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2002-761 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020761 Application Number: A20020761 Tax Map No: 523400-296-012-0001-030-000-0000 Permission is hereby granted to: For property located at: 6 WILLOWBROOK Rd in 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: Septic Alteration Commercial F Birds-- 1-&.— Total Value Aty ar6q Contractor or Builder's Name/Address Electrical Inspection Agency SCHERMERHORN CONSTRUCTION Plans&Specifications 2002-761 Commercial septic alteration per plot plan and specifications. $35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,September 10,2003 (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 Town of Queensbu Tu sday,September 10,2002 SIGNED BY for the Town of Queensbury. 'It Director of Building&'Vode Nbrcernent AI)jilientiori For Pertnit -- Septic Dispu-9-al Syntein 7inrn of(Pteeiishwy 7.12 neir Uwid(bicertshwy. AT -1280-1 (518) M1-825(, 1. OWNER INFORMATION: ................. 014icv.Use Location of itistallsitiotr. File Permit No. Tnx Map No. FCC Paid 36- 0 P Owner's Name: lr ..................... ------------- Address: 2. INSTALLER'S NAME ......... PHONE NO. -7'FX— 66-7-t 3. RESIDENCE INFORMATION: (circle.vecrr of"dwelling, hi(fictrit, It bedrooms with applicable g(r/hrliys per be(friporn to cqtial total thriNflow) Year of I-I se: No. of Bedi oorns x CoIjjVjItqti0II Total Daily-Flow I PRO or older 1980- 1991 x 130 gal/bdim 1991 --presellt, ...... C SAY L)o o,) Garbage Grinder Installed yes "-- Spa or Whirlpool Installed _yes TOWNOFr* - ?Y 4. PARCEL INFORMATION: (circle applicable information & indicate Illeasurellients) T Va I V. Soil Nattire, GioirodWa(cr --Bc(lrockoi WateU.SlIPPlY - Tt a at 11,11(it flelp1h rrt 11,11(it depth /lilt/licilyfli we// V 'eH, waler-slij)p4l, Steep slope C c_IP slope of/rel. Jram tin.1,septic-sjtTicill depth: fibsolptioll is other Percolation Test: Rate: Illillille Per int-17 5. PROPOSED SYSTEM: For New Construction: All itidividis-,ilsew.il,,cfiispos.-il.systellisititisliv(lesigiiedby.I licensed ptoressionni engineer or architect(unless iost nI led in a Phi railing noord ill proved subdivision). Add250 gallons to(fie size of the septic tank and leach field For each Garbage Gtirider. Spa or Whirlimol'I'llb. Septic Tank: ---------- pallim (miry. size 1,00"g(d.) Tile Field: each trench 'I'ot.ql System I-ellgIll: Seepage Pit(s): number qf__ size qfeorh. fl. YJ' Size of Stone to be used: # depth or thickness let Bed System Size: x Alternative System: lelig ill i IllC1;!iw size 6. HOLDING TANK SYSTEM: (if te(Irdred) Nm"berc;f tanks: -----. Size 0f each: --___gallons /TOTAL Capacity: _—fpllous Note: Alan" 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 ol'Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any matCrini misreprescirtatiori or failtire to make a material fact or circumstance known by or oil behalf c,fart applicant, shall be void. I have read the regtilntions with respect to this application and agree to abide by these arid all requirements of the Town of Queensinlry Sanitary Sewage Disposal Ordinance. Signature of responsible person Onto YOWN OF QUEEKSBURY BUTUDING W-CODE ENVORCEME_K-U 74:2 BAa-y Ru�,acf MY 12a SEP- "IC DISPOSAL SYS-rEM INSPECYION Nam IL:b Location Date - - er-m -i # CfJ SOIL -TYPE: Sand- Loam-Cla Resin isO-F par-colat-Ion Qa ( 1 -F applicable ) Rate-te_-MI dev I h -TYPE OF SYS-rEt4= L ABSORPTION FIEL-D : TotalL Longt--h oF each trench Depth o-F -trenches Size o-F stone SEEPAGE PI_rS : Numk>4_-_ r­ SIZZE? -F7t -F t S -tone size PIPING: Size T_vp e- Bldg . -to Tank- -Tank- to Dist - Box es Dist . Box to Fie-ld/ Openings Se-aled ? - y s No parlt-ial I_OCA_FI1OfW,/SEPARA-Firom Founda-tian to Tank feet Founxla-tjon -to Absot- -t-i on -Feet Se-par-aft-Ion o-F Pits -F e e-t Con-Forms as per p I -t PI an Ye-s No LOCATION OF sys-rE ON PROPIER-rY: ( cj r-cl e one ) Front - Rear- - -Ft Side - Righ-t Side Middle Fr-on -t - iddIse Rea t- COMMEN-rS z C7 rr SYSYEM USE APPROVED= YES NO ] A r-r-I v t--ct D 0 0 0 j 01\ \ \ \ \ 00 <01 N11 EXISTING TEMPORARY ABSORPTION SYSTEM TO BE REMOVED EXISTING FORCE MAIN N, T BE REMOVED ,j. .. J WOOOED A J /X x is EXISTING 4" DIA.' PVC SLEEVE UNDER ROAD WITH FORCE MAIN RELOCATED TEMPORARY 0 sL REMOVE FORCE SHALLOW TRENCH 0 MAIN AND PLUG SLEEVE C, ABSORPTION SYSTEM 3: SEE DETAILS U- 0 LLJ -------------- + 0 C) 0 STP ................ LL_ 0 is EXITING 1,500 GALLON SEPTIC 'SANK % _ EFFLUENT PUMP AND 1;,,0,00 GALLON OVERFLOW T*NK, rz, 4e PLAYGROUND AREA PORARY LEACH FIELD 6— 60' LONG LATERALS EXISTING FARM POND ki NOTE CONNECT TO MUNICIPAL SEWER SYSTEM AND ABANDON TEMPORARY SEPTIC SYSTEM WITHIN 3 MONTHS AFTER MUNICIPAL SYSTEM IS AVAILABLE FOR CONNECTION. — PUMP OUT AND REMOVE SEPTIC TANKS, PUMP PITS AND OVERFLOW TANKS. — REMOVE FORCE MAIN FROM SLEEVE UNDER ROAD AND PLUG SLEEVE WITH CONCRETE. — WHEN LOT #3 IS DEVELOPED, REMOVE ANY PORTION OF LEACH FIELD LOCATED WITHIN 20 FEET OF PROPOSED BUILDINGS AND EITHER REMOVE FROM SITE OR USE FOR GENERAL SITE FILL TO BE BURRIED UNDER AT LEAST ONE FOOT 01F CLEAN FILL MATERIAL. DRAINAGE SWALE ON UPHILL SIDE OF SLOPED SITES_ SOILS DATA TEST PIT #1 0 —14* TOPSOIL 14-24" FINE SANDY LOAM ( NA"Nsi �--Qk*, 7.7 It"; v v t 4 �_j vi— ` BUIBUILD!4G & OD ES DE SEP 0 200? REVIEWE BY 24-45- FINE SAND, SOME SILT 'b)(TE MOTTLING AT 28* WATER AT 40" TEST PIT BY NACE ENGINEERING, P.C. 1-25-01 SEPTIC SYSTEM DESIGN I DESIGN FLOW — 135 KIDS 0 5 GPD/KID + 25 EMPLOYEES 0 15 GPD/EMPLOYEE LESS 20X FOR WATER SAVING FIXTURES - 840 GPD SEPTIC TANK — EXISTING 1.500 GAL TANK ABSORPTION FIELD — TEST PIT SHOWS 28" TO SEASONAL HIGH GROUNDWATER. — THEREFORE USE SHALLOW TRENCH SYSTEM TO PROVIDE 24" MIN. SEPARATION BETWEEN BOTTOM OF TRENCHES AND SEASONAL HIGH GROUNDWATER — WITH 1 — 5 MINUTE PERCOLATION RATE APPLICATION RATE-1.2 GPD/SF 840 GPD DESIGN FLOW /1.2 GPD/SF - 700 SQ. FT. REQUIRED — USE 6 LATERALS 60' LONG = 720 SO. FT. ABSORBITION TRENCH FILL MATERIAL SHALL BE OF SAME (SEE STANDARD ABSORPTION TRENCH) POIIIEA91UTY AS EXISTING MIN. UNDERLYING SOIL GRkDE TO 041AIZ SEED CROVM _ AND SLOPES 24" MIN. ROCK OR -REMOVE LEAVES. ROOTS, PLANTS AND ORGANIC DEBRIS. PLOW SURFACE PRIOR TO SPREADING FILL MATERIAL SHALLOW ABSORPTION TRENCH SYSTEM N.T.S. USE WHERE SEPARATION BETWEEN EXISTING GROUND AND SEASONAL HIGH GROUNDWATER, BEDROCII( OR IMPERVIOUS SOIL IS LESS THAN 6' BUT GREATER THAN 4. PERCOLATION RATE OF E)0S1)NG SOIL MUST BE FASIM THAN 00 MINUTES. 5*' MIN. Ir MAX 2" MIN BOTTOM OF TRENCH SLOPE 1116--4132w PER FT:_ TO BE LEVEL NOTES, 1. END OF ALL DISTRIBUTOR PIPES MUST BE PLUGGED UNLESS INTERCONNECTED. 2. ALL LATERALS TO BE OF EQUAI. LENGTH. STANDARD ABSORPTION TRENCH PROFILE N.T.S. 2'-0- 40-0" 2'-0- 15X MAXIMUM CROSS SLOPE OVERFILL TO ALLOW ON SLOPED SITES F40R SETIRMEKT EARIH UNTREATED BUILDING PAPER, FILL OR GEOIMLE. Mm. Ir Pww1m LATERAL 3/r TO 1 1/f 2! CM)SM $TOW v MAXIMUM SEASONAL HIGH GROUNDWATER ELEVATION STANDARD ABSORPTION TRENCH SECTION N.T.S. 0 co • CQ 0 z a 0 'Vl iv� Date SEPT 6, Z= PAIN1111" 2, c T L sow* r-w lu .551 47319-TS OFESSIO't SHEET I OF 1 z (!)(12- --1& (