SEP-0428-2021 SEPTIC DISPOSAL PERMIT Office Use Only
APPLICATION Permit#: Z)CP— 2-2L-2�2-1
Town of Queensbury
Permit Fee:$ t)5
Invoice#:
742 Bay Road,Queensbury,IVY 12804
P:518-761-8256 www.aueensbury.net od Zone? Y N Reviewed By:,X.�
PTOPWNOFQUEENSE3URY
Project Location: 7 LANCE
Tax Map#: 301.20-1-50 _ S
RESIDENCE INFORMATION:
Year Built Gallons #of bedrooms: x gallons per =total daily flow .
per day bedroom Garbage Grinder Yes No
1980 or older 150 Installed? (choose one) X
1981-1991 130 Spa or Hot Tub. Yes No
1992-Present 110 4 110 1440 Installed? (choose one) X
PARCEL INFORMATION:
Topography Flat Rolling Steep Slope %.Slope
Soil Nature Sand Loam Clay Other, explain:
Groundwater At what depth? GREATER THAN 6 FT
Bedrock/Impervious material At what depth? GREATER THAN 6 FT
Domestic Water Supply Municipal Well Lake
(if well or lake, water supply from any septic system-absorptiori is
ft.)
Percolation Test Rate: 1-51VIIN per minute per inch (test to.be.completed by a
licensed engineer/architect)
PROPOSED SYSTEM INFORMATION:
Tank size EX 1250 gallons (min. size 1,000 gallons, add 250 gallons for each garbage cylinder or
spa/hot tub EXISTING 1000 GAL CONCRETE
System Absorption field w/#2 stone Total length ft.; Each Trench
Seepage Pit w/##3 stone How many: ; Size:
Alternative System Bed or other type:20 FT X 30 FT
Holding Tank System Total required capacity? ; tank size
# of tanks
Septic Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE,, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): GERALD KNAPP
Mailing Address, C/S/Z: 7 LANCESTIRE.QUEENSBURY,NY 12804
Cell Phone: Land Line:
Email:
• Primary Owner(s):
Name(s): SAME AS APPLICANT
Mailing Address, C/S/Z: -
Cell Phone: Land Line:
Email: ..
Check if all work will be performed by property owner only
• Contractor:
Contact Name(s):SANITARY.SEWER SERVICES
Contractor,Trade:
Mailing Address, C/S/Z:LUZERNE RD, QUEENSBURY
Cell Phone: Land Line:518-796-3760 -
Email:
"Workers' Comp.documentation must be submitted with this application"
• Eneineer(s):-
Name.(s): CENTER PROJECT SERVICES
Mailing Address, C/S/Z:73 SHERIDAN STREET, GLENS FALLS NY 12801
Cell Phone: Land Line:
Email:
-Contact Person for Compliance in regards to this project:GEORGE DRELLOS
Cell Phone: Land.Line:518-796-3760:
.Email-
NOTES: 1.Alarm system and associated electrical work must be inspected.by a Town approved electrical
inspection agency; 2. We'Will no longer allow systems to be covered until such time as an.as-built plan is
received and approved.The installed system must match the septic layout on file—no exceptions. 3. As-
built drawings must-be submitted prior to the inspection, if there has been:a change to the submitted
plans.4. lfjor any reason; the building permit application is withdrawn,'30% of the fee is retained by the
Town of Cueensbury. After 1 year from the initial application date,"100%of the fee is retained.
Declaration: Any permit or approval granted which is based upon or is granted in reliance upon any material
representation 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-and agree to abide-by these.and all requirements of the Town of Queensbury
Sanitary Sewage Disposal Ordi n
PRINT NAME:GEORGE DR L
SIGNATURE: DATE:
Septic Application Revised January 2021
TORN OF ®U[EENSBU RY
742 Bay Road, Queensbury, NY. 12804-5902
Septic System Checklist
(UQ Plan to scale
AX Received Deep hole perc test results from engineer/Architect if applicable(Town Approved Engineers and
Architects;June 30 to April 15 Town Engineer or unapproved Engineers and Architects)
06 All wells on property and adjacent properties shown U
W�k ater line shown Munici al or well 10' Yp
separation to an art of system C/
p
'CJSetback to property lines show 10'or more for any part of system
Geptic tank and pump stations 10'from foundation 50'from any well/lake/wetland 10'from any waterline
I '
0IA-Septic tank to foundation crawl space/slab on grade,grade in crawl space must be above top of septic tank
for 0',Separation required (field verification required)
�nLseptic tank sized for number of bedrooms and add 250 gals for Jacuzzi tubs/garbage grinder each
'Leech Field 20'from foundation 100'from any well 10'from water line
fib Seepage pit 150'from well 50'from septic tank
Seepage Pits 3-times diameter apart
Septic tank and pump stations over 30 gallons 50'from watercourse or wetland
distance from bottom of trench or system 24"to bedrock or mottling 36"within 1000' of Lake George
64eech field 100'from watercourse Or wetland
n4,2a—Toe-
of mound or bottom of retaining wall 10'from property line 100'from well 20'from
Foundation l 5 1 d4-t - -
NJ_3 Provide Engineer/Architect stamp for bed or design systems
*Department of Health Approval for all mobile home park new systems Flood Plain requirements
2' above established flood elevation to bottom of system
All tanks anchored or 2' above flood elevation
/,01 A h a F lam-J �i�51-?✓'
All
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501.20-1-50 SEP-0428-2021
Knapp, Gerald
7 Lancestire Dr
Residential Septic Alteration
h.
[� :D CQ
UJ° � TOWN OF QUEENSBURY
BUILDING &.ODES DEPT.
Reviewed
Dated 7
C )4
1`
G
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments shall not be construed as
y � indicating the plans and specifications are in
full compliance with the Building Codes of
+, '� New York State.
CENTER PROJECT
,
SERVICES
73 Sheridan Street, Glens Falls,NY. 12801
Phone-518-796-2515
June 6, 2021
Project#341
George Drellos
Sanitary Sewer Service
Queensbury,NY 12804
Re: Proposed Replacement Septic
7 Lancestire Drive, Queensbury,NY
Dear George:
At your request, we have reviewed your proposed replacement septic system design of the
existing 4-bedroom house at 7 Lancestire Drive in Queensbury. As per our conversation the
residence has an existing failed septic system.
We have reviewed the proposed replacement septic system design and we agree that a.standard
absorption bed is acceptable. Based upon a design flow rate of 440 GPD and a percolation rate of
1 to 5 minutes, you will need a minimum of 489 sf of absorption area. We recommend using 20
ft wide by 30 ft long absorption bed with 4 - 25 ft long laterals. The absorption system can be
constructed with the existing 1,250-gallon septic tank, new distribution box, and 4-inch diameter
perforated pipe and stone.
Please feel free to contact me at 796-2515 if you have any questions and that you for your
assistance with this request.
Sincerely,
p � CIE0W [E
Thomas R. Center Jr,P.E.
JUN 03 2021 �
00
TOWN OF QUUEE—NSBBUUIRY
BUILDING&CODES
A x a
S
E C E V
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AUG 0 2 2021
TOBUN D NGU&CODES EENSBURY
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