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1999-314 • - • • • . . . . NMI& ex to Certificate of • Compliance Town of Queensbury ...„ Warren County,New York October 6 99 Date • 9.9314 This is to certify that work requested to be done as shown by Permit No. • has been completed. • SEPTIC ALTERATION This structure may be used as a 254 LAKE PARKWAY Location Owner LANGFORD CONSTANCE K. • TAX MAP NO, 8 . -1-16 By Order Town Board TOWN,OF Q*15,' NS Director of Building&Code Enforcement • . _ _ • BUILDING PERMIT T. VALUE _::-•-- TOWN OF QUEENSBURY No. 99314 TAX MAP NO. 8 . -1=16 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to LANGFORD, CONSTANCE K. OWNER of property located at 254 LAKE PARKWAY 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 P.O. BOX 71 CLEVERDALE,. .NY 12820 2. CONTRACTOR or BUILDER'S Name CONDON SEPTIC & DRAIN SERVICE 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) SEPTIC= 1 Wood Frame ( I Masonry ( )Steel ( ) 7. PLANS and Specifications SEPTIi0.ALTERATION. AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SEPTIC ALTERATION June 4 2001 $ 25 PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (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.) 4 June.:. 1999 Dated at the Town of Queensbury this Daay of 19 SIGNED BY for the Town of Queensbury Buil ing and Zoning Inspector .. i Application for SEPTIC DISPOSAL PERMIT Town of Queensbury / Dept_ of Community Development •Permit No. 9 I Building &Codes Office 742 Bay Road Fee Paid Sep S_ U v Queensbury, NY 12804 Location of property for installation: Z S y s.rim g/ f�a f Property Owner's Name: 'it) 4 n1 S' f Property Owner's Mailing Address: 2S f AP w/ c71 45ieq")i /c' /14l Installer's Name:C 6 611 c , -�r �-! C Aviv. .6,Q., is Phone # 2f t 4-SPY . Number of bedrooms (if residential): Total daily flow: (residential - compute @ • vED Topography: K flat, rolling, steep slope % of slope JUN 04 1999 - Soil Nature: )( sand, V. loam, clay, ?n lifAther I depth: TOWN OF QUEENSBURY r,� BUILDING A 'D CODE Ground water: at what depth? j�. feet / Bedrock or Impervious Material: at what depth? n feet— Percolation test: not required, require: [rate min. per inch Domestic water supply: municipal, well, other If domestic water supply is a V FT T, water supply from any septic absorption is feet. PROPOSED SYSTEM IS'1 I1i'/ !?oU /�.L C0�aarQ`I @ _Ne� /� ,!�•�'co�IeP d c�S f S ti (,loo in r �Vv j yu r F cI' g`l ` , "��l Septic tank-pj Won on (minimum size: 1,000 gal.) / 5--tG 01`.' iTeiv Tile field: each trench feet / Total system length: feet Seepage pit(s): number of / size each: . ft.by ft. Size of stone to be used: # / depth or thickness feet • HOLDING TANK SYSTEM: (if required) Number of tanks: ' Size of each: ;aeons Cm system an associated electrical work to be inspected by a certified ageOcy. For you protection, please note that pursuant to Section 136-29 of the Code of the Town of Qaeensbury, any permit or approval grazed