PT-0767-2019 Property Transfer Sewage Disposal Information Form.
Town of ueens6 Date:
- uY
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensburV.net
(Name of Owner/Applicant)
Re: Onsite Wastewater Treatment System Inspection Information Request for:
(Site Address)
Thank you for requesting an inspection for the onsite wastewater treatment system (OWTS) located on the
property referenced above. We'look forward to completing a thorough inspection for you. You can help us do
the best job possible by providing some advanced information about the site. Priorto our inspection,we request
-this completed application, a site map indicating the location of the septic components and confirmation the
pre-inspection preparation (see the last page of this packet) will be completed prior to our arrival.
Enclosed is a Septic.System.Inspection Information form, which. must_be completed, signed and returned to
this office, with the appropriate fee(s).and documentation, prior to scheduling an inspection.
Please note the Town of Queensbury's fee for this service is$2S0: Be advised that all fees must be paid prior to
scheduling the inspection. We require 48 hours notification prior to scheduling the inspection.
If the purchaser is requesting an exemption, please submit this application along with a notarized letter stating
the septic system will be inspected or repaired/replaced within 6 months from the date of the Property ,
Conveyance or June 1st of the current, .or following year (whichever comes first), a map locating the septic.
system and payment totaling $2250 ($2000 refundable deposit plus $250 permit fee). _The deposit is forfeited
if the owner fails to complete the repairs or installation as stated above.
If you have any questions, please call.
Phone: (518) 761-8256 Email: kated@queensbury.net
Thank you.
Sincerely,. D
=NOV- 29
David Hatin, Director TOWN OF QUEEN,BURY
Building and Code Enforcement BUILDING&CODES
Town of Queensbury
Property Transfer Packet Revised October 2019
r
`f Office Use Only
Permit#: PT— 01-Sa V-201.I
Town ofQucensbuq• . Fee:
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 Invoice#: ZZZ
www.gueensbury.net
SEWAGE DISPOSAL SYSTEM INSPECTION INFORMATION
Individual Residential Wastewater Treatment System
Property and Owner Information: (Please attach property surveyor tax parcel map)
Property address: �,z �' �U�r, s,��� AJ6,,&
Tax map number: 2 • �� ' 2��-
Property owner: C h (- )Wo ,pk ev- 60e, 5
Mailing Address (c/s/z): P V 1,v2?
Cell#: 0$ �f'j -4Q /5— Land Line#: 6;3D R
Email:,
Q
"PLEASE SEE SEPARATE PAGE FOR EXEMPTIONS"
Household Information:
#Bedrooms #Bathrooms Kitchens Jacuzzi tub(s) Garbage grinder
Onsite Wastewater Treatment System:
How many systems are on the property? l
Year system(s) installed: Tank . Size of Septic Tank l5 O
Type of Absorption System: Nvei e—
Are all system components wholly within the property.boundaries? C �'es ❑ No
Are system plans available? ❑ Yes No E C E A V E
Does the system(s) serve multiple properties? ❑ Yes RNo D
If yes,describe
Maintenance: TOWN OF OUEENSBURY
BUILDING&CODES
Service agreement? ❑ Yes 5No If yes,vendor name
Date of last inspection N/A C% Date tank last pumped N/A P
Frequency of pumping . N/A.Lf
Property Transfer Packet Revised October 2019
rl �
List known repairs/replacements, with dates:
Date Type of Repair/Replacement
Operation:
• System problems? Yes No
• Sewage odors? Yes No
• Direct surface discharge(s)? Yes — No
Back-up of toilets? Yes Qi No
.. Back-up of any other fixtures?.(e.g. slow drains) Yes li No
Seasonal ponding.or breakout of leach field? Yes __VNo
Statement of Acceptance of Conditions:
I agree to:
• Ensure that the septic tank(s), distribution box(es), and/or seepage pit(s), if any, will be uncovered
prior to the requested inspection time;
• Have a septage hauler-on site (to pump the tank after*the inspector verifies flow from fixtures);
➢ Tank must be pumped in presence of inspector
•. Have an authorized representative present at the site;
• Allow the inspector to'verify information provided above, and to conduct an inspection of the
indicated onsite wastewater treatment system(s), 'including all system-components and interior
plumbing in crawl spaces and basements.
