2000-282 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE S 0 Building Permit No. 2000282
TAX MAP NO. 44 . -2
Permission is hereby granted to ASPLAND, MICHAEL
Owner of property located at 15 REARDON RD.
in the Town of Sr. T1 _ _77
Queensbury,to construct or place a �= --- -
at the above location in accordance to 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.
Owner's Address:
t, REARDON RD.
QUEENSBURY, NY 12304
Contractor or Builder's Name:
Contractor or Builder's Address:
JAY SWEET
0
Electrical Inspection Agency:
Type of Construction:
SEPTIC
Plans and Specifications:
SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
SEPTIC ALTERATION
25 June 6 2002 •
PERMIT FEE PAID—THIS PERMIT EXPIRES
(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 of Queensbury this Day of
1
SIGNED B'L_ - for the Town of Queensbury
Code Enforcement Officer
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION:
Office Use
Location of installation: f 3,4 !/o.4/ /`-O. •=K
File Permit No. C
Tax Map No. '`IT / 2- / / 7 o d
Fee Paid -
Owner's Name: A�, / /5-ez_rt,v_O
Address: i /ic7 J ,t),
2. INSTALLER'S NAME : c% S/ / JcM2t- PHONE NO. 792'3� "Y
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
Q$0 or old 3 x 150 gal/bdrm = ,fJ
1980- 1991 x 130 gal/bdrm =
1991 -present x 110 gal/bdrm =
Garbage Grinder Installed yes /
Spa or Whirlpool Installed yes / no
MAY 0 8 2000
4. PARCEL INFORMATION: (circle applicable information &indicate measurements) OWN OF OUEEn4SBt-t' 4'
3uILDiNG ANP,GOP .
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
Flat and at what depth at what depth municipal
Rolling oam feet feet al[O
Steep slope clay if well; water supply
%slope other from any septic-system
depth: absorption is '0 ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate:JN,,J /.i s`Lminute per inch
5. 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). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: /9' gallon(min. size 1,000 gal)
Tile Field: each trench ft. Total System Length: ft. Scli
Ov
Seepage Pit(s): number of size of each: ft. by ft. f
Size of Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: \ 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 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 to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
:"'
j/l/ch
51f
�gnature of respo ibleperson
9 p �Date
1
TOWN OF QUEENSBURY
BUILDING b CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name M ICA-AAF't _ Afjpt ,p,( C)
Location _ 5 REEE _�p
Date (p—(a—co Permit # ZOOr?5J
SOIL TYPE Sand- oam-Clay-
Results of Percolation Test-
(if applicable) R -Minute/Inch
TYPE OF SYS
ABSORPTION Total Le th i.t<�O
Length of each trench [a ti Jto t
Depth of enches I
Size of St. e 4t7_
SEEPAGE PITS. Number-
Size - . x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
�
Tank to Dist. Box LA -.�1�--L-�Q_
tDist. Box to Field/Pit ' 14 t' 7
Openings Sealed? 401110 No .•rtial
LOCATION/SEPARATIONS:
Foundation to Tank id fe-
Foundation to Absorption t51 feel
Separation of Pits _ fe:
Conforms as per Plot Plan 0
LOCATION OF SYSTEM ON PROPER
(circle one)
Front - Rear - Lef - Right Side
Middle Front iddle a35
COMMENTS:
be FRo ti liA EL.
1►J t�'E-D M ``R4aNV.
SYSTEM USE APPLA/
OVED- YES NO
Arrive. . • ° -
Depa - ed: ��:_l t
/Ay:: AL
''' /:wilding s,ector
f i o Iv
5147
r ,01
d ----s---- ----�
Two percolation tests were conducted on April /-
The results -were as follows :
a . Pere test #1 Hole depth '8" Pere. rate 3min-r'.itse� ;' nch
�\
1 b . Pere test #2 Hole depth 'L8" Pere rate :gym in-1 t�se�/inch
leg " f Average Pere rate
p } Soil : " Top 4" -6" sandy loam with small stones and fines -
--- -= I Bala.nce to bottom of holes yellow hardpacked sand with me
in new ser-tic fines . Deep 91- test hole approx .� 5ft . deep area :
_-
��j�j�!'jf�Nff showed no ground water at that level .
