1989-025 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 89-25
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Jean Taylor
OWNER of property located at RIXWMX Cleverdale Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage Alterations
at the above location in accordance to application together with plot plans and other information hereto filed and cp
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
F-3
Cleverdale, N.Y. 12844
2. CONTRACTOR or BUILDER'S Name
Scott McLaughlin Const.
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
F-�
(D
lD
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
N
7. PLANS and Specifications
No. 2-1000 gal tanks with 9 ' x 45 ' pressurized tile field `C1
NM as per plot plan and application.
8. Proposed Use rt
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Sewage Alteration
ri-
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$ 25 .00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 2 1911R91
(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 Queensbur this 2nd Day of February 1989
!
SIGNED BY G for the Town of Queensbury
Building a Zoning Inspector
Uwr' LA- QUEENSBURY
APPLICATION FOR TOWN OF QUEENSBURY
O �
> SEPTIC DISPOSAL PERMIT p RECEIVED
'"'""" ig- lest do FEB 7,1989
BLDG. & CODE DEPT.
DATE �/ / 89
LOCATION OF PROPERTY FOR INSTALLATION £f Jp0 ve
Owner's Name: jeAzip, " avit Telephone: 6 9,5'"l,5j--
Address: (1.koef'iale M, Cie 12_a4/4 7 0, 2./ g
Installer's Name: 17) 'L ic,` (i 0 r Telephone: to" 9 i??
Number of bedrooms (residential only)
Total daily flow (compute (d 150 gal per bedroom) /5b d
Topography: Circle one: Rolling Steep Slope % of Slope
Soil Nature: Circle one(OP Loam Clay Other /Depth: ( Feet
Ground Water: At what depth? ki0A)E., Feet 40:.4,nci
Bedrock or Impervious Material: At what depth? /��r�FFFeet
Percolation test: Circle one: not required required rate min. inch.
Domestic water supply: circle one: Municipal Well COther L c..l 4,JcC/t
If domestic water supply is a well:
Separation: Water supply from septic absorption /0(2 f feet
PROPOSED SYSTEM: Septic Tank2" /G)°° gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet/Total system length )( 5/ feet pre,V;u.4'1 z j
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # y /Depth or Thickness j feet
*************************
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.
SIGNATURE OF RESPONSIBLE PERSON:
DATE: L/�.�n
11 11 OVER
Septic System Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of the system
2.) location and distance to lot lines
3.) location and distance to structures •
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution boxes,
tile fields and/or drywells
B. No system shall be covered before inspection and approval by the
Building Inspector. Failure to comply with this requirement may
result in the uncovering of the system by the installer and a fine
of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
Remarks:
Jown of Queenitury ikto
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 40....e:t...—„r‘
L
LOCATION
DATE /3/ (rr PERMIT NO. C(S--Ci —;)
SOIL TYPE - Sand - ,Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorption ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Reftr - Left side - ,Might side -
COMMENTS:
SYSTEM USE APPROVED , YES'' NO
Building Inspector
01/86 and vl
-'s.
v'
January 16, 1989
Raymond Buckley, P.E.
Box 7 Star Route
Glens Falls, New York 12801
Queensbury Building Department
Queensbury Town Hall
Bay Road
Queensbury, New York 12803
Re: Jean Taylor Residence - Sewage system repair
Dear sirs:
The sewage disposal system constructed in 1981 for the
Taylor residence has functioned properly for the past eight
years. Recently however there has been evidence of a saturation
condition in the field which would indicate a clogging of the
soil under the field or possibly broken or clogged piping. I
believe there has been no maintenance of this system since it was
constructed.
I have enclosed a copy of the original plan I prepared May
20, 1981 and request a permit to excavate a test hole in the
field area and determine the nature of the problem. I anticipate
that it will be necessary to remove the stone bed and several
inches of sand under the bed and replace these materials -Is per
the original design. New plastic piping will be installed.
Respectful a.-r submittedd, /
taymbnd Buckley, P.E.
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