2008-552 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIIA,NCE
Permit Number. P20080552 Date Issued: Thursday, August 26, 2010
This is to certify that work requested to be done as shown by Permit Number P20080552
has been completed.
Tax Map Number. 523400-239-017-0001-005-000-0000
Location: 15 ANTIGUA Rd
Owner. HOWARD & JENNIFER NADLER
Applicant: HOWARD & JENNIFER NADLER
This structure may be occupied as a:
Septic Alteration Residential
By Omer 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& de E rcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080552 Application Number. A20080552
Tax Map No: 523400-239-017-0001-005-000-0000
Permission is hereby granted to: HOWARD &JENNIFER NADLER
For property located at: 15 ANTIGUA 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: HOWARD &JENNIFER NADLER Septic Alteration Residential
15 ANTIGUA Rd Total value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
ELLSWORTH & SON EXCAVATING
ROUTE 149
FORT ANN, NY 12827-0000
Plans &Specifications
2008-552
septic alteration residential
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, October 15,2009
(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 the expiration date.)
Dated at the Tr7;-:f1r/W
a es y, October 15,2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
For an EPA homeowner's guide: http://www.epa.gov/npdes/pubs/homeowner guide Iona customize.pdf
__ _OFFICE USE ONLY_ __ ----------------------
f�T ,
TAX MAP NO. Pf PERMIT NO. T�- ERMIT FEE ,X
1
0
APPROVALS: ZONING TOWN CLERK 0
I
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.
OWNER: s- 1 I� 1�� �� ��
INSTALLER:
ADDRESS: ` A �trf-L-A RESS: Lp 6 _T �Y-�t Yo
PHONE NOS. 477AS � �nn PHONE NOS. �9
LOCATION OF INSTALLATION: l /'4Ai T C=3.1 N a
—"� RESIDENCE
YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW INFORMATION:
BEDROOMS
1980 or older X 150 gallon per bedroom = 0 GARBAGE GRIND
1981 -1991 L—_J X 130 gallon per bedroom = 0 INSTALLED?
1992-present X 110 gallon per bedroom = [?l SPA OR HOT TUB
INSTALLED?
PARCEL INFORMATION: 114�Cuzx I ��
✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE SLOPE_) % r
✓ SOIL NATURE: SAND_ LOAM_ CLAY OTHER
1 (
✓ GROUNDWATER: AT WHAT DEPTH? BEDROCKitMPERVIOUS MATERIAL: AT WHAT DEPTH? ,� 9
✓ DOMESTIC WATER SUPLY: ",rc-Ca�j�-Q� �
MUNICIPAL WELL (if well:water supply from any septic system absorption is:( ft)
✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH(TEST TO BE COMPLETED BY A LICENSED
PROFESSIO AL 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: • 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 Z�ft. Each trench!_X 6
❑SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size?
❑ALTERNATIVE SYSTEM Bed or other type?
❑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 Muirements of the Town of Queensbury codes(a)aueensburv.net
Sanitary Sewage D pos I O finance. VISIT OUR WEBSITE FOR MORE INFORMATION
1 /j5 www.aueens urv.
LkA SE,ChILL t� 1 fRt i
Signature of Person Responsible Date
AttLAWi.-�-"
r; Tozvn of Queensbury - Community Developmen Office - 742 Bay Road, Queensburtj, NY 12804
Septic Inspection Report
Office No. (518) 761-8256 Date Inspect! iv equest rec ed:
Queensbury Building&Code Enforcement Arrive: ' am/ rt: am/pm
742 BayRd., ueensbu NY 12804 Ins
Q rY. pecto s dials , 4
NAME: PERMIT NO.:
LOCATION: INSPECT ON: In 20
RECHECK:
Comments and/or diagram
soil T : Sand Loa Clay
Type of ipal Well Water L
Waterline separation distance ft.
Well separation distance
Other wells:
Absorption Field: Total len ft.
Length of each trench O 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 L
Distribution Box to Field Pit
Opening Sealed: Y N Partial
End Ca
Inlet/Outlet Pipes&Baffles Y
Location Separations
Foundation to tank
Foundation to absorption ft.
Separation of Pits ft.
Conforms as r Plot Plan V Y N
Engineer Report and As-Built Y N
Location of System on Property:
Front Rear ft Side Right Side
Middle Fro Middle Rear
s:
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
I
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\ WATER SUPPLY FROM LAKE GEORGE
4
Ss •� / � +� 4 .lF. a__°lsra .^S".4 A�; '�1,v`T't- 3'3� !� `•i' a� .,.fi _
SITE LOCATION—1
LOC�4TION MAP
•
ti
NTS
/ Ce 7
\
/ 0 / FILE COF�
APPROXIMATE SUGGESTED: POLYETHYLENE
FINISH GRADE EXTENSION
GRADE
O� I 20 PROPOSED ABSORPTION FIELD; TAMPER RESISTANT T ACCESS COVER
S 46 (4) STANDARD PIPE-IN-STONE
Cg TRENCHES O 60' EACH
AREA » SUGGESTED: ZABEL A100 FILTER SUCH
O EXISTING EL�1 SYSTEM TO BIE 12 MIN. COVER THAT IT IS
GEORGE �� o t,U REMOVED ILY REMOVABLE
THROUGH TANK DACCESS COVER 12" MIN.
