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2005-379 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFI CATE OF COMPLIANCE Permit Number: P20050379 Date Issued: Friday, July 15, 2005 This is to certify that work requested to be done as shown by Permit Number P20050379 has been completed. Tax Map Number: 523400-227-017-0001-010-000-0000 Location: 24 SHORE ACRES Rd Owner: REBECCA LUPE OWEN Applicant: REBECCA LUPE OWEN This structure may be occupied as a: Septic Alteration Residential By Order 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, t � Variance, or other issues and conditions as a result of approvals by the Director of Building&Code E orcement 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: P20050379 Application Number: A20050379 Tax Map No: 523400-227-017-0001-010-000-0000 Permission is hereby granted to: RERF.CCA LI TPE C)WRN For property located at: 24 SHORE ACRES 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: REBECCA LUPE OWEN & OTHERS Septic Alteration Residential Total Value 1908 HERITAGE Rd SCHENECTADY, NY 12309 Contractor or Builder's Name /Address Electrical Inspection Agency STEVEN OWEN 618 GLEN Ave SCOTIA_ NY 12302-0000 Plans&Specifications 2005-379 SEPTIC ALTERATION $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, June 03, 2006 (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 Town of Queensbury; Friday, June 03, 2005 SIGNED BY for the Town of Queensbury. irector of Bu114 C Enforcement Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1 1. OWNER INFORMATION: z jJ r . ............................................... ........_...............;I...................... Office Use Location of installation: i - � . 7 File Permit No. Tax Map No. e27' / / L j Fee Paid . T _ Owner's Name: drallc- , .......................................................................................................... ...................... Address: 3 0 Al- 23oZ ���, 376 -O6270 2. INSTALLER'S NAME PHONE NO. 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 Com utation = Total Daily Flow e 1980 or older x 150 galibdrm = i 1980- 1991 x 130 gal/bdrm = MAY l 7 2005 1991-present x 110 gal/bdrm = RY Garbage Grinder Installed yes— / no TOWN,OF QUEENS I i SUICDING AND CODE Spa or Hot Tub Installed yes+ / no r� �,i 7 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topoeraphy Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sa at what depth at what depth municipal 1 � � Rolling' a !oS feet P—feet well Steep slope clay if well; water supply _:L%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) '] Rate: _minute per incho 5. PROPOSED SYSTEM: For New Constructio . 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: gallon(min. size 1,000 gal) � Tile Field: each trench ft. Total System Length: ft. Seepage Pit(s): number of size of each: ft by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x r( Alternative System: L 6A SV\ MPOklength andlor size 6. ING TANK SYSTEM: (if required) Number of tanks: c gallons /TOTAL Capacity: gallons N ystem and associated electrical work must sg ed 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. SaZ 05 Sig ature of responsible person Dat� Septic Inspection Report Office No.