To the best of my knowledge,the information provided above is accurate and I acknowledge the following:
After 1 year from date of submission and there is no activity on.this permit,the permit will expire and will be
subject to submission of a renewal application and payment of the renewal fee based on the current fee
schedule. All fees must be pai&PRIOR TO SCHEDULING any inspections. In addition, if the permit is
withdrawn 20% of the fee is retained by the Town of Queensbury.
Signature of property owner or authorized agent
Please print name:
Affiliation: owner agent
Signature. ,_ � Date:
Prior to scheduling with the Town of to scheduling with the Town of Queensbury,you MUST:
1. Schedule a sewage hauler to be on site to pump tank while inspector is on site.
Hauler should arrive-30-45 minutes after scheduled time with the Town of Queensbury's
Code Enforcement Officer.
2. Expose inlet and outlet of septic tank, and/or-pump station, expose d-bog, expose
any seepage pit covers.
3. Excavate test hole in leach field if there is no d-box.
Property Transfer Packet Revised October 2019 .
Property Transfer Sewage Disposal Information Form
Date: 7/1/2020
Town of Queens6tiry
742'Bay Road;Queensbury,NY 12804
P:.518-761-8256 www.gueensbury.net
Robert Stephens.,
(Name of Owner/Applicant)
Re: Onsite Wastewater Treatment System Inspection Information Request for:
128 Sunnyside North, Queensbury, NY 12804
(Site Address)'.
Thank you for requesting an. inspection'for the onsite wastewater treatment system (QWTS). located on.the
property referenced above. We look forward to completing a thorough inspection for you. You can help us do
the best job possible by providing some advanced information about'the site.-Priorto-bur inspection,we request
this completed application,a.site map indicating the.location of the septic components and.confirmation.the
pre-inspection preparation (see the last page of this.packet)will,be completed prior to-our arrival..
Enclosed,is-a._Septic,System-Inspection Information form; which must be completed; signed and returned to
this office,with the appropriate.fee(s)`and,documentation, prior to.scheduling an inspection.
Please note the Town of Queensbury's fee for this service.is$250. Be;advised that all fees must.be paid prior to.
scheduling the inspection. We require 48 hours notification prior to scheduling the-inspection.
if the,purchaser is"requesting an exemption,'.please submit this applicati'on.along with a notarized letter stating
the .septic system will be inspected or repaired/replaced within 6 months from the date of the Property -
Conveyance or June 11" of the current, or-following year (whichever.-comes first); a map--locating the septic
system;and payment totaling$2250($2000.refundabledeposit 0lus.$25Q.permit fee). The deposit-is forfeited
if the owner fails to complete th-e repairs or installation-as stated above.
If you have any questions, please call.
Phone: (518)761=8256 Email: kated@queensbury.net
Thank you.
