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96-567 ... _ CERTIFICATE •QF+' COMPLIANCE. TOWN OF QUEENSBURY. WARREN COUNTY, NEW YORK Date November 23. 19 98 96567 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 CLEVERDALE RD.. Location CUSHING, JOHN & 'MARION Owner TAX MAP NO. 13 . -1- 9. By Order of Town Board TOWN OF E SBU ( 1 a01, Director of Building & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY 96567 TAX MAP NO. 13. -1-9 No. WARREN COUNTY, NEW YORK CUSHING, JOHN & MARION PERMISSION is hereby granted to CLEVERDALE 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 8 ORCHARD DR. QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDER'S Name QUEENSBURY SEWER 3. CONTRACTOR or BUILDER'S Address JAY SWEET MOBILE PHONE#744-0028 0 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction— (Please indicate by X) SEPTIC ( 1 Wood Frame ( ) Masonry ( 1 Steel ( 7. PLANS and Specifications SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SEPTIC ALTERATION 25 September 17 98 $ 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.) 7 September 96 Dated at the Town of eens this yi a • 19 ./ _ ,' SIGNED BY C / ',. for the Town of Queensbury Building and Zoning Inspector Application for SE.PTTIC DISPOSAL PERMIT o • STAMP RECEIVED • Clue c` . • 1p.� Location of property for installation: �1.q_8 �®4 • •1 Owner's Na•mr, 4.\81\1°N c I(. $_�%t/1 PERMIT NUMB ER 10 • • 8 Ode-c'\ov� v ., • Owner's Mailing Address: CY1 L4"AA"3 t>!V\ 149 tZ,1 o4 •ma • yy► %i'I'i PAID Lc Installer's Name: �0. Gwee'� Phone #: `i9i2.'36 tlj • Number of bedrooms (if residential): c /v Total daily flow (residential -compute [rn�,7rEt'gnl. her hedrix,m):11 ci( tl4!1 t '4'C. 4ALrut- Via I • Topography: [ 1 Plat " I on.Rolling I—[ Steel') Slope If, of Slope • Soil Nature: n .Sand rPri..oam , 1 ] ,Clay El Other /Depth:, 1 .. Ground Water: at what depth? � �� 5- feet Bedrock or Impervious Material:. at what depth? ,1\-ktjw- feet • • Percolation Test: [-1 Not Required- [ ✓r Required/Rate 1D:5Dmin. per inch Domestic Water Supply: Municipal J Well ( ✓J C)iher L. If domestic water supply is a WRI.J.: water supply from any septic absorption is" feet ' - • PROPOSED) SYSTEM: ' Septic lank: 1 L5� gal, (minimum size: I,U(lO gal.) %e - `S' X- ZG' = 3q0 57• . Tile Meld: each trench • ' feet. / total system length feet. " Seepage Pit(s): number of / size each: • ft. x ft. 1 Size of stone to be used: # / depth or thickness feet. • . HOLDING TANK SYSTEM: (if required) ' . , • Number of tanks: •• ' Size of each: gal. • . " • IAlarm system and associated electrical work to be inspected by a certified agency. " For your profec:tion, please note that pursuant.to Section 136-29 of the Code of the Town of Queensbury, any permit or a pproval granted which is based upon or is-granted in reliance upon " . any material misrepresentation