COVER
� o �,'� \ 4" PVC DISTRIBUTION BOX
�,/ 0.44 acres /
Q' 'Y`' ZO ��'Si 3 I- �O INLET 4" PVC
J ,�� / C9 LIQUID LEVEL OUTLET
o 4, C\ / MIN. SLOPE
RS �V� NOO ZO � ry h 1/4" PER FOOT MIN. SLOPE
O / o ? / .� 16" 1/8" PER FOOT BAFFLE
U <v »
7't / / - / ,3 WATERTIGHT 18 MIN. USE SPEED LEVELERS TO
SLEEVE AND SEAL ASSURE ALL OUTLETS ARE AT
C6E_ EXACTLY THE SAME ELEVATION
8031 Z� LIU, 4��< ?02.39 �ryry oSOLID
TO"PERFORATEDPVCS TRENCH HPIPIDER
Q o o= " PIPING,
n
C; / 1500 GAL PRECAST J,
coo i/8 PER FOOT MIN SLOPE
CONCRETE SEPTIC TANK _j
oOU
,Qnnss � MINIMUM 2X WIDTH ' ,,,C s -sn or oaserved, or believe I saw evidence of,
: �� "' wells, trees, fences, etc.,
.v� MAXIMUM 4X WIDTH
i' (/) % NEW 4" PVC HOUSE ��h �� # �!�� .�_ r.^ ,„E 0 +
OJSEN 1/4" PER FT. MIN. SLOPES r / � Q ,
\ � EXONG 1,500 GALLON SEP71c ` SEPTIC TANK NOTES
/TANK TO BE PUMPED, REMOVED Q- ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK STATE
AND REINSTALLED N66• S w��G� DEPARTMENT OF HEALTH AND SHALL BE OF PRECAST CONCRETE AS
APPROXIMATELY 4' HIGHER �914 �F.SF\ •Q�P MANUFACTURED BY UTOPIA ENTERPRISES OR EQUIVALENT.
7MM 714E CURRENT EXTREMELY �' �qG %v /
DEEP INSTALLATION. IF ALL STRUCTURES SHALL BE PLACED ON FIRM, COMPACT SAND OR GRAVEL BASE.
DAMAGED OR 01HERIMSE �y o`OLN-USEABL& REPLACE WIN / A* WHERE EXISTING SOIL CONDITIONS ARE UNSUITABLE, CRUSHED STONE SHALL BE
NEW 1.5W GALLON TAWPLACED AS NECESSARY TO ACHIEVE A STABLE BASE.
/ � IRE
PROPOSED 40 PVC EFFLUENT SEP71C TANKS INSTALLED IN TRAFFIC AREAS SHALL BE OF EXTRA HEAVY
SEMETt
RF CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADING.
/ Ill PER FT. MIN. SLOPE
EJOS7ING PUMP STATION TO ALL JOINTS MUST BE SEALED.
BE PUMPED & REMOVED LANDS RMS OF �V SEPTIC TANK DETAIL
/ PROPOSED HAROLD ARMSTRONG
STR1BU77ON BOX 372/232, 650/182 ky MS
Q7
/ WATER SUPPLY FROM LAKE GEORGE
SITE SOILS DATA SYSTEM INSTALLATION NOTES
_• TP-1 - 10114108 BY: T. HUTCHINS, P.E. CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING AND IN ACCORDANCE
0-18" - MEDIUM BROWN SAND WITH THE N.Y.S. DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS AND
18-25" - OLD ASPHALT & SUBBASE ASTM F481 INSTALLATION OF THERMOPLASTIC PIPE AND CORRUGATED TUBING IN
IRE
25-64" - RED-BROWN LOAMY SAND, SOME SILT SEPTIC TANK LEACH FIELDS
64-92" - FINE GRAY SAND, FIRM
AFTER EXCAVATION OF ABSORPTION TRENCHES TO THE DEPTHS REQUIRED, THE
/ MOTTLING 0 62" WALLS AND FLOOR OF EACH TRENCH SHALL BE CLEANED AND RAKED IN ORDER
NO OBSERVED WATER TO BOTTOM TO LOOSEN SMEARED SOIL INTERFACES
WASTEWATER REPLACEMENT PLAN PT-1 - 10114108 BY HUTCHINS ENGINEERING PLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND FILTER FABRIC SHALL
SCALE. 1'--20' STABILIZED PERCOLATION RATE: 4 MINUTES, 45 SECONDS/INCH BE AS SHOWN, AND CARE SHALL BE EXERCISED TO AVOID INCLUSION OF FINE
GRAINED SOILS AND WASTE MATERIAL IN THE STONE AND PIPE.