Sincerely;
David Hatin, Director
Building and:Code Enforcement
Town of Qppens bury
Property Transfer Packet Revised February 2021)
Office.Use OnIV
Permit#:
7oNn of Qurcnsburti Fee. lot)b
742 Bay,Road,Queensbury,NY 12804 2 21
P:5184614206.or 518-761-8205 Invoice'#: C�1
ww.queensbury.net
SEWAGE DISPOSAL SYSTEM INSPECTIONINFORMATION
Individual Residential Wastewater Treatment System
Property and Owner Information: (Please attach property survey or tax parcel map)
Property address: 128 Sunnyside North, Queensbury. , NY 12804
Tax map_number: .279.17-2-7
Property owner: Estate of Christopher Goss
Mailing Address (c/s/z): 122 Rock Ave, Chestertown, NY 12817
Cell#: 518-926-0074 Land Line#:
Email: st6ckmarket2k5@yahoo.com
"PLEASE SEE SEPARATE-PAGE FOR EXEMPTIONS**
l
Household Information:
#Bedrooms 3 #Bathrooms 1.5 #Kitchens Jacuzzi tubs) 0 Garbage;grinder 0
Onsite Wastewater Treatment System:
How many systems are on the property? 1
Year system(s)installed: Tank Size.of Septic Tank 1500
Type of Absorption System:
Are all system components wholly within the property boundaries? WVes ao
Are.system.plans.available? DYes [2]No
Does the system(s)serve multiple properties? ❑Yes171�0
If yes,describe .
Maintenance:
Service agreement? ❑Yes o If-yes,vendor name
Date of last.inspection_ N/AZ Date-tank last pumped N/AW
Frequency of pumping MAW]
Property,Transfer Packet Revised October 2019
List known repairs/replacements,with dates:
Date Type of Repair/Replacement
Unknown Unknown
Operation:
System problems? Yes No
Sewage-odors? Yes- n No
Direct surface-discharge(s)? Yes M No
Back-up of toilets? Yes ✓ No
Back-up of any other f xtures?.(e.g. slow drains) Yes, n No
Seasonal ponding or breakout.of leach'field? Yes M No
Statement of Aeceptance of Conditions:
I agree to:
•` Ensure that the septic tank(s),distribution box(es), and/or seepage pit(s),,if any, will be uncovered
prior to:the requested inspection time;
• Have a septage hauler on site(to pump the tank after*the inspector verifies flow-from fixtures);_
➢ Tank must be pumped in presence of inspector
• Have an authorized representative,present at the site;
• Allow the.inspector to verify information provided above, and to.conduct an inspection.of the
indicated onsite wastewater treatment system(s),including all system components and interior
plumbing-in crawl spaces and basements.
To the best of my knowledge,the information provided above is accurate,and'I acknowledge the following:
After 1 year from date of submission and there is no activity on this permit,the.permit will expire and will be
subject to submission of.a renewal application and payment of the renewal fee based,on the current fee
schedule.. All fees must,be paid PRIOR TO SCHEDULING any inspections. In addition, if the permit is
withdrawn 20%of the fee is retained-by the Town of Queensbury.
Signature of properly owner or authorized agent
Please:print.•name: Robert Stephens
Affiliation: owner F] agent
STEPHENS.ROBERT.WILLIAM: *HEJJSROBERTN7uw�'D..-PKI; "SA.
Signature: 376803372 oan.2020.07.01 n:n 06-WIW Date. 7/1/20?0
Prior,.to scheduling with the Town.of.Dueensbury,You MUST:
1:Schedule,a sewage hauler to be on site to pump tank while inspector is.on site.
Hauler,should arrive 30=45 minutes after scheduled time with the Town of QueensburyN
Code Enforcement Officer.
2. Expose.inlet and outlet of septic tank, and/or pump station, expose d-box, expose
any seepage pit covers.
3. Excavate test hole in leach field if there is no d-box.
Propeity Transfer.Packet Revised October 2019
EXEMPTION-CONDITION OPTIONS
Due to one of the-conditions listed below, I am requesting an exemption from the
Septic Inspection Upon Property Transfer by the Town of Queensbury:
The property tobe sold or transferred will not be inhabited,and-the new owner plans to demolish the.
existing structure. In order to�qualif exemption,
_ .n y, for the ex tion, a notarized affidavit must be submitted to the
Bailding'and.CodesEnforcement Office stating that the dwelling will not be inhabited and that it will be
demolished with no immediate plans to rebuild or the-dwelling will not be inhabited, it will be
demolished'and rebuilt, in which cage the affidavit shall be-accompanied'by a site plan, including
*1 adequate detail to demonstrate a lawful OWT S,together with a check payable
able to the.Town of
Queensbury:in the amount of$2,000. Such funds will,be held in non-interest-bearing-escrow account
and will-be released, in the former case,.upon issuance of A demolition permit and; in the.-latter case,
,
upon issuance of a certificate of compliance from the Building and Codes Enforcement Office. If the
Pr6perty. 'Tiransfer inspection is not completed 'Within that 6 (six) month timeframe-,
the $2000 will be forfeited.
