95-166 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY 95166
TAX MAP NO. 44. -2-29 No.
WARREN COUNTY, NEW YORK
CHANDLER. RAYMOND & GAIL
PERMISSION is hereby granted to
167 TEE HILL RD.
OWNER of property located at Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SEPTIC 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
TEE HILL RD. .RD1
QUEENSBURY NY 12804
2. CONTRACTOR or BUILDER'S Name
QUEENSBURY SEWER
3. CONTRACTOR or BUILDER'S Address
JAY SWEET
0
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
SEPTIC
( )Wood Frame ( I Masonry ( I Steel ( )
7. PLANS and Specifications
SEPTIC MI9TERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SEPTIC ALTERATION
$ 25 PERMIT FEE PAID—THIS PERMIT EXPIRES April 9 1997
(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 20 y of April 19 95
SIGNED BY for the Town of Queensbury
Building and oning Inspector
,Iipplication for • 1 RFC IV D
SEPTIC DISPOSAL PERMIT STAMP APR 181995v►.i)
TOWN Oi' QUEENSE;URY
Location of property for installation: m BU!LDLN AND COPE .J
PERMIT NUMBER
Owner's Name: 6- C rr h is rt c( fy r qs---- /&. .,.Address:
Installer's Name: 0.1
F_ f� )- g 1-4r v , `)'4).0 c FEE PAID ' ' �/. �% I
Phone #: ( ) 19 ''t.�q , i /"
Number of bedrooms (if residential):
Total daily flow (residential -compute @ 150 gal. per bedroom): / SZ /;...= f
Topography: Flat ITy Rolling I ( Steep Slope 4b of Slope
Soil Nature: msSand I 1 loam I ('lay I Other /Depth: ..-4' ` '
Ground Water: at what depth? feet i
Bedrock or Impervious Material: at what depth? feet
Percolation Test: (t] Not Required Required/Rate min. per inch
Domestic Water Supply: I I Municipal ( A(( Well ( ] Other
If domestic water supply is a WI LL: water supply from any septic absorption is / feet •
PROPOSED SYS•Ti3M:
, sr
Septic tank:/DO o gal. (minimum size: 1,000 gal.)
Tile Field: each trench feet. / total system length feet.
Seepage Pit(s): number of / size each: ft. x Si ft.
Size of stone to be used: # / depth or thickness Z ' feet.
1101,1)ING 'TANK SYSTEM: (if required)
Number of tanks: Size of each: gal.
1115 Alarm system and associated electrical work to he inspected by a certified agency.
For your protection, please note that pursuant to Section 136-29 of the Code ()fate Town of
Queensbury, any permit or a ppronal 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 o f 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. •
Sienature o f responsible person: Date: • /6 9
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location X l/
Date Permit # 415' 166
SOIL TYPE: nd-L am-Clay-
,
Results of Perol tion Test-
(if applicable) R te-Minute/Inch
TYPE OF SYSTEM:\
ABSORPTION FIELD. Total Length
Length of each trnch
Depth of trenches ',
Size of stone 45
SEEPAGE PITS: Nu ser-
Size - ft. x \ ft.
Stone size
PIPING: S e Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field Pit
Openings Sealed? Yes No ;Partial
LOCATION/SEPARATII S:
Foundation to Tank feet
Foundation to Abso stion feet
Separation of Pits _ feet
Conforms as per Plo Plan Yes No
LOCATION OF SYSTEM t PROPERTY:
(vIL e one)
F • - Rear - Left Side - Right Side
Mid e Front - Middle Rear
COMMENTS:
i-aea
COI/ . OL / r u/je .�
/dl
SYSTEM USE APPROVED ES
NO
Arrived: 330
Departed:
c
Building ns ctor
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name E f - Jer-
Location
Da Vga if' Permit # yam/
SOIL E: 4d Loam-Clay-
Results o . Peolation Test-
(if applic. ,l ) Rate-Minute/Inch
TYPE OF SYS
ABSORPTION FIB ' : Total Leng h
Length of each, ench
Depth of trenc es
Size of stone
SEEPAGE PITS: Number
Size - 6 t. x , ft.
Stone size 3
PIPING: S� e Type
Bldg. to Tank
Tank to Dist. Bo UA ' Put-
Dist. Box to Fie ,./Pie) ya �G
Openings Sealed? Ni Partial
LOCATION/SEPARATII S:
/
Foundation to Tank feet
Foundation to Abso •tionb7- feet
Separation of Pits _1220 f
Conforms as per Plo Plan Yes _.
