2001-493 TOWN OF QUEENSBURY
Fom742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010493 Date Issued: Monday, September 24, 2001
This is to certify that work requested to be done as shown by Permit Number P20010493
has been completed.
Tax Map Number: 523400-289-007-0001-020-000-0000
Location: 50 REARDON Rd
Owner: PETER& MICHAEL ROZELL
Applicant: PETER& MICHAEL ROZELL
This structure may be occupied as a:
By Order of Town Board
Septic Alteration Residential TOWN OF QUEENSBURY
(-DJ
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
` r 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010493 Application Number: A20010493
Tax Map No: 523400-289-007-0001-020-000-0000
Permission is hereby granted to: PETER& MICHAEL ROZELL,
For property located at: 54 REARDON 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: PETER& MICHAEL ROZELL Septic Alteration Residential
47 REARDON Rd Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-493
SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
$25.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,July 06,2002
(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 T wn o uee 47; d;�, y 06,2001
SIGNED BY f \ for the Town of Queensbury.
Director of Building& Code Enforcement
' Application for Permit— Septic Disposal System
Town of Quceiisbruy 742 Bay Road Queensbury, NY 12804 (518) 761-825G
1. OWNER INFORMATION:
� Office Use
Location of installation: . r�. l e/z a t o- —Pelt —Lle:13 File Permit No.
Tax Map No. / / �• ��
J Fee Paid �7•
Owner's Name: 79 lite!-)A L'1- 1 ;Zc l
Address: 4/!"Re/R n 0
2. ••INSTALLER'S NAME : 14 7 e IC o .=e // PHONE NO. 79 3
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate ii bedroom(s) and multiply II of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No, of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdnn = o v
1980— 1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm = RFC/ENE:"
Garbage Grinder Installed yes / no JUL 6 �00�
Spa or Whirlpool Installed yes / no
TOWN OF QUEENSBIt 'e
4. PARCEL INFORMATION: (circle applicable information & indicate measurementc)BUILDING AND CODE
�4D9KtilPl1Y So' ► tItt9 . CQ.tou!td Wetor. _Ded.lQck.or_j!npotyinus .nl.ct_l:al___Do►lest ic_Watcr_Supitly
Fta �i1;t1�) of what �R rho/rip at what clip(/► n I Clpda!
j/ feet , feet
e ep slope clay if well; water supply
%slope other fi•onr any septic-system
depth:0--1 I.
absorption is fl.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: /, N L/Os?Jnlnule per inch
5. PROPOSED SYSTEM: For New Constructlen: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect (unless installed in a Planning Board approved sulxlivision). Add 251) gallons to the sin
of the septic hank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: ____ gallon (min. size 1,000 gal) k2 a' 3>'S !',--1-,
Tile Field: each trench I fl. Total System Length: 3 2-----.
Seepage Pit(s): number of /'41 size of each: fl. by ft.
Size of Stone to be used: II .__V� ! / depth or thickness
Bed System Size: /Z' ) x
Alternative System: r4//2 length and/or size
.6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: /1' '° gallons /TOTAL Capacity:19/k gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON (please read)
For your protection, please note that pursuant to Suction 136-29 of the Code of the Town
of Quoonsbury, 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 road the regulations with respect to this app 'cation and agree to abide by those and all
requirements of the Town of teensbur San tar Sewage Disposal Ordinance.
• gnature of responsible person D e
`C'
Pool Inspection 0 —`7J.