which is based upon or is granted is reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behs 1f of an applicant, chA1l be void. I have read the regulations with respect to this application and a.. ee to abide by these and all requirements of the Town of Queen_sLL'*Y Sanitary Sewage Disposal Ordinance. Signature of responsible person: L���� Date: 6'— TOWN OF QUEEWSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name L47)6 F©k.O Location ,455 _ "T Date /a/4�'i9 Permit # ni— j7 ` SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable),R-ate-Minute/Inch TYPE OF SYSTENP ABSORPTION FIELD: To al Length Length of each trench\ Depth of trenches Size of stone t ' SEEPAGE PITS: 1\lumber1 Size - ft. x/ ft. Stone size ,; PIPING: `` Size Type Bldg. to Tank -I" Tank to Dist-:"Bo Dist. Box to Fie d/Pit Openings Sealed? Yes No Partial LOCATION/SEPARAT ONS: Foundation to Ta k feet Foundation to Abs rption feet Separation of Pit _ meet Conforms as per P1 of Plan No LOCATION OF SYSTEMPON PROPERT'. (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: /4-5— / Oa-% c94) ri C-- -- SYSTEM USE APPROVED: e NO Arrived: Departed: ;. . Gl1 \ Building Inspector iy COXLe-t—P TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT ''/y�' 742 Bay Road s / Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name efl4ay-vocW-ov-c) emiLdpanc Location -S l.-� Lalc-e ?ck,Act.k)Ok_t_ ty� P`k--31 Date '——;��••- 'ermit # L� Zr�«i�i SOIL TYPE• :a d Lo.m-Clay- Results of '-rcolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tot: -ng.-0 7� Length of -ach tren 5 Depth of 'renche Size of st. e SEEPAGE PIT . ►u -b•N Size - ft x ft. Stone size PIPING: 577'ze Type Bldg. to Tank ;.CsiC157,06 Tank to Dist. ,.ox /.i! k9 ?.O Dist. Box to Field/P ' . Openings Sealed? No Partial LOCATION/SEPARATION. Foundation to Tank feet Foundation to Absorption feet Separation of Pits e onforms as per Plot Plan Y . AAP LOCATION OF SYSTEM ON PROPERTY: (circl : --- pr Front Re. Left Side - Right Side Ai Middle Front - Middle Rear COMMENTS: Vq-,(z_T\/kL jLi,. ,J *To 1.4)5 rh- SYSTEM USE APPROVED: YES NO Arrived: Departed: 07 Building Inspector TOiN OF QUEENSBURY BUILDING & CODE ENFORCEMENT /' d6 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name L/r;t;v1%oeo Location 14 6-ft.,- - Pr< Date ie 1 Permit # �9' 1 SOIL TYPE: Sand oam-Clay- Results of Percolat�Test- (if applicable) Ra ,e-Minute/Inch TYPE OF SYSTEM: f ABSORPTION FIELD:: Tota .PL ng t+ Length of each ti encht j Depth of trenche� 3 " Size of stone , "✓/1-n;`p SEEPAGE PITS:-=--Number- Size - ft. x ft. Stone size PIPING: e Size Type Bldg. to Tank `1 44h 1-0 Tank to Dist. B' � ox 0 I, 7.0 Dist. Box to Filel d/' N GA Openings Sealed 0 No Partial LOCATION/SEPARATION . Foundation to Tank /0 feet Foundation to Absorption /'D feet Separation of Pits fe Conforms as per Plot Plan Yes ( o LOCATION OF SYSTEM ON PROPERTY: (circle .—e Front - Re. - - Left Side - Righ Side Middle I• ont - Middle Rear COMMENTS: 6L&/4 IN,_ J7i2A.1„0 54-S t4 e i. S"i-C-iv,. 