or failure to malce a material fret or circumstance known by or on . behalf ofan applicant, shall be void. I have read the regulations with re+pest to this application and agree to abide by these and all requirements oldie Town.of Qncen sbury Sanita ' .wage Disposal Ordinance. / Sienature ofresnonsib'e persc . _ Date: �/t 1 1 L TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION , Name CLV AI t:_k, Location MA'c13 P,nfAV) Date CA\7___k-1 )(.0 Permit # C(c-7 SOIL TYPE: Sand-Loam-Clay- Results of Percolation Tes - (if applicable) Rate-Min a/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tot Length Length of each trenc Depth of trenches Size of stone SEEPAGE PITS: N ber- Size - t. x ft. Stone size PIPING: Size Type Bldg. to Tan Tank to Dis . Box Dist. Box o Field/Pit Openings ealed? Yes No Partial LOCATION SEPARATIONS: Foundat on to Tank feet Founda ion to Absorption feet Separ tion of Pits feet Confo s as. per Plot Plan Yes No LOCA ION OF SYSTEM ON PROPERTY: (ci cle one) Fr t - Rear - Left Side - Right Side Mi dle Front - Middle Rear COMMENTS: SYSTEM USE APPROVED: YES CNO Ti Arrived: Depar 6 ui `ing s ector 51ttt.) lb1 �\J�tJl -1 '�5% E_ VSydb Wet tt. AU_Via wi rnor'P _ c t,5_lN ..t TOW, OF QUEE 15BURY } Q,i1 07i BUILDIM & CODE EPIFORCEMENT 531 Bay Road Queensbury NY 12804 518--745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name ciU.,4A/YWNA4, 9\ l Location Q/tYQQ , , Date -3 ;it Permit # _ 7 _ ( '7 SOIL T 'E Sa.ncii nam-Cl ay- Resul is o' ..P of ati on Test- (if applic e) .Rate-Minute/Inch_ TYPE OF SY Eta:; ABSORPTIO% Fl ELp: Total LengthA, Vk Length eac trench C-IN(-,,,AFE12-1 Depth f trenches i a PAW Size of stone i5 zL, LEAc,t4 SEEPAGE PITS: Number- BE Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box �:DeE+ it '� Pr_ Openings Sealed? Yes Nartial LOCATIO 1/SEt AW TR(���5: Foundaa�t19n to- Tank feet F8ti'�i'c atfd 36 Absorption Vi feet Separation of Pits , eet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right 'ide Middle Front - Middle f..,:;;- COMMENTS: .I 43 ✓1 V L5C0 t, ), EST- ©LD 6 6-TEA,. SYSTEM USE APPROVED: YETO Arrive e \: 5 ► r uilding ..pector TOWN OF .RUEEk5BURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name TRC'.11\ Cl1/4-1t \\C--f Location r Ct a\aPD Date gl'E'q(0 Permit # CA(9—`5Lc,—[ SOIL TYPE:II Sand-Loam-Clay- Results of Percolati.n Test- (if applicable) Ra Minute/Inch TYPE OF SYS :M: 10 ABSORPTION _ -For:A Total Len • Length of eac trenc o.-;TA .j Depth of tre' ch:s t LJ %- -.--� Size of st e SEEPAGE " T • Nu T- Siz: ft val.... - Stone si i PIPING: Size Type Bldg. to Tank 3113c.- 4D Tank to Dist. Box a-},°'RC_ Dist. Box to Field/Pit Co lgnc f r Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank Fre,!