2002-985 r.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
IFIrvi
Permit Number: a20020985 Date Issued: Friday,January 25, 2008
This is to certify that work requested to be done as shown by Permit Number a2002O985
has been completed. ..�. . . . .. _ .. .
Tax Map Number; 523400-301-008-0001.022.000-0000
Location: S MANOR Dr
Owner, MAPLE WOOD,LLC
Applicant: MONTY F LIU
This structure maybe occupied as a:
Septic Alteration Commercial
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals,
.A
it
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: a2002O985 Application Number: a2002O985
Tax Map No: 523400-301-008-0001-022-000-0000
Permission is hereby granted to: JARRFTT-MARTIN ENCITNEERS. PLLC
For property located at: 13 MANOR Dr
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: Mor14 Uq
Septic Alteration Commercial
Total Value
Gu44tAs 12f0y
Contractor or Builder's Name Address Electrical Inspection Agency
TBS SFPTIC
IVAN BFI.T,
2 LOWFR WARRFN STREET s)
OURENSBURY.NEW YORK
Plans&Specifications
2002-985
Commercial septic alteration per plot plan and specifications.
$35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,December 09,2003
(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 Taw of cember 09,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Applic:ttion-ft)'r Permit.— Septic Disposal System
7U.mw(?f Queensbiti), 742 1.1ay 1?,md Qtteeitsh t%ry 1280-1 701-8256
1. OWNER INFORMATION:
.............. .....................................
Office Use
Location of iustallafiou: Maplewood Apts. Unit 15 West
Tax Map NO. 78 1 8.2 /ZA -w13 Filollermit No.
Owner's Name:Monty. LIU Fee Paid
d
............
Address: 994 Route 9 Queensbury, NY 12804
2. INSTALLER'S NAME IBS .Septic -IONE No. 798-8194
3, RESIDENCE INFORMATION: (circle year of dwelling, incticirte'll bech-WI)I(T) and multiply I/ of
,bech-oonis with applicable gallonper beeh-oom to equal tokil daily.flo.u')
Year oFf-louse: No. of Bedi-ogilis x Co U11 L1!!!ILion Total Daily Eq)y
1980 or older x 150 gal/bdrui =
1980- 1991 _X 130 gal/bdrm =
1991 -proscut 4 x 110gal/bdrui = 110
Garbage Grinder Installed yes 110 x
Spa or Whirlpool Installed yes 110 x
4. PARCEL INFORMATION: (circle applicablo,hiformaLiort &iudicaLe measurements)
Bedrock of- lmperKi_pIIs N4',teriq1___Dqmqs, ic W tCP SkIpply
stun/ fit I'v/111f(le/l/11 at what tkpth rruiicinttL
Rolling loam none feet none feet well
Steep slope Clay stiplj,?Ij,
vo slope other
seer, any septic-v),stem
dcJ"tjj plans absorption is JL
other
Percolation Test: (To be complefecl b,v licensed pr(f&ssivnal eiighieer or architect)
Rate: none___mimite per inch
5. PROPOSED SYSTEM: For New Construction: All individual scNi,,igcdisl>os.ilsysiciiis roust tx-,designed by.iliceiised
professional cngiticer orarchitect(imless installed illa Planning 130arch approved subdivision), Add 256 gallons to the size
of(lie septic lank and leach field 11or each (;,.ubagc Grinder, Spa or Wliirll-x)ol Tub, See Plans
SepticTauk: _gilllon (rain. size 1,000gal.)
Tile Field; each trench "ft. Total System Length:
Seepage Pit(s): number of size qj'each: _J?. by _fl.
Size of SLoII0 to be used: fi cle-11111 or thickness_ feet
Bed System Size: x
Alternative System: length ancilor size
6. HOLDING TANK SYSTEM: (if required) N/A
Numbor of tatiks: t Size of each: _g1,11ons /_TQTAL Capacity' a,111 t S_
Note: Alarm System aiid associated electrical work musL be inspected by a Towu approved
electrical illweeLim agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON (please read)
For your protection, please noto that pursuant to SecLioii 136-29 ordic Code of the Towii
of'Quectisbury, any permit or approval grauted which is based upon or is granted in
reliance upon any material misrepresentation or failure Lo truikca material fact or
circumstance known by or on behalf ofau applicaut, shall be void.
I linvo read the regulations with rospecL to thisapplicaLioti and agreo Loabidc by tltcsc ntidall
requirements 11
v I of sbury Sanitary Sewage Disposal Ordinance.
'Q/7 av�- -
.rwo A - ,-S ��&Z-Z&rj L-7 .2 Z/4
S14Qotdro of respon' sible porson Date
Ppw
Septic Inspection Report
Office No, (51$) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement. Arrive: am/ Depart: am/pm
742 Bay Rd.,Queensbury, NY 12804 Inspector's Initials: M64--
NAME: Ljt- PERMIT NO.:, a z '
LOCATION: G�c. INSPECT ON: 0-w v -
RECHECK:
Comments and/or diagram
Soil T : Sand Loam Clay
Type of Water: Municipal Well Water
Waterlineseparation distance ft.
