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2002-984 TOWYOF QUEENSBURY 742 Bay Road,.Queensbury,NY 12804.5902 (518)761.8201 Community Development-Building&Codes (518)761.8256 COM u -TE ,OF r PLIAN" utRTIFII'all Permit Number, a2002O984 Date Issued: Tuesday,December 03,2002 This is to certify that work requested to be done as shown by Permit Number a200209$4 has been.completed. Tax Map Number. 523400-296-014-0001-007-000.0000 Location: 78 MONTRAY'Rd Owner; GRAYSON PROPERTIES LLC Applicant: GRAYSON PROPERTIES LLC This structure maybe occupied as a: Septic Alteration Residential 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. (r TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020984 Application Number: A20020984 Tax Map No: 523400-296-013-0001-073-000-0000 Permission is hereby granted to: CTRAYSONPROPFRTIES- I.-T..C. For property located at: 73 MONTRAY 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: GRAYSON PROPERTIES,L.L.C. Septic Alteration Residential 1004 CHESTNUT St Total Value MECHANICVILLE,NY 12118-0 Contractor or Builder's Name/Address Electrical Inspection Agency IRS SEPTIC IVAN BELL 2 LOWER WARREN STREET 01 JFFNSBI JRY.NEW YORK Plans&Specifications 2002-984 Lot 15, Montray Heights Residential septic alteration per plot plan and specifications. $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,December 03,2003 (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 Queensbury; Tuesday,December 03,2002 SIGNED BY - fi /� for the Town of Queensbury. Director of Building&Cd�?n%ement Application for Permit.-Septic Disposal-Systom Rmw (?f Qtieciublll)) 7-12 11a 1?oael(Meeiisl)m:v, NY 1280-1 (5 18) 761-8256 1. OWNER INFORMATION: Off-ice Use Location of illstallation:Lot#15 Mont-ray Helght,Montray Rd. q File Permit No. gq Tax Map No.296.13/ 1 73 Owner's N.nine: Larry Grayson Fee Paid 0 . .............-.......................... ...................... Address: 1004 Chestnut Street, Mechan1cv11-1e,NY 12118 2. INSTALLER'S NAME IBS Septic 194 PHONE NO. 798-8 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate flbedrooin(v) and intiltiply It of bectroolits with applicable gallons per bedroom to equal total clail),floll') Year ofHotiso: ­-No. orBedrogins Computation Total Daily Flow 1980 or older 2 x 150 gal/bdrm 300: 1980-.1991 X 130 gal/bd6n 1991 -present x flOgal/bdi-iii Garbage Grinder 'Installed yes 110 X Spa or Whirlpool Installed yds no X 4. PARCEL INFORMATION: (circle applicable inflormaLion & indicate nicastirenictits) 1!I)j�o!:viot1S MgLqij.I1 Domestic W"Iter Stipply 61 wh(rt-depth-7 al what cle/11/1 11(17 Rolling loam > J&e, 81 �J&et Steep "e" slope clay if IV(-'//; Ivater stip"I'71j,- 5t �-.slope other -oil]any septic-system depth; absoiption is other Percolation Test: (To be completed b-v licensed professional engineer or(irchitect) Rate: 4m:Ln 01secillillitte pet-jnch 5. PROPOSED SYSTEM: Tor New Construction: All itiWvidti,,il sewage disl:)os.iI systems sous[bc designed bya licensed prolliessiona I engineer ornrcl I i icct(unless i list.1 I Icd in.1 Planning 13oa rd approved stibd i vis i o I I). Add250 gnilbitsto the size of the septic tank and Icacli field for cacti Garbage Grinder, Spa or WlIirllX)olTIlb. Septic Tank: 1000 gallon (mitt. size 1,000 gal.) Tile Field: each trench-42.15 ft. Total System Long(It: _126-45 Seepage Pit(s): number size ofet7cll: ft. by Sizoof Stolle toboused: // N/A clep/h Or thickness Bed System Size: N/A_ X Alternative System: N/A length and/or size 6. HOLDING TANK,SYSTEM: (if required) Number of tanks: N/A / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work imist be inwected by aTown at)proved OT CCL6cai Rtioil ng clicy- 7. SIGNATURE Sc INFORMATION FOR RESPONSIBLE PERSON (please read) For yonr protection,please note that ptir'sualit to Section 136-29 ortlic Code orthe'Fown ofQiiecnsbxjry, any permit ornpprowil grnntcd_wl6cli_is bases[ tipon or is grnnted in rcli-Ince 1.113011 any material misrepresentnLibn-or fniltire to mike a imiterial fact or circmnstancc�kilowii by or on bblialfofan applicant, shall be voi d. I have read the regtiLiLions With i-osl?ccf tos.lpplic.tioll - this I nitclagreo to abide by these and all requirements of to To- I r QueensbLi anitary Sewage Disposal Ordinance. 