7‘12)
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road, Queensbuuy,NY 12804
.1(. )/(
Date received: 1
NAME:
LOCATIO N - r r (-,<
PERMIT#: C"
INSPECTS am/pm
Arrive: am/pm Dam/pm
Inspector's Initials: ?)Pt: Z
Above Ground: In-Ground:
J
N/A
Pool enclosure around pool
or yard
4 feet above grade
2 inch maximum clearance
to grade from underside of
fence
4 inch maximum clearance v4//
in fence pickets
Wall or Doors have self
closing device or alarms (30
second Alarm time)
Ladder secured in place and
latched
Deck gate < 56" to latch no
more than '/2" spacing in
gate openings
Gate opens outward, self
closing
Padlock provided on gates
or ladder
Indoor pool all doors self
closing or alarmed per
AG105.2 Item 9
Timer on pool pump (no
plug in timer allowed)
Final electrical 11 , o
Vehicle access gAte cksed
ked
Ok to issue GC
COMMENTS:
3 :3O f ib
t.„---_-----s TOWN OF QUEENSBURY
BUILDING5 CODE ENFORCEMENT
742 Bay Road PL � /�
'
Queensbury NY 12804
(518) 761-8256 77 3 z_co 5�
SEPTIC DISPOSAL SYSTEM INSPECTION
U-C— PAV
Name P ��
Location ,5Li R-E r (Y\ ;,q)
Datey6.0' Of°.Permit # Oi- ((9_3
SOIL TYPE: Sand-Loam-Clay-
S
Results of Percolation Test-
(if applicable) RatejMinute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: pital Length
Length of each treh
Depth of trenches::
Size of sto► 7
SEEPAGE PITS: Num er-
Size - — ft. l x ft.
Stone size
PIPING: Size Type
Bldg. to Tank j
Tank to Dist. Box
Dist. Box to FielI/P'
Openings Sealed? - ) No Partial
LOCATION/SEPARATI
Foundation to Ta k feet
Foundation to Ab `orption _ feet
Separation of Pi s , feet
Conforms as per Plot Plan Yes No
LOCATION OF SYS •M ON PROPERT
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
t- IA)A-L. C= .&< Yz e t 1 foe-e3
Pow\f C hte__ - o K---
‘II--, -- .--T4--- -/A) /0 rotvx ---0K
-,)SYSTEM USE APPROVED: ES NO
Arrived: ,151its-
Depparrted.:
4 C/
Building Inspector
/:do
TOWN O UEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY_I2804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name RO 2C000=
Location 1( i41edco1J A90.
Date 74 3 t d 1 Permit it ( I cikj 3
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length 32d
Length of each trench ( AP
Depth of trenches (,
Size of stone CL,/�,e) Y 5
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. B►x
Dist. Box to Fild/Pit
Openings Sealed' Y:s No Partial
LOCATION/SEPARA IONS:
Foundation to T.nk _ feet
Foundation to Ab orpt on feet
Separation of Pi s eet
Conforms as p- Plan -- 0-No
LOCATION iF SYSTE ON PROPER .
(circle40
Front - Lef , Side - Right Side
Middle • t - Middle Rear
COMMENTS: 0+,e.-- OP 1— <6-4-0
Pv ta e cam- b s4i'��
T -lam �vu►- 6 1 To �vtu p�t
``a t3� Ar Ate_
a►C 1 Cove R Af_c we '41°14
SYSTEM USE APPROVED: YES NO
Arrived:
Departed: at
Building Inspector �O/�
W c--a° 1eM-JD'
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location
Date rmi t #
SOIL TY'E: Sand-Lo.- -Clay-
Results of Percolation Test-
(if applicable) 'ate-Minute/Inch
TYPE OF SYSTEM: �r
ABSORPTION FIEL' : To al Length �j Z
Length of each rench 'j6 ,, pc.q. . --
Depth of trench: s j
Size of stone `c_
SEEPAGE PITS: mb: -
Size - f . x ft.
Stone size
PIPING: Size ype
Bldg. to Tanks �' �'�
� �,p1-s�Tank to ' ' . =ti:`4 _
byB Box to - t �„
Openings Sealed?TA 'es ' • Partial
LOCATION/SEPARATI+ S•
Foundation to Tank 1 ' /qA'nl feet
Foundation to Absorption 177 feet
Separation of Pits feet
Conforms as per Plot Plan a No
LOCATION OF SYSTEM ON PROPERT
(circle •.. .
Front - ' -. Left Side - Right Side
Middle * . Middle Re r
COMMENTS: 1 A44t 14L
SYSTEM USE APPROVED: YES NO
Arrived: i
Departed: Alm'
\\CP12
Building Inspector
--_ --
-
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i
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• j y
RECOMMEND ALL ACCESS BUILDING
LDI I:.J
1
do CLEANOUT OPENINGS
APPROXIMATE
w
R STONE ,
CONCRETE 0 REVIEWED
FINISH RAISED TO 6 BELOW BY
IN1SH GRADE MARKER ABOVE ALL
FINISH GRADE. - ••■...w...