An OWTS.inspection was not able to be completed prior to the conveyance' of real'-property due-to,hicleinent wtather. In order to.qualify for the exemptibri,la notarized Affidavit from the new pro-ppoy
owner to.complete the requisite -date ofthe conveyanceof site, OWTS inspection within six months of the o
real.property, or June I;which.ever comes first, must be I'filed-with the Building and Codes Enforcement
Office..A check payable to the.Town of Queensbury in the-amount of$2,000 will be-hdld,in- anon-
interest bearing escrow account and shall be released upon-the completion of a satisfactory OWTS
inspection from the'Building and Codes Enforcement Office. If the-Property Transfer
inspection is not completed within that 6 (six) month or June V timefram-e, the
$2000 will be forfeited.
The property to be sold or transferred contains an existingcomply with the
OWTS that does not
provisions of this article- and the prospective purchasers,and/or the Seller wish to forgo an inspection
approved property,
in favor of installing an appro ' dOWT within In order to
qualify for the exemption anot
arized affidavit must be submitted to the Building and Codes
Enforcement Office stating that the existing OWTS will be replaced within six months-from.transfer of
property. The affidavit must.be.accompanieda site -including adequate detail,to demonstrate
planj quate - ai
that the replacement.OWTS will comply with this article,together with a check payable to the..Town of
Queensbury in the -amount of 92;00.0. Such.-funds will-be helami a n.on;winterest-bearing escrow account
and will-be released upon.issuance suance of a certificate of compliance from the Building and Codes
Enforcement Office. If the Property Transfer inspection is not completed within that 6
(six) month titneframe, the $2000 will be forfeited,
Propeqy,Transfer Packet Revised Cfitdba 2019',
During the OWTS inspection, a failure of-the septic system was determined. Due to winter;and
frozen conditions,the repair to an existing OWTS could not occur or a new OWTS could not be
installed'before the conveyance of real property. In order to qualify for-the exemption, a notarized
affidavit from the new property owner to complete the installation or repair of the septic system within-
six months-from the date of the conveyance of real property, or June 1, whichever.comes.first, must be
filed with the Building and Codes Enforcement Office. A check payable to the Town of`Queensbury in
the amount.of$2,000 will be held in a non-interest-bearing,escrow account and shall be released upon
the completion of the repair or installation of a new septic system ande satisfactory OWTS.irispection
from the Building and Codes Enforcement Office.If the.Property Transfer inspection.is not
completed within that 6.(six) month or June I't timeframe;the $2000 will be
forfeited.
There is a ecord.of aseptic system inspection,upon property t-ansfer permit-and-inspection completed
and passed within the last three.years. Please provide a copy of this record.
PLEASE READ NOTICE THOROUGHLY:_
Failure to complete the inspection,;obtain the permit or complete all repairs/installations
identified in the preceding subsections of this section within the time provided'..or any subsequent
deadline established by the Building and Codes Enforcement Office.will result in forfeiture of the
moneys held in escrow, and the Town may use such funds toward abating the conditions caused
by each such violation of this article.
Inspections must take place within one (1) year of submission of a completed application.
Inspections scheduled to take place after the one-year period will be subject to submission
Vf-a renewal application And payment of the renewal fee based.on the current fee schedule.
I have read and understand the above notice regarding the expectations and possible forfeiture
of moneys submitted to the Town of Queensbury for an.exemption request.