Well separation distance tt.
Other wells ft.
'Absorption Field: Total len h ft.
Length of each trench •
Depth of trenches •
Size of Stone
Seepage Pits: Number
Size: X
Stone Size: .
Piping Size Type
Bulldipq to tank
Tank to Distribution Box
Distribution Box to Field Pit
Op2nlng Sealed: Y N Partial
End Ca
inlet/Outlet Pipes&Baffles
Location/Separations �2v Lf
Foundation to tank ft�
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Engineer Report and As-Built . Y!N
Location of System on Property:
Front Left Side Right Side
Middle Front Middle Rear
System Use s:
Approved
_
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Last revised 021006
'Last revised 1/6/05
4�
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: 'man Depart: am/pm
Bay Rd., Queensbury, NY 12804 Inspector's Initials �
NAME: Uaad . - PERMIT NO.:
LOCATION: INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand Loam Clay T
TvDe of Water: Municipal/Well Water
Waterline separation distance no
Well separation distance ft.
Other wells:
Absorption Field: Total length
Length of each trench
Depth of trenches
Size of Stone
Seepage Pits: Number
Size: x
Stone Size: 77�
Piping Size Twe
Building to tank
Tank to Distribution Box
Distribution Box to Field Pit
Opening Sealed: Y/ NJ Partial
End Cap
Inlet/Outlet Pipes&Baffles _Y_ N
Location I§e-parations
Foundation to tank
Foundation to absorption
Separation of Pits
Conforms as per Plot Plan —Y N
Engineer.,Report and As-Built —Y,.N—
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use Status:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
EXISTING SEPTIC
TANK COVER
BUILDING SEWER FOR 3'-0'
WESTERLY 2 UNITS
(4 BEDROOMS TOTAL)
>-
(MIN.) <
Lj
>
0
GRAPHIC SCALE
10 0 5 10 20
( IN FEET )
SCALE: I" = 10'
TREATED LUMBER MARKER
ABOVE ALL BURIED COVERS;-
SET 1/2" ABOVE GRADE
FINISHED GRADE
SLOPE GRADE AWAY
1'-0" (TYP.) FROM COVER (TYP.)
•MAO
• • •
••:emu::.
CRUSHED STONE FOUNDATION
ATOP FIRM NATIVE SOIL
10" MIN
16' (MIN.)
40
4" PVC @ 1 % (MIN.)
T. P. #
16'-0"±
4" DISTRIBUTION PIPE
—.4 4' (TYP.'; E-•—
SEASONAL HIGH
GROUND WATER
WASTEWATER DRYWELL DETAIL
SCALE: N.T.S.
--T MIN.;
SEE NOTE 2.
PARKING LOT
88,-0"±
(3x0) = 48'-0" —
3 D—BOX
C1
4" PVC @ 1 % (MIN.)
— EXISTING DRYWELL TO ` „
BE REMOVED 10 —0
35'-0"± (MIN.)
TREATED LUMBER MARKER
ABOVE ALL BURIED COVERS;
SET 1/2" ABOVE GRADE
\/6" (MIN.)
—� REMOVABLE COVER
PROVIDE ADJUSTABLE LEVELING
INLET DEVICE ON ENCH OUTLET
4" GRAVITY DISTRIBUTION LATERAL
0 — ® 0.5% MIN. SLOPE
12" MIN. OF CLEAN SAND
2" MIN. -----OR PEA GRAVEL FOUNDATION
OUTLETS — 4" KNOCKOUTS
D-BOX DETAIL
SCALE: N.T.S.
FORT MILLER DISTRIBUTION
BOX OR EQUIVALEUT
SITE PLAN
SCALE: 1 " = 10'
0
CD
z cn
=Q
U W
Q�
�0
LL
c�
z>
LLJ
Lo��
Li mD
NEW 8'0 DRYWELL (TYP.)
PERMANENT MARKER WATERTIGHT JOINT (TYP.)
OVER COVER
WATERTIGHT SEALED
CONCRETE PLUG—\
SOIL LINE FROM EXISTING SEPTIC 12" MIN. 24" MIN.
TANK; 1 % SLOPE (MIN.)
24"
3"
INLET --
NATIVE BACKFILL
THOROUGHLY COMPACTED
CRUSHED STONE FOUNDATION
ATOP FIRM NATIVE MATERIAL
r
15"
18"
EFFLUENT FILTE�cl
s
T � .PI�r•"�. r1 I
12" MIN.
SEPTIC TANK DETAIL
SCALE: N.T.S.