—f,;° feet Foundation to Absorption i,\cb, &Jf"eet Separation of Pits _ feet Conforms as per Plot Plan Yesc i LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear— ) COMMENTS: �e---Ptc F+4ELD ec1/4J PLLED C-)0P--Pt o ccr BE) 0 to it lyi -1 .)t-1T 0 1 0 b\it L,Lub P H A %-'+l• CRY t b ‘C 1 l SYSTEM USE APPROVED: YE NO Pine- `T0 Fiti) if. Lac -► 3 Arrived: 10 Depar s Bui ing,j efspector ,i--W ---i' ,.. TOM )F QUEENSBURY 1' (-)4In BUILDIZS 11 CODE E1lFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-44447 SEPTIC DISPOSAL SYSTEM IPNSPECTION k Name ` ' Location Date 9 —c-7 (oPermit # r. SOIL TYPE: Sand-Loam-Clay- 1 i /. ;//7 .r ✓[, Results of Percolation Test- (if applicable) ate-Minute/Inch TYPE OF SYS 'E�: ABSORPTIi"' E : Total Length Length of eac trench Depth of tren s Size of stone SEEPAGE PITS. Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPAG ATICNS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits _ feet Conforms as per Plot P1 an Yes No LOCATION OF SYSTEM ez PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: k)ei./ eve- sr/IW 1-6')/5''' -h kletbird 2 SYSTEM USE APPROVED: YES NO Arrived: / Li Departed: AA) OA- Building Inspector RECOMMEND ALL ACCESS --- - - - _ APPROXIMATE do CLEANOUT OPkNINGS FINISH GRADE F FINISH RAISED TO BELOW M�CERA BONE ALLIE BURRIED COVERS RECOMMENDED. BARRIER MATERIAL INLET BAFFLE 12" MIN. COVER OVER ALL STRUCTURES 12" MAX. #1 DISTRIBUTION BOX ��iI I I I— — BY FORT MILLER OR EQUAL 2" MIN. �D p o b" MIN. oho O (� '-" LIQUID FLOW NOTES MIN. SLOPE 1 O O 1 4" PER FOOT % MIN. SLOPE oo�eo oq� 1/8" PER FOOT 6"� RAOE0 ) \_4" PERFORATED PVC LATERAL INTERCONNECT ENDS 1. TILE FIELD TO BE 100' OR MORE FROM ANY M ° ° ALL OUTLET INVERTS LAID LEVEL OF LATERALS LAKE, SWAMP, .DITCH OR WATERCOURSE AND 10' SEAMLESS 1.000 GAL �`pO0 PEA TO BE SET AT OR MORE FROM ANY WATER LINE UNDER PRESSURE. SEPTIC TANK EXACTLY THE SAME NOTES. GRAVEL ELEVATION. O BY FORT MILLER OR INLET dt OUTLET (USE ELEVATION. SPEED LEVELERS 1. END OF ALL DISTRIBUTOR PIPES MUST BE 2. FOR SEWAGE PIPE BETWEEN HOUSE AND DISTRIBUTION BOX 1 EQUAL BAFFLES DISTRIBUTION BOX ENCOURAGED) PLUGGED UNLESS INTERCONNECTED. USE DUCTILE OR CAST IRON PIPE, OR SCHEDULE 40 N.T.S. 2. ALL LATERALS TO BE OF EQUAL LENGTH. PVC WITH CEMENTED JOINTS. 4 Sou F Q 2 2 INSTALLATION OF DISPOSAL FIELDS STANDARD ABSORPTION BED PROFILE 3 ADISCHARGE WAY FROM FSEWERAGE SYSTEM. CELLAR DRAINAGE L It N.T.S. 3�� 1 AND SHALL BE INALL BE AS SHOWN ON ACCORDANCE WITH THE N.Y.S.Y.S. AWING, 4. DISPOSAL FIELD SHALL BE CONSTRUCTED PARALLEL DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS, AND WITH CONTOUR LINES. MINIMUM 2x WIDTH ASTN F481-76 INSTALLATION OF THERMOPLASTIC PIPE AND Tube- MAXIMUM i 5� VCl �e 2l0� l 4N 4x WIDTH CORFUGATD TUBING IN SEPTIC TANK LEACH FIELDS. 2. NO WAVY EQUIPMENT SHALL BE ALLOWED WITHIN THE LIMITS 4" DIA. PERFORATED PIPE OF 'NE DISPOSAL FIELDS AFTER PIPE INSTALLATION HAS BEGUN. 