A 3-bedroom residence with new 1 . 6 gal/flush tc ft'iii , a
I f percolation test of lmin . -5min . per inch, and any eft` l�rft .
discharge of 330 UE'U will re,-tuire a minimum of .3�,�.► Spa . ft .
of absorption beck. The absorption bed for this residence is
designed as 15ft . wide by 30ft . long with three ( ) 4" clis . !
perf pipe laterals spaced 5ft . apart, with ends cam-P-d • The
A bed system i^ to_ be gravity fed from a 1Jo . 1 "1?" box nn.l a
} = new 1 , 000 gal . septic tank . The existing steel ser-,t tank
and the existing seepage pit are to be removed or i' i ! led
in . No garbage disposal_ system is to be connected to ttris
absorption system. '
The existing well for t.hi-s r-r,-idencP will t�F' approx . t;iiFt -
from the new septic disposal system . The neigghbor t�, the
�' /_" ✓•� ; - ( 1 "south" has an existing well. which will be appr� x .
from this new septic system and he is planning . in the nAarf
2000282 44 . -2-17 future , to ins:t,al l n nvy dri 1 led w,-l.l at 1F"act 1�!lift . i rom ,
i this system . He will sign a release to allow this new ;
i, ASPLAND, MICHAEL
{ 15 REARDON RD. septic system to be installed BUft . from his pres,•nt w� L1 . �
;V The neighbor to the "north' has an existing we]
i �:liich will
SEPTIC ALTERATION
be 100ft . front this new :,eptic system . All existing wells
are up-hill from all septic systems- _ -
QF C K I The new se tic tank should be pumped out, at opt intum
P
t Q� intervals to prevent carry-over of any solids t,n the new ;
absorption system .
{ �� 5 . -The new "U" box and setit, 1c tank shou ld be of prA cast
� � concrete construct i nn- as manufactured by theFart Ili 1 1er �i
v �� Company or approved equal .
y✓,c!� MAY 0 --- -- - -------------—
BZ�Q �; . Piping from residence to sPp► ice tank and from sF'nt.ic lank !
t IV®FQiJEE to U" box should he 4'' so] i(i-wall. pipe (no perfr,rati Ins > . j
-URZINGANdC�BURY Absorption bed effluent piping should be 4' dia . G1erf :gated
1
-�E plastic pipe_a.nd fittings ma;n�_zf; -fired for this use .
-
( i 7 . No heavy vehicles or other equipment should be allow'',] in
rthe "bed" area. - J-- - — --- - -- --- - .--
- A-- % — /-',�D/'� 5 =/�li! Ti i✓� WIMAM E. MONTGOMERY JR. YE
r
MoNr� CONSULTING ENGINEER
"1 tare� et ereerred.or believe I saw evidence of, _ !
�ttclt a hetw wells,trees, fences, etc., �'Q�
-- l _
M i deOlNllel-L I also represent that ! have - t o
the distances set forth on the d� gra -- , oilFRA� /�0/`� /'// G`
37419
A 0`�` G G L I L �i, EREVtEWM BY
A ATE DATE �/y
PZZ ✓ f��/X
Data y
..� - _ _
!?�'��` t�•I�C` ` ' Eli j`� }�/� p e �' 4 /1•" p/pe � Xi."1D'1. ? t �`•�.l�:f�r -'�
6_15 0E ON TOE D�',B:`OINLET
P ds .6t
OUTLETS- FIVE 4"
KNOCKOUTS WITH
HIGH DENSITY POLY-
/ ETHYLENE PIPE SEALS.
67ZI:?Z9 4? #1 Distribution Box
24" TAPERED HOLE & PLUG
'�' .,�. A•a7•� � i � lf yoy� ;� (TYPICAL)
1� •
y, jj� .� � M
•; rer•�a�c�: Y . 4 • +'`�'`���r ���:iG•� a ,�, R c. •�.:asr�e 'E/r,1,� , 4" 1250GAL.
CJb
' - ire .•2l�� ( \'" d *'•' ...I .
750 GAL. 1000 GAL.
4'-5" 5'-01/2
rZ
5'- 5�_ //V/9 z
' 0
4'-8
1000 GAL.
51- 11. Ae 8'- 81/2"
750 GAL.
4'-5" 7'- 11
4'-0"
/3E-/'1 aY�dl f C'D I/,�/•� LIQUID 1250 GAL.
6-1f /i D.L
LEVEL 10'-2'
z HIGH DENSITY POLYETHYLENE
PIPE SEALS PROVIDED AT ALL PIPE
3"
CONNECTIONS SHOWN.
i
750-1000-1250 Gallon
Seamless Septic Tank
— ----Do ----- — —
_--- -- WIU MM E. MONTGOMERY JR. F
rx
CONSUMNG ENGINEER
•.1a r'% • i • P r' • % , *•. rl'
/2"� �. f4 /�.�' Y�L '.Z� �!t � ' :` i'� ' `;J`. ',r �y6/•y
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