LOCATION OF SYSTEM i PROPERTY:
le one)
ron Rear - Left ide - Right Side
idd T Front - Middl Rear
COMMENTS:
pit44( 6.1-12 A Ni / Or
/421/-4V/oe leVoeJliept/A1/4%-
SYSTEM USE APPROVED: YES gf)
Arrived: 70 y /
Departed: /0)T
'.7.),Z4-04-
Building tUpector
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name /fir
Location _.--:— / "/'
Date `/ Jr Permit #9 5 ! LJ
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Te �t-
(if applicable) Rate-Minki'te/Inch
TYPE OF SYSTEM: ,e
ABSORPTION FIELD: Total/1 Length
Length of each trench/
Depth of trenches
Size of stone
SEEPAGE PITS: Numbr-
Size - ft. x ft.
Stone size
PIPING: ' Size Type
Bldg. to Tank \
Tank to Dist. B,x
Dist. Box to Feld/Plt
Openings Seal -d? 'es No Partial
LOCATION/SEP/RATIONS.i
Foundation Jo Tank feet
Foundation/to Absorption feet
Separation-' of Pits ` feet
Conforms as per Plot lan Yes No
LOCATII OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left 'de - Right Side
Middle Front - Middle Rear
COMMENTS: /
1J✓/ 'e/� C�`✓"..,• /`` s-e j 'e.
1 e!`✓ kj,// 6- ine.,#,¢i•.s-
SYSTEM USE APPROVED: YES NO
.)
Arrived: AO)
Departed: /i/.
((=Z -)
Building Inspector
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"I have seen or observed.or believe I saw evidence of, ,
• all objecb such as houses,walk trees,fences,etc.,
--P •k
c ( tk.) ‘ 1‘ (1
shovm on thb document I also represent that I have Nes 0 4.,._ ,e,//s- /Ai
personally mosaund tr distances set forth on the diagram!' /SO led- 0 i Nei,' sy,sh"
2
._
s c cc ) --e- (SIGNATURE DATE
LIXVID
RESOLUTION APPROVING A SANITARY SEWAGE DISPOSAL VARIANCE
FOR MR. RAY CHANDLER
RESOLUTION NO. 10, 95 C 5— 110L
INTRODUCED BY: Mr. Nick Caimano
WHO MOVED ITS ADOPTION
SECONDED BY: Mr. Theodore Turner
WHEREAS, Mr. Ray Chandler previously filed a request for two
(2 ) variances from certain provisions of the Town of Queensbury On-
Site Sewage Disposal Ordinance, such provisions being more
specifically that requiring that there be a 150 ' separation between
the seepage pit and a well or suction line, and
WHEREAS, a notice of public hearing was given in the official
newspaper of the Town of Queensbury and a public hearing was held
in connection with the variance requests on April 17 , 1995, and
WHEREAS, the Town Clerk advises that property owners within
500 feet of the subject property have been duly "notified,
NOW, THEREFORE, BE IT
RESOLVED,
a) that due to the nature of the variances, it is felt that
the variations will not be materially detrimental to the
purposes and objectives of this Ordinance or to other
adjoining properties or otherwise conflict with the
purpose and objectives of any plan or policy of the Town
of Queensbury;
b) that the Local Board of Health finds that the granting of
the variances is necessary for the reasonable use of
the land and that the variances are granted as the
minimum variances which would alleviate the specific
unnecessary hardship found by the Local Board of Health
to affect the applicant; and
c) that the Local Board of Health imposes a condition upon
the applicant that he must also secure the approval of
the New York State Department of Health, and
BE IT FURTHER,
RESOLVED, that the Town of Queensbury Local Board of Health
grants the variances to Mr. Ray Chandler allowing the placement of
the seepage pit:
1 . 95 ' from his well; and
2 . 100 ' from his neighbor's well;
rather than placing it at the mandated 150 ' distance( s ) , on
property situated at 133 Tee Hill Road, Town of Queensbury, New
York, and bearing Tax Map # : Section 44, Block 2 , Lot 29 .
Duly adopted this 17th day of April, 1995, by the following
vote:
AYES Mr. Caimano, Mrs . Monahan, Mr. Turner, Mr. Champagne
NOES None
ABSENT: Mrs . Pulver