WASTEWATER SYSTEM DESIGN
THE PIPE SHOULD BE LAID AT THE GRADES INDICATED, MAINTAINING STRAIGHT
3 BEDROOM RESIDENCE, WITH JACUZZI TUB CONTINUOUS GRADES WITHOUT SAGS, HUMPS, SEPARATED JOINTS, OR OTHER •
WATER SAVING FIXTURES (1.6 GPF MAX. FLUSH, 3.0 .GPM MAX. FAUCETS)DESIGN FLOW - 110 GPO/BEDROOM + 110 GPD JACUZZI UNSUITABLE CONDITIONS PIPE SHALL BE LAID WITH HOLES DOWN IN ALL CASES.
SYSTEM DESIGN FLOW - 440 GPD ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND DIVERT
4" MIN TOPSOIL OVER THE SEPTIC TANK - EXISTING 1500 GAL PRECAST CONCRETE (3 BEDROryI +ENTIRE ABSORPTION FIELD; JACUZZI TUB) SURFACE RUNOFF AWAY FROM THE DISPOSAL FIELD. '
4" MIN TOPSOILOVER THE ENTIRE ABSORPTION SEED & ESTABLISH TURF OVERFILL TO ALLOW LEACH FIELD - STANDARD PIPE-IN-STONE TRENCHES DO NOT USE HEAVY EQUIPMENT WITHIN 114E ABSORPTION AREA AFTER PIPING
FIELD; SEED AN ESTABLISH TURF FOR SETTLEMENT BACKFILL FREE OF DESIGN PERCOLATION RATE = 1-5 MIN INCH
/ HAS EEN INSTALLED.
FILTER FABRIC ENCATE STONES OVER 3" APPLICATION RATE= 1.20 GPD/SF Y
MIRAFI 140N Of EQUIVALENT 367 SF ABSORPTION TRENCH AREA REQUIRED ' E � x
183 LF OF ABSORPTION TRENCH REQUIRED 1�', TAX MAP # 239.17 1-5
—I I I=I I 1-1 I I-III-III-I I�I I I- INSTALL (4) TRENCHES ® 60 EACH , ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL
12" MAX III=III=1I1=1I1=1 '' ENGINEER IS A VIOLATION OF NYS EDUCATION LAW.
- I'll== FILTER FABRIC 240 LF TOTAL TO BE PROVIDED k•.
MIRAFI 140N " 1
6 MIN. OR EQUAL 2' TRENCH WIDTH 6-12 POTABLE WATER SUPPLY TO BE EXISTING LAKE WATER SUPPLY " {
2" MIN. OO o�0 0 SLOPE—i- p p o��oD� MAINTAIN 100' SETBACK FROM LAKE TO ABSORPTION FIELD
0o o MAINTAIN 50, SETBACK FROM LAKE TO SEPTIC TANK Q
2» l
6 �oDOoOo " GOO 12" MIN, ADJACENT PROPERTIES ALSO USE LAKE WATER AS THEIR WATER SUPPLE: 0 ISSUED FOR PERMIT 10/15/08
00Q0 \_4 PERFORATED PVC LATERAL, 6" ��00 ��c1�oo N o. Revisions Date
oOC�OC� SLOPE 1/16" - 1/32" PER FT. END CAP o �� o THE WASTEWATER TREATMENT SYSTEM IS DESIGNED AND APPROVED BiSED
3/4" TO 1 1/2" W77 3/4" TO 1-I/2" UPON THE INSTALLATION
L N OF WATER ONSERVING F`IXTURES �ONSEFIING WASTEWATER REPLACEMENT PLAN
CRUSHED STONE CRUSHED S70NE FILF COPYFLOW OF 110 GPD PER BEDROOM. THE INSTALLATION OF NON
CH SECTION TREATMENT S CONTRARY To THE APPROVAL of THIS WASTEIMTER prepared for:
ABSORPTION TRENCH PROFILE ABSORPTION TREN Howard & Jennifer Nadler
NTS NTS
15 Antigua Road, Lake George
TOWN OF QUE Sw MAP REFER.NCE. Town of Queensbury, Wain County,New Ya►1<
BUILDING c ()D SURVEY BASE INFORA77ON FROM "MAP OF Drawn: LWD Checked: GTH Scale: NOTED Date: 10/14/08
Reviewed B n A SURVEY MADE FOR HOWARD AND 169 Haviland Road
Date: JENNIFER NADLER,' PREPARED BY VAN Queensbury, NY 12804
r NOVEMBER 19, 2004 D SURVEYORS DATED (518) 745-0307 Phone 29358-01
Hutchins Engineering 518 745-0308 Fox