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2005-859 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 . IFICATE. 0F. OMPLIANCE-C :Permit Number: -.P.-20050859 : Date-I,ssued; = Monday, November.21, 2005 This.is--to certify. that_work-requested.to:be done as shown by Permit Number P20050859 -has been completed. - - -Tax Map-Number:.-,. _ 523400-253-003-0001=001-000-0000 Location: 82 HUNTER Ln _ Owner: :. = " - _ _ RICHARD &RITA SAGE Applicant: RICHARD &RITA SAGE 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 theQ property owner of the responsibility for compliance with Site Plan, - - Variance;or-other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. w TOWN OF QUEENSBURY 742 Bay Road;Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050859 Application Number. A20050859 Tax Map No: 523400-253-003-0001-001-000-0000 Permission is hereby.granted to: .RTCHARD &RITA SAGE For property located at: 82 HUNTER Ln m 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: RICHARD &RITA SAGE 82 HUNTER Ln Septic Alteration Residential Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Oi JEENSBI JRY SF,WF,R JAY SWFET Plans &Specifications 2005-859 SEPTIC ALTERATION $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, November 02,2006 (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 To e ensbu We nesday,November 02,2005 SIGNED BY f":. s for the Town of Queensbury. Director of Building&erode E orcernent Application for Permit— Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (S 18) 761-8256 1. OWNER INFORMATION: .....................................................................................................,.................. .............. f Office Use ��►--� Location of installation: �5 r2 G[ Y //ht C>S File Permit No, Tax Map No. 06 RE!66�& Owner's Name: r Z-1 Address:�'S 6 i� ��y ��i'� �P Nov 1 2005 TOWN OF QUEENSBURY BUILIJING � . ,J_ 2. INSTALLER'S NAME s� ?c" r 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 or x 150 gal/bdrm = } _ 1 x 130 gal/bdrm = 1991 -present x 110 gal/bdrm = Garbage Grinder Installed yes— / no Spa or Hot Tub Installed yes_ / no ��j 3 i 4. . PARCEL INFORMATION: (circle applicable information& indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply at sa-n -, at what depth at what depth municipal Rolling loam feet feet Steep slope clay if well; water supply _%slope other from'any septic-system depth; absorption isl,2-�o f t. .other Percolation Test: (To be completed by licensed professional engineer or architect) Rate,�LL M"L minute per inch S. 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: 1,RWS 6 gallon (min. size ],000 gal.) Tile Field: each trench �ft. Total System Length: Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # depth or thickness feet Bed System Size: 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. /ems_ Sign to a of esponsible person Date Town of Queensbury Sewers and Sewage Disposal Chapter Appendix C ABSORPTION FIELD SEPARATION REQUIREMENTS 'WW tA5_�q "�.Ww �T � �vWa.e •K f�oyk�F!£.�-tYttah2 K �"E6iLC5 K 'S! Appendix C ABSORPTION FIELD SEPARATION REQUIREMENTS PON rw. t WA1G P_IWINT r [K { ;,ram Septic Inspection Report Office No. (518)761-8256 Date Inspection re est rec ed: 0� Queensbury Building&Code Enforcement Arrive: m D art: pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: J � S� e P ' IT NO.: _ Ub , LOCATION: 7 a b ,�z.,-�. I{�tSPECT ON: XL-(A-� RECHECK: Comments and/or diagram Soil Type: Sand/gQ aTJ Cl Type of Water: Municipal/ ell Wa Waterline separation distan e . _ft. Well separation distance jov ft. t Other wells: 1. ' G"G ft. �p0 Absorption Field: Total length O ft. Length of each trench HQ z ft. Depth of trenches ft. Size of Stone Ai�: Seepage Pits: Number Size: Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit AA 11 O iff led: Y/N/Partial 6TC'4f End a 3 ` Location/Separations Foundation to tank Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan N Engineer Report and As-Built VY N Location of System on Property: Front Rear Left Side fight Side Middle Front Middle Rear System Use Stat s: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Last revised 1/6/05 9 RECEIVED NOV 0 1 2005 T OF QUEENSBURY BUILDING AN CCODE TOWN OF QUEENSVqy BUILDING �. O REVIEWED B DATE `I have seen or observed, or believe I saw evidence of, a v all objects such as houses, wells,trees, fences, etc., shown on this document. I also represent that I have personally measured the distances se forth on the diagram." hi LfGNATURE. DATE Ll 169 Haviland Road, Queensbury,NY 12804 oS �� Phone-518-745-4400 Fax -518-792-8511 October 31, 2005 Project#49197 Mr. Jay Sweet Queensbury Septic ` PO Box 4283 RECEIVED Bay Road Lake George,NY 12845 NOV 0 1 2005 Re: Percolation Test TOWN OF QUEENSBURY BUILDING AND CODE Richard Sage Residence— 82 Hunter Lane, Queensbury,NY Dear Jay: At your request, on October 20,2005, I performed a percolation test at the Richard Sage residence located at 82 Hunter Lane in Queensbury. The test was performed to the north of the existing residence in the location where construction of a replacement leach field is proposed. The results of the testing are as follows: Percolation Test Stabilization percolation rate - 1" in 9 minute, 44 seconds The test was run in the native sand at a depth of 24 inches in a 30 inch deep hole. The hole was presoaked and the test was run 5 times until it stabilized with three consecutive runs of 9:09, 9:31 and 9:44 respectively. The design flow for this 3 bedroom residence at 150 gallons per bedroom requires an absorption area of 643 sf. The replacement system for the residence should consist of a 20 foot wide by 35 foot long absorption bed (700 sf of absorption area) with 4—30 foot long laterals. Please call me if you have any questions. Sincerely, Thomas R. Center Jr., PE Cc: Dave Hatin, Town of Queensbury