Seller:
Print Name: Estate :of Christopher Goss 7/1/2020
Date:
071OZ2020 07.17 PM
Sign Name: °M Date:
Buyer:
Print Name: Robert Stephens Date: 7/1/2020
STEPHENS.ROBERT.V1lILLIAM.1376� DigitalysignedbySTEPHENS.ROBERT.WILUAM.1376803372
ON:c?US;wU.S.Goyemment,-ou=D OD,oy=PKI,ou=USA, 77112020,
en=STEPHENS.ROBERT.W ILLIAM.1376803372
Sign Name: '803,372 / Date:2020.07.0117:11-.28-WOO' -Date: . .
Property Transfer Packet Revised October 2019
Dear Town of Queensbury, 7/6/2020
1 (Robert Stephens),will be hiring a Structural Engineer/Contractor to upgrade my septic
holding tank from 1500 to 3500 at 128 Sunnyside North,Queensbury, NY 12804 within (6) Months
based on the waiver for the Onsite Wastewater Treatment System.
of
Robert W Steph s
Sworn to me t is 6 July,2020
N tary P lic
JESSICA E.STOVER ` '— �`�—��' •ZO
Notary Public,State of New York
No.02ST6134163
Qualified in Saratoga County
Commission Expires Sept.26,20 Z
P2 GV
�
j�1: Jul. 0 6 6+2 0y�h40BURp
x®
BUILDING F
y
.i
8/31/2021
Queensbury Town Board,
I (Robert Stephens) am 'requesting an extension from 8/31/2021 to 12/31/2021 for my
Septic Holding tank to be connected at: 128 Sunnyside North, Queensbury,NY 12804. It has
taken longer than expected to place and connect my holding tank. Grimm Building Material Co.
truck couldn't place the tank in the hole because of the weight(24,000lbs). I had to schedule the
removal of power lines by National Grid then contracted a crane from Rozell East to place the
holding tank in the hole then had the power lines reconnected. I completed this by the end of
July.
I had to leave for 3 weeks for military training July 25 —August 7 and August 13-18 this
made it impossible to meet with a plumber and have my tank connected to the house.
I am working with Moe from The Country Plumbers to get my Septic Holding Tank
connected in a timely manner.
Some of the measurements differ slightly. All are more not less.
-26' from my Well not 25'
- 50' from Peter Goldsmith's not 46'
- 14' from the Property Line not 10'
I don't want these to be incorrect when the town measures it, but also don't want to
change it again because it's hard to measure standing on top on the septic tank because I'm not
level with the ground.
Sincerely,
Robert Stephens
SEWAGE DISPOSAL SYSTEM EXEMPTION COMPLIANCE LETTER
742 Bay Road, Queensbury, NY 12804
P: 518-761-8256 www.queensbury.net
Date: 6 July 2020
To: Robert Stephens
(Purchaser)
Re: System Inspection Site Report for:
128 Sunnyside Rd N, Queensbury NY 12804
(Site Address)
The purchaser of the above-referenced parcel has submitted to the Town of Queensbury an exemption
request which includes a notarized letter stating the septic system will be inspected within 6 months of the
Property Transfer.
The purchaser has also submitted a waiver deposit of $2000, as well as paid the $250 inspection fee. If,
however, the Septic Inspection Upon Property Transfer has not occurred or a replacement system has not
been installed within 6 months of the date of Property Transfer, the $2000 waiver deposit will be forfeited.