1(SYSTEM USE APPROVED: YES N Arrived: Departed: ' IPP'e-' Building Inspector � c ..v .v l i-7iivy r V ,y — v� � (Z.../ r / i ( ,9ivcO/I) S � e/i—Lc`Cd-- D1��/ � Jc ' / .1_i-_ GAA e T /4-iver 7!,e;6 f-ST V 2-- 6-vg-,,,s‘ FaU_S / 6—o "I have seen or observed, or believe I saw evidence of, all.objects such as houses, wells, trees, fences, etc., shown on tins dociirn ant. I also represent that I have P k personally measured the distances set forth on the diagram." coroct)e i p 7/ I SiGNA URE DATE 3rIf• t .-.aY-'. ( J w • 1 �� ���� • • OCT ® � 199 N� -k g P i^ 9 \ I1-4 ' � ikt (4Iqer ' grilliP - de _ le (Noss. ) l' .. ...: . 7 -7--- 3/ .......?. S i. KE e A-A-LW/Dy. 1 6' TOPSOIL FIN GRADE TABLE 1 PIPING MATERIALS and MINIMUM SLOPES NOTE THE DISTRIBUTION BOX SHALL �'�' OUTLET --' 4' PERFORATED FROM TO DIAMETER TYPE MATERIAL MIN SLOPE BE SURROUNDED BY. 12 INCH S INLETS - LOAMY DAGKFILL GEGTEXTILE PUG PIPE OF CRUSHED STONE. 90E 6RANOIEM DANDING STRAPS O (IN/FT) PV DLOGKTGO I IN-DRAIN U IT BUILDING TANK SEPTIC TANK 4' SOLID PVC 40 1/4 SEPTIC TANK DIST BOX 4' SOLID PVC I/4 1J PLAN q� GLEAN MEP-GOAR9E DIST BOX LATERAL 4" SOLID , (MASON'S) SAND N PVC I/16 DIST LATERAL END CAP 4` PERFORATED PVC .w�.a. ,� Ob 1/16 INLET __ uaouw DETAIL pp op = OUTLET —� bbb ll b �l p �� 6• 3( 6. DISTRIBUTION BOX 00 ,rIM+ po NTS oo rw mr w WN-rEreue w obb � SECTION —��wuewoMrorou�N owneE SET CASTING DEAD LEVEL ON A BED CASTING NOTES OF CRUSHED STONE OF 12' MINIMUM aoobpooppeowebopo b00000000e000b000poov , THICKNESS, AND SURROUND TANK WITH SINGLE " IN — DRAIN " MODULE 0 0 0 o p o p o 0 o p o p o p ,6 6' CRUSHED STONE BACKFILL O b 0 O O p 0 O p 0 p 1) 5ET GA5TIN65 DEAD LEVEL ON A 12'-THIGK BED OF GRU5HED ROCK. SEGTION SPECIFICATIONS 2) PROVIDE A DI5TRIDUTION BOX WITH ELJEN TYPE-13, 'IN-DRAIN" MODULAR 5Y5TEM. WITH FOUR (4)OOUTLET5EONLONE, 510E D E T A I L MODULES TO FORM FOUR (4) SEPARATED AND EACH MODULE MEASURES 36" x 48` x 7'. G0-FOOT 1 ) THE QUEEN5DURY SANITARY SEWAGE DISPOSAL OR DINANGE 3) 20FOOT GOVERN5 THE DESIGN AND GON5TRUGTI0N OF THE GAS 5 TIN WITH OA 5TAKEOVI5 DLE F *"5� 1 � O O O — GAL SEPTIC TANK TIRENGH ADSORPTION SYSTEMS A5 PER ELJEN GORP ON-SITE WASTEWATER 5Y5TEM. L At36FbVV ADOVE GRADE AFTER PLACING DAGKFILL. W$ 15 WE5TWOOD ROAD, 5TORR5, GT 06268. 2) DAGKFILL 5AND DELOW AND SURROUNDING 51DE5 OF 'IN-DRAIN' UNIT5 SHALL MEET NYSDDT 5PEG 703-07. 3) DISTRIDUTION LATERAL5 5HALL DE 4' DIAM PERFORATED PVG, 3000* GRU5HIN6 5TREN6TH. _ _ 4,-on 2� 4,-0° 4�-0�� 2� '4e-ON "I have seen orobser"d,orbdieM�1o11 suldwe!st 4) SLOPE LATERAL5 1/16' PER FOOT 0 1/4, / 20-FT LENGTH). 