B RRI COVERS U ED
DATE
RECOMMENDED.
EC
Li
.. FIELDS
.. DISPOSAL
1N •
INSTAL
LATION OF DI P
LET BAFFLE
R R 12 MIN. COVE OVER -
X COVER '
EO TE nLE _ _ •G '
ALL STRUCTURES PIPE .
4 PERFORATED P E
AR 01 OR EQUAL TYP 34 a
- K
a
BO
X O
1 DISTRIBUTION
!t< __ _ .. DRAWING,
- SLOPE 1 16 -1 32 - PER FT. 1. CO
NSTRUCTION SHALL BE A SHOWN ON THIS
M R w ,
BY FORT MILLER 0 - -- (�( THE N.Y.S.I I i I, I AND SHALL BE 1N 'ACCORDANCE WITH
17 MAX. .., ---�„i—.... � t —=
3 EQUAL I— DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS. AND :
ASTiA F481-76 INSTALLATION OF THERMOPLASTIC PIPE AND
p
FIELDS.
.
• 'CORRUGATED TUBING IN SEPTIC_TANK LEACHZ a
— 10 MIN. _
LIQUID LEVEL W
MIN. a
SLOPE .�
T
•• .. HEAVY EQUIPMENT SHALL BE ALLOWED WITH N THE LIMITS
1 4 _ .. SL
2. NO HE 1,L.
0
PER F ... OPE
/ 00T
_ .•..... ...... .... ..• OF E.DISPOSAL FIELDS AFTER PIPE INSTALLATION HAS BEGUN.
MIN. SLOPE .... ..•.•..,. ..... .•„•.•.. .. .... .. ., O O
ti
/ PER FOOT ....•. ..... .... .. TRENCH TO THE DEPTHS REQUIRED •!
-.. _ .... •.•.•... ., •... .... 3. AFTER EXCAVATION OF 4 "WIDE TR H
• 0 0 :.;., a .•.•.•.•.• :.;.•.•. ..
. . _: ;. :., _:: •. A 0 EACH TRENCH SHOULD BE CLEANED 4
a .. ... .... ,. •. ..,.. •. ..••-,:• . •-:.. ....... _ :.. ... THE--WALLS LLS AND FLOOR OF EA ,(
ALL OUTLET INVERTS. .. . .., ....,. _.,.• . .. . .
AND TO LOOSEN b' ICE
o .. ..• ..... .. _ . ., � .,• . . . ...,...•.. ..... ._.. ... ANO RAKED TO ACHIEVE AN EVEN SURFACEi�L
o TO BE SE T >. .. . . . . ,
. . ..,• :.... SECTIONS
.... .• •. SMEARED SEC 0 OF TRENCH SEPTIC TANK _.. .. .. _....•:.•�;. ... ..- .._,:,-• 5 EA ED S
PEA .. . ... .. _ .
FORTBY MILLER OR
EXACTLY THE SAME
GRAVEL ELEVATION. 4. PLACEMENT OF CONCRETE SAND IN-DRAIN UNITS, PERFORATED PIPE.
EQUAL
LAC
INLET do OUTLET USE OF SPEED LEVELERS _ AN GEO TEXTILE SHALL BE AS SHOWN AND IN ACCORDANCE WITH
( TYPE 8 IN DRAIN UNIT ,
C E SAND
y ONCR TE
BAFFLES ! DISTRIBUTI N BOX IN DRAIN DESIGN MANUAL AND NYSDOH APPROVAL CONDITIONS.
ENCOURAGED) BY ELJEN CORPORATION _ EL
�S
NYSDOT ITEM 03 07
- AT ni GRADES IN-DRAIN SHOULD BE LAID E
5•
THEIPIPE AND DRAT UNITS S 0 _
N MAINTAINING
FZ ANt7 TO THE RELATIONSHIPS SHOWN ON THIS DRAWING, M G
aSTRAIGHT -
z x .. CONTINUOUS GRADES WITHOUT SAGS. HUMPS, SEPARATED
W ,
o I I OTHER UNSUITABLE CONDITIONS. THE PIPE SHALL BE LAID
JO MTS OR E SU TABLE
c . ,
WI THE HOLES DOWN IN ALL CASES.