Sincerely,
David Hatin, Director
Building & Code Enforcement
Town of Queensbury
Building & Code Enforcement September 2019
RESOLUTION APPROVING SANITARY SEWAGE DISPOSAL
VARIANCES FOR ROBERT STEPHENS AND EXTENSION OF TIME TO
COMPLETE WASTEWATER SYSTEM IMPROVEMENTS
RESOLUTION NO.: BOH 32,2021
INTRODUCED BY: Mr.Harrison Freer
WHO MOVED ITS ADOPTION
SECONDED BY: Mr.Tim McNulty
WHEREAS, the Queensbury Town Board serves as the Town's Local Board of Health and
is authorized by Town Code Chapter 136 to issue variances from the Town's On-Site Sewage
Disposal Ordinance,and
WHEREAS, by Resolution No.: BOH 61, 2020, the Local Board of Health approved the
application of Robert Stephens (Applicant) for a variance from Chapter 136, §136-11, which
requires applicants to obtain a variance for holding tanks as the Applicant wished to install a new
4,000 gallon septic holding tank in lieu of a sewage disposal system on properly located at 128
Sunnyside North in the Town of Queensbury and bearing Tax Map No: 279.17-2-7(Property), and
WHEREAS, the Applicant again applied to the Local Board of Health for variances from
Chapter 136 as the Applicant wishes to install the new 4,000 gallon septic holding tank in lieu of a
sewage disposal system with the holding tank to be located on the Property:
r
1. 25' from his well in lieu of the required 50' setback; and
2. 46' from his neighbor's well in lieu of the required 50' setback: and
WHEREAS,the Town Clerk's Office published the Notice of Public Hearing in the Town's
official newspaper and the Local Board of Health conducted a public hearing concerning the
variance requests on Monday,June 21St,2021,and
WHEREAS, the Town Clerk's Office advised that, it duly notified all property owners
within 500 feet of the subject property,and
WHEREAS, Town Code Chapter 137 requires inspection of Onsite Wastewater
Treatment Systems (OWTS) prior to the sale of certain real property and provides that a $2,000
escrow deposit will be forfeited to the Town in the event that completion of a wastewater
treatment system meeting all standards is not completed within the time provided as established
by Chapter 137, and
WHEREAS, a change of deed for the Applicant's property occurred on or about August
12, 2020 and when the required property transfer septic inspection took place, it was found that
the existing wastewater system was deficient but the proposed holding tank was not able to be
completed within the required six (6)month time period, and
WHEREAS, the Applicant therefore applied for a timeline extension or until August 31,
2021 to install the holding tank and extend the date on which the $2,000 escrow deposit he
previously deposited with the Town shall be automatically forfeited to the Town and the Director
of Building and Codes Enforcement has recommended Town Board approval of this requested
extension,
NOW,THEREFORE,BE IT
RESOLVED,that:
1. due to the nature of the variances, it is felt that the variances would not be materially
detrimental to the purposes and objectives of this Ordinance or other adjoining
properties nor otherwise conflict with the purpose and objectives of any Town plan
or policy; and
2. the Local Board of Health finds that the granting of the variances is necessary for the
reasonable use of the land and are the minimum variances which would alleviate the
specific unnecessary hardship found by the Local Board of Health to affect the
Applicant; and
BE IT FURTHER,
RESOLVED,that the Local Board of Health hereby approves and authorizes the application
of Robert Stephens (Applicant) for variances from the Sewage Disposal Ordinance to allow
installation of a new 4,000 gallon septic holding tank in lieu of a sewage disposal system with the
holding tank to be located:
1. 25' from his well in lieu of the required 50' setback; and
2. 46' from his neighbor's well in lieu of the required 50' setback:
on property located at 128 Sunnyside North in the Town of Queensbury and bearing Tax Map No:
279.17-2-7,and
BE IT FURTHER,
RESOLVED, that the Local Board of Health further authorizes and grants the Applicant
additional time to obtain a certificate of compliance from the Town's Building and Codes
Enforcement Office as set forth in Chapter 137 to install the holding tank and extends the date on
,which the $2,000 escrow deposit the Applicants previously deposited with the Town be
automatically forfeited to the Town until August 315; 2021 and authorizes and directs the
Director of Building and Codes Enforcement to take any and all actions necessary to effectuate
the terms of this Resolution.