(518) 761-8256 Date Inspection preqed:., Queensbury Building&Code Enforcement Arrive: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's InitiNAME: ! ��LOCATION: Z.,H S6 QP- — RECHECK: Comments and/or diagram Soil T e: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption.Field: Total length ft. Length of each trench ft. -Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: PVlng Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial End Caps Location/Separations Foundation to tank ECE 1 �� `j�t�EW E` Foundation to absorption ft. Separation of Pits Conforms as ver Plot Plan N En •neer R ort nd A VY N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Sta s• Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Last revised 1/6/05 T-7��- 3-7 Septic Inspection Report Office No. (518)761-8256 Date Inspection re est !ON: Queensbury Building&Code Enforcement Arrive: m/prt: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi s:NAME: r ITLOCATION: SPEL RECHECK: Comments and/or diagram Soil Type: Sand o Type of Water: Municipal/Well Water Waterline separation distance ft. + Well separation distance ft. Other wells: ft• 1 Abso tion Field: Total length ft. tvt ► �_`� Length of each trench Z ft• Depth of trenches ft Size of Stone Seepage Pits: Number Size: xU� Stone Size: Piping Size Type Building to tank Tank to t x u A LR i o t eld/Pit i� Opening Sealed: /Partial End Caps Location/Separations Foundation to tank Foundation to absorption Separation of Pits ft• o P C lot Plan jY n •neer Re ort nd As-Built N Location of System on Property: Front Rear Left Side 7tobe Middle Front Middle Rear System Use Status: pproved EPartial Approved dted,please call the Building&Codes Office Disapproved, ti Last revised 1/6/05 RECD L 7 2005 WDK Wayne D. Kant P.E. Consulting Engineer 133 Mohawk Avenue, Scotia, New York, 12302 (518) 381-6888, N.Y.S. License # 070962 Septic Inspection Report Lands of Owen 2A Shore Acres Road (Private) Town of Queensbury, N.Y. To Whom It May Concern: I have inspected the installation of a replacement Wisconsin mound septic system,with with pumped dosing during construction at the abov To the best of my knowledge the system was installed per approved plans. Sincerely: Wayne D. Kant RE 2 ~"� t PERMEABLE GEOTEX FABRIC RECOMMENDED. CLAY FILL UNTREATED BUILDING PAPER ALTERNATE. 02 OW 1°I-Irn CRUSHED OR WASHED STONE SAND I SAND-LOAM MIXTURE s MEO.SAND-25% 015.2.OMM 5-7 MIN.<30-35%0.05-025 MM 12.MIN. PERC.-5.10%0.002-0.05MN 0•MIN. �.........,.._.�.... B•MIN. S B•NIN.TOPSOIL68EED • `I C � s ° `� • - , PRONDE 8WALE n 1r MIN. 0 t j B cK FF 1�4 LIN J SLOPE 1 r Cl MOUND SECTION (not to scale) { Soil Data:Percolation and deep pit tests were conducted on this site on 4-29-05. RECEIVE �� I ' E q/ IS' IINODRKAITOOOR BMPLEK AIMMSYBTEM. Percolation Tests Results: PT-1 27:30,32:40,35:30 min/inch /at�N MODELSBOQ MIAS MNIUR BY URLEQUNT MAY 2 7 2005 Soil Profile: 0-18 Fine sand and silt. I TOWN OF QUEENSBURY t °10 AND('.ODE 18"Mottled 2j•5 ' NG MArma.EBECTwH 2z,s' Design Data: Replacement Wisconsin Mound Engineered System with absorption / ,� 5 L I ALL PEWTRATIOW TO BEWAITERTIOM y/r bed. —,-"--"".`.-�—� -- - -- 2•r'�•, ���� FROM TAN / 4'SCH 40PWC LIHE •!: SEPTIC K Lj Designed using N.Y.D.O.H."Individual Residential Wastewater Treatment System All \ Design Handbook,1996",N.Y.S.D.E.C. "Design Standards for Wastewater —-AV _0 F-�� __ -La i S� _ q �J ;'' „�IN� T°°�T�°X Treatment Works",Appendix 75a,and Available updates. \ p5• CLAMP 141r BON•DPVC PIPE FOLLOW CHART*SWATCH SLOPE STEEPLY BACK FROM 1) Design flow is based on 3-bedroom dwelling, 110 gal per bedroom,for a total w P011""°�°�""° CHE°(YNVE OIST.BO dFl ff*EEP SOCKET PRISNWE FIfTW66 design flow of 330 gal/day. (y ' p HYDFIC"ATIC DPW���I C• `A,/ �� Q Y m IbF nOPMOWNEADORE°WLL 2) Absorption bed area: Based on approved sand percolation rate of 6-7 L }3y Svffm min/inch use.80 gpd for area calculation. 