-o
0
TO SHED RAINFALL
O FIELDS E GRADED L
6. ALL�OISP SAL ELDS SHALL B
AN TO DIVERT SURFACE RUNOFF FROM ADJACENT AREAS AWAY
� D E U
• THE...DISPOSAL FIELD.
ABSORPTION SYSTEM NOTES•
FR _
• ABSO ON SYS
B IO MAT
MINIMUM x WIDTH T PIPES MUSTDISPOSAL
2 1 D OF AL DISTRIBUTOR P ES S BE
• EN L T F THFIELD SHALL BE-INSTALLED. UNDER DRIVEWAYS.
PLUGGED UNLESS INTERCONNECTED.
9. '.NO�AR . 0 E
i.,
MAXIMUM 4x W1DTH '
STA
NDARD TRENCH PROFILE . z. ALL LATERALS TO BE OF EQUAL LENGTH. �.
N.T.S.
•
EPTIC S TANKS
z
z
0
0
N W YORK O 1. ALL ITS SHALL COMPLYIR MENTS OF THE E w O11i81 THE REQUIREMENTS �. .
PROVIDE 3 SAND OR
O O
—'—� TA •D PARTM T H T CONCRETE
S TE E EN OF PRECAST CI`�
EJIL>♦1 AND SHALL BE P EC
Ps
TAN SEPTIC TANK T�
PEA GRAVEL UNDER K SE C 5 AI R Y FORT •«�
A ANUFACTU ED B MIUFR OR EQUIVALENT. �
vl
A W1-4
N.T.S.
ALL STRU TURES TO BE AND OR
2. C PLACED ON FIRM, COMPACTS
D �
R WH A FOUNDATION. CONDITIONS
G FOU D nON CO GRAVEL EJifltt'R TIN FOUNDATION EXISTING �Q
IT RUSH ARE UNSUITABLE. CRUSHED ,.St'ON SHALL BE PLACED AS '
E
V
NECESSARY T ACHIEVE A$A 0 CH EVE ST118 FOUNDATION.
LE OU
A
:
T!11 TANKS INSTALLED
3. SEP C A SIN LLE A EXTRA HEAVY 7RAFFlG AREAS SHALL BE
_ o
W
CONS UCnON DESIGNED FM H 20 WHEEL LOADING.
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4 MIN. OP V
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OVERFILL TO ALLOW
SEED H
FOR SETTELMENT
SUITABLE MATERIAL �
BACKFlLL WITH SU LE
LEN
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�c C� APPROXIMATE LOCATION
APPRO TE LOC
' _� i 4 • PERFORMED PiPE ,�,
LAKE ., , \ 1N BASEMENT
s o O--TEXTILE COVER - MAP REFERENCE.
MIN. :--
TYPAR 3401 OR EQUAL .., -:. ,•. `4,
:. .s •t.i..,
4 1. MAP OF SURVEY MADE FOR
.. t,t.,.t.t. .j..t. d•t t
CHARLES WILKINSON
o •.�
DATED
JUNE 15 1999
1.,' ,fir •. .• . •., .•. tM J '• - � `l- -
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BY VAN DUSEN
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_... IN-DRAIN UNIT LAND SURVEYORS LLC .,
.. . � TYPE B I D 2 O .:. •
O \
CORPORATION
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z BY ELJEN CORD
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4 MIN. ) �. .._
ce
4 NIN
C ONCRETE SAND
.�
8
UNDIST
URBED
DS OIL .
11 03-07
NYSDOT ITEM,� � �, a4
t�
u � � ro
p
MAXIMUM SEASONAL HIGH .. � \ '
h
174 0 �+
N WA ELEVATION T
CAOU D 7FJt
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t �h .
W
ABSORPTION
O TRENCH
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ABSORPTION SYS
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STAND
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N.T.S.
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- - I APPR � ••�' O
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OX LOCATION
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EXISTING LEACH. LINE
Q
186 T
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. CONNECT TO
ABSORPTION
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EXISTING SEVER l
p TRENCH RF ,
EL
GIN SS HATCH
GIN IN-DRAIN
a
EXISTING SEPTIC TANK BM-
MAT TYPE B' BID MAT UNIT ,
DAT
A
N
ABSORPTION SYSTEM
SOILS �
SO s <v
. s
SEVER PUMP T \ .. t 16 EACH
S ATIDN � � �
SEE DETAILS 39.