4" OUTLET TEE
MODEL A1801-4x18 RESIDENTIAL
"ZABEL" FILTER OR EQUIVALENT
18"
1�
NON —SHRINK
GROUT
TO LEACH
PIT
4" PVC PIPE
NOTE:
IF EXISTING DRYWELL CONTAINS A PRECAST CONCRETE TEE OUTLET
INSTEAD OF A 4" PLASTIC SANITARY TEE SUBSTITUTE ZABEL FILTER
MODEL A1807-4x18 FOR MODEL A1801-4x18.
EFFLUENT FILTER DETAIL
SCALE: N.T.S.
WATERTIGHT MANHOLE FRAME & COVER;
SYRACUSE CASTINGS #1502 OR EQUIVALENT;
GRADE TO DRAIN AWAY FROM COVER
FINISHED GRADE
--PRECAST CONCRETE RISER AS REQUIRED
UTLET
---EFFLUENT LINE
INSTALL NEW OUTLET PIPING
AS SHOWN ON DRAWING Cl
FORT MILLER PRECAST
SEPTIC TANK OR EQUIVALENT
DRAWING NOTES:
1. BASE MAPPING FROM LIMITED FIELD MEASUREMENTS BY JARRETT-MARTIN ENGINEERS, PLLC.
2. CONTRACTOR TO EXCAVATE TO 11' (MIN.) DEPTH BELOW GRADE TO CONFIRM
SOIL CONDITIONS / GROUNDWATER. (ENGINEER TO WITNESS)
DESIGN INFORMATION:
DESIGN BASIS
NEW YORK STATE DEPARTMENT OF HEALTH
TOWN OF QUEENSBURY
POTABLE WATER SUPPLY
NO KNOWN EXISTING POTABLE WATER SUPPLY WELLS LOCATED WITHIN
150 FT. OF PROPOSED WASTEWATER DISPOSAL SYSTEM.
DESIGN FLOW
4 BEDROOMS x 110 GPD/BEDROOM = 440 GPD
(WATER SAVER FIXTURES REQUIRED THROUGHOUT APARTMENT UNITS)
SEPTIC TANK
1250 GALLON (MIN.) CAPACITY REQUIRED
EXISTING 1000 GAL SEPTIC TANK TO BE SUPPLEMENTED WITH
ADDITIONAL 1000 GAL PRECAST SEPTIC TANK
SEPTIC TANK EFFLUENT FILTER
PROVIDE (1) MODEL A1801-4X22, "ZABEL" RESIDENTIAL FILTER.
EFFLUENT FILTER TO BE INSTALLED ON OUTLET OF SECOND SEPTIC TANK
LEACHING SYSTEM (FIELD)
440 GPD / 0.9 GPD/SQ. FT. = 488.9 SQ. FT. REQ'D
(<10 MINUTE/INCH PERCOLATION RATE SOIL)
PROVIDE (2) 8 FT DIA. x 5 FT. DEEP DRYWELLS WITH 4 FT. OF STONE ALL AROUND
16 FT x pi = 50.27 SO. FT. / VLF. x 5 FT. = 251.33 SQ. FT.
251.33 SQ. FT. x 2 DRYWELLS = 502.65 SQ. FT. TOTAL
EFFLUENT DISTRIBUTION
GRAVITY DOSING/ DISTRIBUTION FROM SEPTIC TANK VIA DISTRIBUTION BOX.
TEST PIS' RESULTS:
T.P. # 1 - DEPTH - 92 FT
MEDIUM TO COARSE SAND & GRAVEL WITH SOME FINE SAND,
TRACE OF SILT
NO EVIDENCE OF GROUNDWATER
TOWN OF OU`NURY
BUILDING & E EPT.
REVIEWED BY
DATE
FILE COPY
FAI
12/05/02 I /�B I REVISED PER TOWN COMMENTS
11/29/02 AA SUBMITTED FOR PERMIT TO CONSTRUCT
DATE REV # ISSUED / REVISIONS BY
s" '"' SITE PLAN / DETAILS o 1 ING•
cl
WASTEWATER REPLACEMENT SYSTEM
MAPLEWOOD APARTMENTS — UNIT 15 WEST
y MANOR DRIVE
QUEENSBURY, NEW YORK
JARRE7f - MARTIN ENGINEERS, PLLC
THO - PROFESSIONAL ENGINEERING
P. 57509 12 EAST WASHINGTON STREET PHONE: (518) 792-2907
COPYRrxW0 2002 GLENS FALLS, N.Y. FAX: (518) 798-1864
0WYC0MC*MW0PAVAWVMA
B„EWAL OWLSECONSDOMTRW DECEMBER 2002 PRO# 02-87 SHEET:1 OF 1
MDVAM
OV MOMMUNUML FILE: F\287112102 MAPLEVVOM APT WW SYSTEM.DWG PLOTTED / REVISED:12M5= 4:45pm