90-468 •
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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date (7 /2 0 19 6.0
This is to certify that work requested to be done as shown by Permit No. 90-468
has been completed.
Thia structure may be occupied as a - sewage alteration
Location Antigua Road-Plum Point-Cottage
PAUL& BONNIE AARONS
Owner
By Order Town Board
TOWN OF QUEENSBURY
WjeTh C4c(Ekil I
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Director of Bldg. & Code/E,forcement
BUILDING PERMIT
TOWN OF QUEENSBURY 90-468
No.
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to BONNIE & PAUL AARONS
OWNER of property located at Antigua Road—Cottage Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage alteration
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
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2. CONTRACTOR or BUILDER'S Name
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Mike McLaughlin o
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3. CONTRACTOR or BUILDER'S Address (D
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X)
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( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
No. Sewage alteration to include 1000 gallon tank and 1000 gallon pump chamber
with 250 feet of tile field with #2 stone at 1 ft depth
8. Proposed Use
Sewage alteration 5
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25.00 92 SID
PERMIT FEE PAID —THIS PERMIT EXPIRES July 17 19CD
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 17th Day of July 19 90
SIGNED BY ( ! 1 }.(f tA/ i&t 2 , for the Town of Queensbury
building and Zoning Inspector
`#� TOWN OF QUEENSBURY ��, i PI
• � • APPLICATION FOR SEPTIC DISPOSAL PERMIT 6
kDATE: �(�' //
Ix
LOCATION OF PROPERTY FOR INSTALLATION 416 /./e4
Owner' s Name: <,i / -f-- ae-„,, ,4? % ,.e;
Address: ,o4 7`4 r,a /629L , ,Q/,e
Installer' s Name: _. C .,,, 6� //��,' elephone: 6- i�-- 9 ''/, . ��Jr"`
Number of bedrooms (residential only) /
Total daily flow (compute @ 150 gal per bedroom)
Topography: Circle one: Flat Rolling— Steep Slope % of Slope
Soil Nature: Circle one: Sand Looam Clay Other /Depth:
Ground Water: At what depth? /L//// Feet •
Bedrock or Impervious Material : At what depth? Feet
Percolation test: Circle one: not required required
Rate - Ir;_ Min. Per Inch
Domestic water supply: Circle one: Municipal Well Other
If domestic water supply is a, well : -
Separation: Water supply from any septic absorption .feet.
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PROPOSED SYSTEM: Se tic Tank v�d Pc' ��p J �'�al . (minimum size: 1,000 gal )
TILE FIELD: Each Trench A So . feet/Total system length 5-0 feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used if, c- /Depth or Thickness / / feet
1-
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alarm _system and associated electrical work to be inspected by an approved
agency.
I have read the regulation on the reverse side of this sheet and agree to abide
by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal
Ordinance.
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SIGNATURE OF RESPONSIBLE PERSON: /, I D^; Q�,�� DATE: ' �J _
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' Jown of Queeniurj)
BUILDING .nd ZONING DEPARTM T
Bay and Ha ,iland Road, R.D. 1 B x 98
Queensk•ury, New York 128 1,
SEPTIC DISPOSAL SYSTEM I PECTION
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LOCATION
DATE_ 2� NO. </ISOIL TYPE - SandIERMIT
, Loam Clay -
Percolation Test 'Require4? YES - NO
Percolation rate 4 Min/ rnch
TYPE of SYSTEM: 1i •
Absorption field, `tot length
Length of each trench a'''
Depth of trenches ', If
Size of gravel ' 02.
SEEPAGE PITS{Numbe of)
Size- ft. X ` ft.
Gravel size
PIPING: Size Type
Bldg. to tank ; a" r 41 460
Tank to dist. box , 3.2' 1elt, "74
Dist. box to fie]jd/pit ,`
Openings sealed?/ YES NO Partial
LOCATION/SEPARA, IONS:
Foundation to t nk ;i go ft.
Foundation to . sorption /JO ft.
Absorption to , of line /0 ft.
Separation of •its i ft.
LOCATION OF S STEM ON` PROPERTY(circle one)
Front - eari,T Left slide - Right side -
COMMENT
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SYSTEM SE APPROVED YE N
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Bu -ing I Spector
Ol/86 and vl