6568 BUILDING PERMIT
. TOWN OF QUEENSBURY
No. 6568
WARREN COUNTY, NEW YORK
PER MISSION,is hereby granted to Thomas A. Burke
OWNER of property located at Mason Road, Cleverdale Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Sewage System p
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. to
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1. OWNER'S Address is 24 s Longwood Drive
Delmar, New York 12054 "
2. CONTRACTOR or BUILDER'S Name
Sunsoval Inc.
3. CONTRACTOR or BUILDER'S Address
Cleverdale, New York . P
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4. ARCHITECTS Name
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A.)
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5. ARCHITECT'S Address
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" 6. TYPE of Construction— (Please indicate by X)
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( )Wood Frame ( ) Masonry ( )Steel ( ) . . (D
7. PLANS and Specifications
New sewage system per plans and "application
No. submitted.
8. Proposed Use
Sewage system for dwelling cn
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' 5. 00 Jan. 1 1981 0
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
_ (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
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town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 8th Day of • September 1980
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SIGNED BY 21ffor the Town of Queensbury
Buildin and Zoning Inspector
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TrWN OF OUEFNSPUPY
TOWN OF QUEENSBURi
Bunninn AND zoNalf= DITARTMENT
131%Y AND HAII LAVO P, D, EGEAE
Gums FALLS, NEW YORK 12801 3(7}kCiPc6
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APFLICATinfl ?OR A PETIT TO CONSTRUCT, ALTER OP ENLARGE IIMPPRAIAI-PMW1,
A SEWAGE nlsporAL SYSTEM WITHIN THE TOWN OE OUFENSFURY
()CCTTIVNT' NPMF Thoma-s A Burke An"rS17Mas.0.11....
Cleverdale, NY 12820
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TELEPHONY, 518-656-9493 OWNER WIMP Thomas A. Burke
ADDRESS Mason & Lackey Roads, Cleverdale /JUMPER OF Propooms_3_
GARBAGE GRINDER? no iYES OR NO TOPOGRAPHY: FLAT, PoLLIwn, STEEP, SLOPE,
GENTLE SLOPE, OTHER flat
NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCES, FTC. sandy loam
PERCOLATION TEST 4 mins. WATER SUPPLY MUNICIPAL, FELL, OTHER lake
DIAGRAM OF PROPOSED SEPTIC SYSTEM
See attached plan.
OTHER PERTINENT INFORMATION
IT IS VERITY AGREED TEAT IF THIS PPPLICPTIM AND PLANS ARE APPROVD,
INSTALLATION OF SMAGE DISPOSAL FACILITIES WILL BE MADE IN ACCOTJANC
WITH DETAILS SHOWN.
DATE 8/22/80 SIGNATURE OF APPLICANT
LAKE GEORGE PARK COMMISSION APPROVAL:
--Water
F APPLICATION FOR A PERMIT •
TO CONSTRUCT, ALTER or ENLARGE a SEWAGE DISPOSAL SYSTEM
•• FOR A PRIVATE RESIDENCE WITHIN TUE LAKE GEORGE PARK
TOWN OF Queensbury "
1. Name of Owner: Thomas A. Burke Address: 24 Longwood Drive
Delmar, New York. 12054
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2. • Specific location of property: Mason & Lackey Roads, Cleverdale, NY
3. Application is for The alteration of, pr enlargement of an existing system.
X' New construction. •
If new construction, is property in an approved subdivision? yes
. Name of Subdivision: Ripley .Point.
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and has been approved by X the Town, Dept. of Health, XAdirondack Park
- Agency
Property line dimensions, or total area of property: 60' x- 160 ' - --
' 5. Description of building: Number of Bedrooms 3
6. Topography: (flat) (rolling) (gentle slope) (steep slope) flat
7o Nature of soil: (Describe to a depth of 5 feet below bottom of leaching device.)
' clay loam > 3' to ground water >5° to bedrock
Give soil t f e", distance to ground water and distance to bedrock.
8. A SOIL PERCOLATION TEST MAY BE REQUIRED. For details on procedure, refer to •
"INDIVIDUAL HOUSEHOLD SYSTEMS - WASTE TREATMENT HANDBOOK" N.Y.S. Dept. of Health. •
Test Results: 4 minutes
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9. Attach a carefully dram plan of the proposed sewage disposal system. Give all
. dimensions and distances to lot lines, wells (yours and neighbors) , streams,
and Lake George (if applicable). •
10. Construction will begin on 9/1/80 by Sunsov�.l, Inc.
Date) (Contractor)
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11. The Lake George Park Commission reserves the right to inspect the completed
system bei:ore backfilling. The Owner, or his agai7t, is required to notify the
Co:nmic,sior, at least 24 hours in advance of backfilling, to facilitate the final
approval inspection.
I hereby agree that if this application and attached plans dated 8/22/80
or any a enl;i::ent.s or revisions thereof, are approved, installation of ceN'age disposa_
facilLties will be made in accordance with the details thereof as shown on such
approved plans, within lEO days of the above elate. One extension of 160 days will
be allowed if applied for and secured in writing.
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(Signature of owner) . (Date)
The Lake George Park Commission has reviewed the plans and site location for
this project and accordingly recommends
approval.
by: �c �� �i��!/ _�� Date ye, �
Charles W. Glass, Eng. Tech.
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The above sketch shows the locations of the units comprising your sewage disposal
system for future. reference in case of difficulty. It shows measured distances
from buildings, trees, garage, fence posts, etc. , to septic tank, sewers, distri-
} bunion box and absorption field or seepage pits.
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CONTRACTOR: Sunsoval, Inc. DATE INSTALLED:
DESIGN BASIS
I. No. of bedrooms: 3 5. Septic tank: type concrete
2. Daily flow: gpd capacity 2000 gals.
3. Undisturbed soil depths: • . S. Size of leaching device: 120 ft. .
a. To groundwater: .>3' 7. Type of system (conventional , fill ,
b. To impervious lens: >5t
etc. ): pressure
4. Percolation rate: 4 min/in.
LGPC MAP NO.: APPROVED BY: DATE:
Percolation Test
Thomas A . Burke
Run #1 2.5 minutes
Run #2 3 .0 minutes
Run #3 3.0 minutes
Run #4 3 .25 minutes
Run #5 3.5 minutes
Run #6 __3 .75 minutes
Run #7 4.0 minutes
Run #8 4•. 0 minutes
Run #9 4.0 minutes
Run #10 4.0 minutes