS SHALL BE REMOVED INll_
N N-SITU SAND
P
TREATMENT AREAS.
S.SEAL UNUSED INLETS OF SEPTIC TANK.
10.ALL COMPONENTS TO BE SET ON A LEVEL 12"
SWALE CROSS SECTION STONE BASE.
SCALE: 1/2"= 1' CAULK OULTET SEALS
FLET W/SPEED LEVELERS,
12,SEPTIC TANK TO BE FM OR EQUAL W/4000 PSI
CONCRETE AND 5-9% ENT.AIR
13.WATER SUPPLY IS MUNICIPAL.
MOUND TOPSOIL TO
ALLOW FOR SETTLEMENT
6-12"TOPSOIL
WHITE
ANTI-SILTAT1ON
FABRIC
1343 ELGIN MAT
r` I
N
IT IS A VIOLATION OF THE LAW FOR ANY PERSON,
o UNLESS ACTING UNDER THE DIRECTION OF THE
LICENSED ENGINEER,TO ALTER ANY rrEM OR
IN-SITU SAND PORTION OF THIS DOCUMENT IN ANY WAY.
THE ENGINEER HAS NOT BEEN RETAINED TO
PERFORM OR PROVIDE INSPECTIONS OR
4"PERFORATED PIPE CERTIFICATIONS ASSOCIATED WITH THIS PROJECT.
IF IN THE COURSE OF THIS PROJECT A CONDITION
N-SITU SAND EXISTS WHICH DISAGREES WITH THAT AS
REPRESENTED ON THESE PLANS.THE CONTRACTOR
SHALL STOP WORK AND NOTIFY THE ENGINEER OR
GROUNDWATER OR IMPERVIOUS LAYER
ASSUME ALL RESPONSIBILITY ARISING THEREFROM.
IT IS THE RESPONSIBILITY OF THE
OWNERCONTRACTOR TO ENSURE THAT ALL
ELGIN DETAIL MATERIAL ORDERED COMPLIES WITH PROJECT
SCALE: 1/2" = 1' REQUIREMENTS.
FOR SINGLE WIDE HOMES,
dCFF FOR DOUBLE WIDE HOMES
p
cif
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rYEkftlrfi
frIOURFOR100YEARSTORMc/5 E _ Y
WIDE: 980 SF/ UNIT X 2 =
rl`
n Q N M.g( 0
C9 A
53 CF(100 YR STORM) 7,e 7 k:rah r, rre,r r, r
E IS 7 SF/FT X 55' = 385 CF. r i;
J 11 n
I
RAIN AT 5 MIN /IN IS 1 HOUR
Wen
r-
On duty: Quavrrnchfthf kc Iuaunialn M JR $4062
LACES: vanave I Frre oraer OF t
rjuHyrAairenrlrck
ESS1Q5'
10 A
I,i,Y LINE9 a CgmrrF_4.
E:20'
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Lr _ fo t RYAN M. BURNS, NYS P.E. LICENSE No. 084062
DESTROY PREVIOUSLY DATED DRAWINGS
l a r n d T 4iKq
ti tirnd Qr.
S E OE 1 12/14 RB ENG. COMMENTS
Ce• i i1YJse F NO. DATE BY REVISIONS
ahooUPSTATE DESIGN ASSOCIATES
RESIDENTIAL DESIGN AND CIVIL ENGINEERING
RYAN M. BURNS,P•£. IRA S.ADLER. P.E.Irl;
tip/
180 PLEASANT STREET 10 MADELINE DRIVE
KEESEVILLE, NY 12944 SARATOGA SPRINGS NYfFrs.rmrrr 7 P: 518-572-025$518-573-2549 12866
onnlrlerown Fe Wood+F: 518-536-9b58
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VILLAGE MHA
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Pn"„ PROJECT: ELGIN SEPTIC /RUNOFF DESIGN
LOCATION: PETRIE LANE,QUENSBURY NY
LOCATION MAP, SCALE: 1 " = 3 MILES DATE: 10/10/07
DRN. BY: RMB SHEET NO.
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