330/.80=413 sq.ft.Absorption bed °E"""" O''""W. " area to be 15' x 27.5'for a total area of 413 sq.ft. r 3) Basal area(sloping site): Based on the native soil percolation rate of 3045 LM 2 use.5 ft2 as infiltration rate.Required area=330/.5=660 sq.ft. - r t « min/inchgpd/ q t. ,T a+.:�, ., .. k Actual area=413+((27.5+45.5)/2)x 15 =960.5 sq.ft. PRECAST CONCRETE TANK SEAMLESS AS MANUFACTURED BY 4) Lateral sizing,dosing and pump requirements: Use 3 laterals(1.5" FORT MILLER CO.OR EQUAL.!WM Q GALLON CAPACITY Diam),each 22.5' long with end manifold.Use orifices 22"O.C., 12 per `o lateral for a total of 36 orifices.Minimum flowrate is 1.11 gal/orifice/mint x 36 DOSING TANK SECTION =40 gal/min. Minimum dose volume= l0 x pipe volume=90 gal/dose. SLE�I/ir Actual dose volume=330/4=82 gal use 90 gallons per dose.Pump must be N07E' Plr �N capable of 10' head at 40 gal/min. Actual pump to be Hydromatic OSP-50 +t capable of delivering 40 gal/min at 16'total head(ok). N r 5) Install new 1250 gallon,dual compartment septic tank. r / © Pv 6) Install seamless 1000 gallon tank as dosing tank,see detail. G�� ! wtTHuti9 QY 7) No roof drains,garbage grinder,swimming pool backwash,water softener ! E / Aif,k.) FITT IjV 6S 1250 GALLON DUAL COMPARTMENT CONCRETE SEPTIC TANK r backwash or hot tub drains shall be connected to this system. ! Q SCALD NONE FINISHED GRADE Installation of Fill: /� / � �hI/K MANHOLE COVER 6'MIN,12'MAX CLEANDUT ,Gt 1) Suitable porous fill with an in place percolation rate of 5-7 min/inch shall be ,j /OVA� /o/tiy installed in 6"lifts per diagram. Approved mound system sand such as F11 �'s` MPY supplied by"Charlton Suburban Services,North Rd Pit"is required. Fill shall F r a' R FT. IN) /(S DIA• SAT ID WALL PVC / Es PER FT. (MIN) INV. OF INLET 3' , N / (SCH.40> AT be mechanically compacted or allowed to settle for on freeze thaw cycle r�iV(, WITH WATER TIGHT INLET 6 M I/8 PER FT (MIN.) WITH before installation of laterals. Fill must be installed when native soil is dry ` FITTINGS ABOVE I ET Of OUTLET WATER TIGHT JOINTS � ,�i�j�0� OUTLET and not frozen. 2) Fill shall ro perked in place,once stabilization has occurred,by engineer. 3 F6 HDPE PIPE SEALS ls' Is HDPE PIPE SEALS ? b ��6e� 4' C.I. TEE .L 4' C.I. TEE irt C�0 3) Owner is responsible for notifying engineer 48 hrs in advance for the 6' MIN, WALL THICKNESS following inspections: FOR POURED IN PLACE 3a)Fill in place pert. / • ,� - •r-�.w '�" CONCRETE e 1 ..s''i� 1/f i :- r _,e xa`�11 t 3' MIN. CLEAN $ 3b)Distribution bed,dosing tank and septic tank in place. R PEA `� JSAND 3c)After final topsoil and seeding. GRAVEL �+ +� �1 SULDI & C T Maintenance: � REVIEWED • FORT MILLER OR ACCEPTABLE EQUIVALENT 1) System components to be inspected regularly. 2) Septic tdnk to be pumped(minimum)every two years to avoid solids carry 3 DATE , over. 3) Failure to maintain system components will cause early system failure. N Poor site conditions have dictated an engineered system design. There is no actual or zS implied guarantee as to this systems long-term function. LATERAL DRILLED HOLE DETAIL PvG Del P;Es}L 9-5 �1 .1,5 1 Z" SCH-40 PVC wD K Title: Replacement Wisconsin Mound �oF NL.,I � : II �x 1- Lands of Owen o.,p Wayne D. Kant, P.E. Cleverdale Road, Queensbury, N.Y. Date. May 19 2005 ' 'e. \� I l�PV(�/ DRILL AND DEBURR 1 N HOLES ON z1.�' CENTERS 133 Mohawk Avenue y �:;, fk � _� ,= ALTERNATING SIDES. 30° FROM CENTER BOTTOM Drawn by: Wayne Kant .�!`� �> c� --_. "G`N `�� 1� �° ' Jk CENTERLINE OF PIPE. REMOVE PVC CUTTINGS FROM PIPE 4 v ��'��t" w~ . BEFORE ASSEMBLY. Scotia, NY 1 302 shermanspanner@aol,com Scale: As Shown Ow E �' ss>o I'A,, N.Y.S. License #070962 S1