-
Q-
FlNIS►{>] i �
'�
�.
ELECTRICAL GRADE
�Y .D zi-�.
JUNCTION
(y NEV 1,000 GAL.
BOXTEST - i
�-� SEPTIC TANK Nn�
0 -10 .SANDY LOAM TOPSOIL 63 WELL TO w
••' '. - 28' SAND, FINE SAND AND COBBLES
SEE DETAIL
. . •-..: •,, . . 10 1 TIC TANK ?�
.. . Q
.. . . V/ TRACE SILT MIN)
I >.
.. ND MOTTLING
•..+
• . I 5fcp
ERSI a. : ZO
9
PUMP
•._
PFRPf1t ATiON TEST T O
Ia
40
PVC -�.
! MINUTE 40 SECONDS ` � DIST.
t:+
1 • A o tv zr p
5 ice•-+
E -
ALARM ON 2 1/2 FORCE MAIN TEST BY ►•
T AND PERCOLATION100,
T TEST PI W
1
.. SLOPE TO DRAI!! >i O
0 `
DULY 14 1999 ® (�
o ► NACE ENGINEERING O
•_ BACK TO PUMP STATION
PUMP ON X 2 i 4 INCREASER i sv
ti 11q
ti F ,
i, 12 862 s .ft. W
m A / "�� 0.30 acres
CHECK V LVE,
PUMPS OFF ..
1
l
; • fr %::.
• .. .• . . . , , • CONCRETE TO BE
TROWEL FINISHED
•_ NCRETE
4 0 I.D.ID PRECAST C A
MERCURY FLO T l� Dale. JULY
INTEGRAL BASE SEWAGE PUMP ('� l
MANHOLE WITH M DESIGN _ •. / �►�
AND FLAT SLAB TOP. SWITCH WITH SEPTIC SYSTEM
WEIGHT TYP. � ? STORAG Revbed DULY 19,1999
e . ::..
t s Rowbod JULY I99g AS MANUFACTURED BY FORT MILLER � ( ) •�� � : .
2&
OR EQUIVALENT ...._ � Revbee'l:A
RUNGS)
NO LADDER R )
�• FioYbed 9EP•T.
LEGEND
O 1
' DESIGN FLOW - NEV 2 BEDROOM HOUSE.
6
PLAN
• WATER SAVING (3.6 GAL FLUSH) FIXTURES 220 GAL/DAY _���.�. �
{ PROPERTY LINE
A - -
Scale. —
ANK REQUIRED 1 20
STATION l o0o GALLON T TEST PIt
SEWAGE PUMP SEPTIC TANK
Scale- As�lOiED
D � PERCOLATION ,
, ABSORPTION FIELD TEST �
N.T.S. - UNITED SPACE AVAILABLE DUE TO LOCA 71ON OF ADJACENT WELL o
_ APPROVED AT C
N IN-DRAIN LEA
CHING SYSTEM. NYSDDH APPRD E
P TO BE SEWAGE PUMP RATED AT A MI
NIMUM OF 2 0 GPM
USE EL,JE I
1. PUMP TRENCH = 7 SD. FT. I
! HEAD. PU
MP P GOULDS
EQUIVALENT APPLICA
TION RATE OF 1 LIN. FT. TR : WELL. ..
TOTAL DYNAMIC /
AT 15 FEET TO •
ABSORPTION AREA f
W505 OR EQUAL
R r
�P
3886 _MODEL AREA
= 4 SQ. FT. ABSDRPTD]N
BY MANUFACTUR
ER. 220 GPD/i.2 GPD/SF 18
PUMP CONTROL PACKAGE TO BE SUPPLIED4 9042 •
2 P _ IN-DRAIN SYSTEM REQUIRED.
AND VISIBLE ALARM TO BE ACTIVATED BY ALARM FLOAT 184 S�. FT✓7 SQ. FT./ LIN. F7. 26 LIN. FT t
Y
AUDIBLE _ S OF IN
DINTS-� 32 LIN. FT.
USE TWO 16 FT. LINE /
4
81fEi'1 OF 1