5 ' n L � ' ail q:,b ects such as houses,welkbd 4v 411CN,�C.. 5) PROVIDE TWO (2) LEVEL 'IN-DRAIN' AD5OKPTION TRENGHES GEOTEXTILE FIN GRADE I N — D F A I N 3 -6 3 6 3 -6 3 -6r win on this document. I also represent thrtt 1 t6M p WITH OUTSIDE DIMEN51ON5 - 6' x q' TO SERVE THE ROOM FILTER FABRIC A T E N G H . �ur-alky measured the distances set On ft41 O ADOVE THE DOAT STORAGE SPAGE. p �` [ �L � 6) PROVIDE TWO (2) LEVEL 'IN-DRAIN' ADSORPTION TRENGHES �=� GRANULAR 4' MIN TOPSOIL Q I F Q V I D F 15 % ,.:.. ------ WITH OUT5IDE DIMEN510N5 - 10' x 25' TO SERVE THE 3 - . . . . . . . . . . . . . . . . . . . . . . . _.. IGNATURE DATE SLOPE C 8% BACKFILL SEED TO GRASS O 7 2 L BEDROOM HOUSE. PROVIDE 100% EXPANSION FOR THE HOUSE. 7) EXTEND PERIMETER 6' MIN. ON ALL 51DE5 OF 'IN-DRAIN' UNIT5. .lei . . . . . I I I E 6' MIN . ......... ........�............ .......... ........ 8) PROVIDE FILL 5AND UNDER IN-DRAIN UNIT5. 4' PERFORATED X . . . l 1 l j:: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O GLEAN 5AND PVC, PIPE q) GEOTEXTILE 5HALL DE 50E TO 'MIRAFI' 14ON FADRIG. FADRIG 6' MIN PROVIDE 16 LF FOR I IONE (1) DEDROOM 1 1 I �- 6" 5HIOPAA 5 AT REQD I ( I N 2' MIN TO 6wT 09 IN SITU SOIL: PERG RATE - 7 MIN / IN MFERVIOUS U5 GENERAL NOTES '2TRATUM + I III=III=110111=III=III III III III III III III III III III III III 111 III 111 III III 10' 1 ) 5TADILIZED PERGOLATION TF-5T RATE - 7 MIN/IN. I 2) SOIL PERG TEST PERFORMED DY GHARLE5 H. 5GUDDER ON 24 MAY qq. 3) 501L5 IN ADSORPTION AREA ARE DEN5E FINE 5AND/6RAVEL. SECTION A PLAN 1 - BR I I I 4) DE516N D15GHAR6E (3 DR HOME - P05T lggl WATER-5AVING FIXTUKE5) - 330 GPD, ABSORPTION BED 5) DE516N D15GHARGE (1 DR UNIT - P05T lggl WATER-5AVING FIXTURES) - 110 GPD. ABSORPTION BED 6) TWO 1,000-6ALLON, 2-GOMPARTMENT, 5EPTIG TANKS ARE 5PEGIFIED. :.. . . .:........:: 7) THE 'IN-DRAIN' ELJEN SYSTEM, NOW APPROVED DY NY5DOH, 15 PROPRIETARY AND SHOULD DE INSTALLED IN AGGORD WITH THE IN5TRUGTION5 OF ELJEN GORP. 8) THE GROUND "5URFAGE SLOPE IN THE AD50RPTION ZONE 15 LE55 THAN 8io. IPF q) GONTOUR5 WERE DETERMINED FROM A TOPOGRAPHIG 5URVEY MADE ON 4 APRIL qq. _ __ __ �-�� "' ' 10) THE WASTEWATER 5Y5TEM 15 DESIGNED WITH A VIEW TO THE FUTURE. AN AREA 514.72-'�---- 339 33q.4 PLAN 3 - BR 115 RE5ERVED FOR 100% EXPAN51ON 5HOUL1) IT EVER DEGOME NEGE55ARY. ` PARCEL AREA 338.5 34 0 IPF 159500 SF DRIVE ABSORPTION BED 7-3) I 33q.4 340.3 TOWN OF QUBENBBURY LU ° WPM JUN 0 4 19,99BUILDING & PT. 4 I to TIMDER 8U 'v Or 4 o RETAINING 38.6 340 �(p�N ���.V REVIEWED BY ZI WALL PORGH 1q 11 Y DATE W.S. ELEV 321.0 V HOUSE 338.5 33q.7 N I -� I � +— TE L.Pe ' fWAN$iON ARCA � N DECK O� LAKE 338 ' Deaf 10' IGEORGE & CONS11L. ELJEN 'IN-DRAIN' i ADSORPTION 4Y9TEM I Li OWT GEORGE i 15TAX°T^� o , 110 T. � LAKE PARKWAY 33q.1 3 .0 WASTEWATER SYSTEM IMPROVEMENTS 338 I ELJEN 'IN-DKAIN' D ' AD50RPTION4Y8TEM fi 1O1" TO LAKE SHORE BOAT 254 LAKE PARKWAY ASSEMBLY POINT QUBBNSBURY ( P .O. LAKE GEORGB NY 12845 —"""-- ' N �-06 31 1�' 336.3 t0 q' SHOP I IPF Ins •- _337.4 `� APRIL 1999 SCALE 1" = 20' a �. . IPF SCUDDER ASSOCIATES PLOT PLANP. SCALE r - ?a a � GLENS FALLS,BOX 792 FALLS, NY 12801 MAP of a 5URVEY made for ' GON5TANGE K. LANGFORD, by REVISED MAY 12, 1999 VAN DU5EN 4 5T_-VES, 23 MAY ql PE 4OgO4 REVISED MAY 2 4, 1999 [TAX MAP No. 8-1-16