Duly adopted this 21St day of June,2021,by the following vote:
AYES Mr. Freer,Mr.Ferone,Mr. McNulty,Mr. Strough,Mr.Metivier
NOES None
ABSENT: None
RESOLUTION APPROVING ROBERT STEPHENS' APPLICATION FOR
SANITARY SEWAGE DISPOSAL VARIANCE
RESOLUTION NO.: SOH 61,2020 D
INTRODUCED BY: Mr.Anthony Metivier DEC 2 3 2020
WHO MOVED ITS ADOPTION
TOVI(P�OF QUEL6�§SI3URY
BUILDING&CODAS
SECONDED BY: Mr. George Ferone `� -�
WHEREAS, Robert Stephens (Applicant) filed an application for a variance from
provisions of the Town of Queensbury On-Site Sewage Disposal Ordinance Chapter 136, §136-11,
which requires applicants to obtain a variance for holding tanks as the Applicant wishes to install a
new 4,000 gallon septic holding tank in lieu of a sewage disposal system on property situated at 128
Sunnyside North in the Town of Queensbury, and
WHEREAS,the Town Clerk's Office published the Notice of Public Hearing in the Town's
official newspaper and the Local Board of Health duly conducted a public hearing concerning the
variance request on Monday,December 215t,2020,and
WHEREAS, the Town Clerk's Office has advised that it duly notified all property owners
within 500 feet of the subject property,
NOW,THEREFORE,BE IT
RESOLVED,that
1. due to the nature of the variance, the Local Board of Health determines that the
variance would not be materially detrimental to the purposes and objectives of this
Ordinance or other adjoining properties nor otherwise conflict with the purpose and
objectives of any Town plan or policy; and
2. the Local Board of Health finds that the granting of the variance is necessary for the
reasonable use of the land and is the minimum variance which would alleviate the
specific unnecessary hardship found by the Local Board of Health to affect the
Applicant; and
BE IT FURTHER,
RESOLVED, that the Local Board of Health hereby approves the application of Robert
Stephens for a variance from the Sewage Disposal Ordinance to install a new 4,000 gallon septic
holding tank in lieu of a sewage disposal system on property located at 128 Sunnyside North in the
Town of Queensbury and bearing Tax Map No: 279.17-2-7.
Duly adopted this 2 1"day of December,2020,by the following vote:
AYES: Mr.Freer, Mr. Ferone, Mrs. Magee,Mr. Strough,Mr. Metivier
NOES: None
ABSENT: None
l9
J
ttr�y —1--8in
TOWN OF QUEENSBURY Grimm Building:Materials Co., Inc.
48 in BUILDING & CODES DEPT. 48 in 96 Albain my Avenue
CL Reviewed By: Cove P.O. Box 157
Date:
96 in Green Island - Troy, New York 12181
�, �
Phone - (5I18) 272-1100
—20 in 24 Diameter Openings 20 in Fax - (518) 272-1100
TOWN OF QUEENSSURY 1
BUILDING DEPARTMENT www.grimmbldg.com
Based on our limited examination,compliance
with our comments shall not be construed as
inclicaung
comp is
YorK State.
67 1/2 in 6 in �22 i�F � 4000 Gallon Seamless
42 in 35 in
in Extra Heavy Duty
96 in _ CL (L- L18 in qL _ Plan Septic Tank
[Vieml
48 in 6 in CE 48 in Designed For AASH'tO H2O-44 Live Load
22 i
Concrete
6 in 34 in 4000 psi @ 28 days
67 1/2 in Concrete Baffle 22 in in Entrained A1r - 5%-8%
r6
L6 in +�
CK -J Concrete and Reinforcing as Per
- 24in" -�
ASTA C890
4 in L-3 in rofil All "Holding Tanks" and "Oil/Water Seperators"
78 in 69 in 71 in
69 in
72 in View are supplied without an inlet baffle or
i 48 in second compartment baffle wall.
It
in