3. AFTER EXCAVATION 2' WIDE TRENCH TO THE DEPTHS REQUIRED. , THE WALLS AND FLOOR OF EACH TRENCH SHOULD BE CLEANED SME; DDSECTION TO SHIOF TRENgi�N SURFACE AND TO LOOSEN �\\��\\��\� 6" TO 12" BACKFILL 2" STONE OVER PIPE FILTER FABRIC/GEOTEXTILE //\�j/\\//\\ SEPTIC TANK 4. PLA(EMENT STRAW SHALL SHALL STONE, PERFORATED SHOWN, AND CARE SHALL UNTREATED BUILDING \/\�\\/ N.T.S. a EXE¢gSED TO AVOID INCLUSION OF FINE GRAINED SOILS AND ��\ , \� ^ ' � OTHER WASTE MATERIAL IN THE STONE AND PIPE. G SEPTIC TANKS 5. THE '!PE SHOULD BE LAID AT THE GRADES AND TO THE + W REL'`♦TIONSHIPS SHOWN ON THIS DRAWING, MAINTAINING STRAIGHT CONnN000S GRADES WITHOUT SAGS, HUMPS, SEPARATED JOINTS OR )THER UNSUITABLE CONDITIONS. THE PIPE SHALL BE LAID 3/4" TO 1 1/2 z � 1. ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK WITH THE HOLES DOWN IN ALL CASES. CRUSHED STONE A W STATE DEPARTMENT OF HEALTH AND SHALL BE PRECAST CONCRETE 6. ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL 6" STONE UNDER PIPE AS MANUFACTURED BY FORT MILLER OR EQUIVALENT. AND TO DIVERT SURFACE RUNOFF FROM ADJACENT AREAS AWAY Z ti 2. ALL STRUCTURES TO BE PLACED ON FIRM, COMPACT SAND OR FROR THE DISPOSAL FIELD. 2'-6" '-O" �R",�0" 2'-6" ,C GRAVEL FOUNDATION. WHEREVER EXISTING FOUNDATION CONDITIONS m ARE UNSUITABLE, CRUSHED STONE SHALL BE PLACED AS 7. REM)VE LEAVES, ROOTS, PLANTS AND ORGANIC DEBRIS. PLOW SURFACE PRIOR q NECESSARY TO ACHIEVE A STABLE FOUNDATION. TO SPREADING FILL MATERIAL. 24" MINIMUM TO SEASONAL d HIGH GROUNDWATER 4� 3. SEPTIC TANKS INSTALLED IN TRAFFIC AREAS SHALL BE EXTRA HEAVY 8. DO 40T USE HEAVY EQUIPMENT WITHIN THE ABSORPTION FIELD AREA. $ CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADING. g, PME FILL AND ALLOW TO STABILIZE IN ACCORDANCE WITH NEW YORK STATE cr Zj DEPARTMENT OF HEALTH STANDARDS. ABSORPTION BED DETAIL _ c N.T.S. 0 O _ 7 _ A I I I i _ - I I I j is I c co w c -t-- I -- I � Z c -- - 40 d I a + l s w z G4 SEPTIC SYSTEM DESIGN �' m-�--�- _ DESIGN'LOW --EXISTING 3 BEDROOM HOUSE W/WATER SAVING C'3 FIXTURES&NEW I GAL./FLUSH TOILETS=270 GPD SEPTIC?''INK - USE 1250 GALLON TANK - --- —r— .10 c r: a ev I ABSORt?1ION BED- 10 IvIIIViJ FE,50 SECOND PERC.RATE=0.7 GAL/DAY/SF +4 N 270 GAL/DAY=0.7 GAL/DAY/SF=386 SF REQUIRED i USE 15 FT x 26 FT BED—390 SF —t SEWAGIPUMP = MUSTUNT RAW SE HANDLINGEDUE TO SIT CONSTRAINTS MODEL 3887-V2 H.P. j WITH 2"DISCHARGE. ( - - USE STANDARD GOULDS PUMP PACKAGE PUMP STATION WITH Z FIBERGLASS BASIN,FLOAT CONTROLS AND HIGH LEVEL ALARM. 'OILS DATA i- _ i I �' I — 0-8" !RANULAR FILL r" .T_ '� �— — i �( v w I — t 8-36" LOAMY FINE SAND W/STONES I -t PERCOLATION RATE-10 MIN.50 SEC. F+ SOIL&PERC.TEST BY NACE ENGINEERING 9/10/96 w I I ?— I I J I I K > i WINK"k 6W I - - I I _-T—T--}—� - -j— 7— _ iKIA ea ttse I - -�—r t4 �.c+*- D_ I _ — r i I I I SURE DATE p r i I i I I I frCl� 71►� �/�7/ I I r q - i--i— IV I I I -- I ARK I DATE q,7 49004 SHMT 1 OF 1 I