deep hole perc testSEP NloO}:2HeeeETFESTCEIVEN|
Town of Queensbury REQUEST |ER TOWN EnaineeR REVIEW
|SEP 09 2019 |U)
|
Building and Code Enforcement Vi
742 Bay Road,Queensbury,NY 12804 reP:518-761-8256 www.queensbury.net |TOWN OF
Property Owner(s:_Haguens Zipketsley.Phone #:(21%)43B_344
Mailing Address (c/s/2):B&G RehsnADGeassCuddwy12825
Location of test:5%Richacnsow TaxiD BOTA
“applicant's engineer:Rich Nolart Phone:(___)
Applicant’s Agent:Ci(Liae Dev (see Phone #:(51%)H1%-IM&4
Additional Notes:
1.Reason for request?[New Septic System [Replacement Septic System
CO Failed Septic System CO Subdivision 1)Site Plan Review
2.Are wetlands present?O yesO no (1 UNKNOWN
*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,must be submitted with application.
FEE SCHEDULE:
1.$200 flat fee date pa P/LF}20,
check #:
2.ORfeetobe determined during _-—_‘to be determined:
site plan/subdivision review process
PLEASE READ BEFORE SIG!
In carrying out the provisions of Article IV,the Local Board of Health or the enforcement office 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 $1500 without proper written notice to the party to be changed the same.
My signature below indicates |have thoroughly read and understand the instructions,agree to the submission
requirements and have completed the application.|also fully understand that additional engineering fees may
be necessary per Town of Queensbury Local Law 136-14 D.
SIGNATURE OF APPLICANT:DATE:
SIGNATURE OF AGENT:445 Siig Qernet—pare:14 |18
rein!(88C Fie)Canary Planing)Pnk(Appcart)Gold (Town Cet)
Deep Hole/Pere Test Ap Updated August 2017
THE NORTH COUNTRY OFFICE.
Chage,ase 20 Elm Street,Suite 110
r——Planners Glens Falls,NY 12801
COMPAN IES?Srtcrerer28Sefety Pofemionals
:518.812.0513 or 888.539.9073
“Frnlwieinplone
Owned”
Transportation Planners &Engineers www.chazencompanies.com
September 10,2019
Dave Hatin
L
\
Director,Building and Codes 7
Town of Queensbury
742 Bay Road
‘Queensbury,New York 12804
Re:Soil Testing Verification
59 Richardson Street SEP -D604 zd,Town of Queensbury,Warren County,New York 5
9190.33
Dear Mr.Hatin:
As requested,Chazen has witnessed onsite soil testing for the above referenced location on September 10,
2019.The purpose of this testing was to investigate subsurface soil conditions for a proposed wastewater
system design.The wastewater system is proposed as a new system to replace a failing drywell.The testing
was performed by Nolan Engineering,PLLC.
One soil test was performed in the general area of the proposed septic system adsorption area.
TP1 -Proposed Adsorption Area
o”-8"Topsoil
8”-72"Loamy Medium Coarse Sand
No mottling encountered
No groundwater seeping
‘Small roots throughout
If you have any questions or require additional information,please do not hesitate to call me at (518)824-
1926.
Sincerely,MPsSeanM.Doty,P.E.,LEED AP,CPMSM
Principal,
Director Municipal Engineering Services
HUDSON VALLEY *CAPITAL DISTRICT *NORTH COUNTRY *WESTCHESTER *TENNESSEE
Chazen Engineering,Land Surveying &Landscape Architecture Co.,D.P.C.(New York)
Chazen Engineering Consultants,LLC (Tennessee)