41 72644DA,l Signa e of responsibld person Date ° MUM ° ITM affQaMM&O, Till H. Thomas Jarrett, P.E. Professional Engineering Kenneth Martin, P.E. December 11, 2002 Mike Shaw,P.E. New York State Department of Health Glens Falls District Office 77 Mohican Street Glens Falls,NY 12801 Re: Grayson.Properties, LLC 78 Montray Heights—Lot#15,Montray Rd., Queensbury Jarrett-Martin Engineers, PLLC#02-48 Dear Mike, This letter.is to follow up our recent phone conversation regarding-Lot#15 of 78 Montray Hieghts in the town of Queensbury. A;.new,•,wastewater.Aivosal,.system,has,-been!installed;:on,IJot,�#I5','td;replace a recently failed.sstem: The.new=system,wasinstalled;ori!Satur�lay,;Nove�rilier'=2 20'02 by''I'B.S: Septic &;Drain;;at:-the request,;of Larry-Grayson. ;!kThe,(system was`'replaced.ton an emergency:;basis;to: minimize;:expo sure, of'=the residents, genefa1_publi6,'pets''and°area wildlife to thepotentially serious-.health hazard that a failed"wastewater 'disposal'system poses. On Tuesday, November 19, 2002, staff_ from this observed the new wastewater disposal as it had been installed. . Additionally, Jarrett-Martin Engineers, PLLC staff verified the in-situ soil percolation rate. The.-visual observation. by staff from this office was facilitated by I.B.S. Septic &Drain. .I.B.S.' personnel excavated observation holes for the following: building soil line, septic tank inlet, septic tank outlet, 'septic tank effluent line, distribution box, distribution piping, head and distal end of each lateral (3 laterals). Concurrently with the observation performed by this office, Dave,Hatin from the Town of Queensbury Department of Building and,Codes performed a construction inspection of the system for the town. It is the opinion-of this.office that the wastewater-disposal system installed.'toserved Lot. #15 .was 'installed,. substantially.,.in.-,accordance• with;New •York'�State..Dept: `of Health Residential: Wastewater. Disposal-_requirements� and the;-Town of Queensbury'' Oil=Site Wastewater;Disposal Code.,,.Xhe only modification.ihdde'to;'the',system,"on`,N'ovemlie'r 19 ` ;involved the addition of speed.levelers-on the:distt-ibtition'box:outlets:!"':- ' a 12-East Washington St. - Glens Falls, NY 12801 518-792-2907 / 518-798-1864 Fax )Printed on Recycled Paper Mike Shaw, P.E., New York State Department of Health December 11, 2002 Re: Grayson Properties,LLC, 78 Montray Heights-Lot#15. Attached is the record drawing the new wastewater disposal system installed to serve Lot #15. If you have and questions or comments-regarding .the above or attached feel free to contact me at 792-2907. Sincerely, Jarrett-Martin Engineers, PLLC Robert U. Holmes 11 Project Engineer For H. omas J *P. . Pr' ipal Cc: Ivan Bell, I.B.S. Septic&Drain Dave Hatin, Town of Queensbury Larry Grayson, Grayson Properties Page 2 of 2 SUBSURFACE INVESTIGATION PERCOLATION TEST#1 SOIL: REDDISH YELLOW FINE SAND DEPTH: 34" OBSERVED A STABILIZED PERCOLATION RATE OF z 1:4 0 4 MINUTE 01 SECONDS. W w g =: uj THE REDDISH YELLOW FINE SAND IS CONSISTENT THROUGH THE AREA IN WHICH 1 H . 2 THE LEACHING SYSTEM HAS BEEN INSTALLED. NO EVIDENCE OF APPROXIMATE MOTTLING, SEASONAL HIGH GROUND WATER OR BEDROCK WAS NOTED. Z 'uc' LL 0 UTILITY/METER POLE z Z '_' L 1000 GAL. PC LY DESIGN INFORMATION: LU D-BOX 0 > I- // SEPTIC TANK 25 LL .9 LU 0 co DESIGN BASIS 1. NEW YORK STATE DEPARTMENT OF HEALTH 0 TOWN OF QUEENSBURY 88 z Of POTABLE WATER SUPPLY 9­0"— NO DOCUMENTED POTABLE WATER SUPPLY SOURCES x 0 < LOCATED WITHIN 100 FT. OF PROPOSED WASTEWATER DISPOSAL LLJ Of SYSTEM. LOT #1 5 AND THE NEIGHBORING TRAILERS ARE SERVED BY A < MUNICIPAL WATER SYSTEM. x Fcn z DESIGN FLOW RESIDENCE x 2 BEDROOMS x 150 GPD/BEDROOM 300 GPD LU Ld ----------------- SEPTIC TANK I-- x 1000 GALLONS (MIN�) CAPACITY FOR 2 BEDROOM RESIDENCE w NEW 1000 GALLON SEPTIC TANK PROVIDED. u�13 Of < 0 LEACHING SYSTEM (FIELD) U) 00 "E" a- 300 GPD - 1.2 GPD/SQ. Fr. = 250 SQ. FT. REQ'O 0 z 0 z U" 21 (1-5 MINUTE/INCH PERCOLATION RATE IN SITU SOIL) , Lo 75 zc 0 1 250 SQ. FT. + 2' WIDE Or :E 3: TRENCH = 125' MINIMUM OF ry E E "EQUALIZER 24" INFILTRATOR TRENCH REQUIRED. m D_ w > FT. LONG REQUIRED '�z (3) LATERALS EACH 42.15 0 =C) (-EQUALIZER 24-INFILTRATOR LATERALS EACH (5) UNITS LONG) o Lu <>co Lij LU I__ ACTUAL CAPACITY OF CONSTRUCTED LEACHING SYSTEM U) PT i Co (3) LATERALS x 42.15' PER LATERAL = 126.45' OF TRENCH PROVIDED C/) 63 126,45' x 2' WIDE TRENCH - 252.9 SO. FT. 0< OF ABSORPTION AREA PROVIDED c z n 252,9 SQ. FT. x 1.2 GPD/SQ. Fr. (APPLICATION RATE) LU 303.48 GPD DESIGN CAPACITY 2 Lij (D 7'-6" EFFLUENT DISTRIBUTION GRAVITY DOSING/DISTRIBUTION VIA -D-BOX FROM SEPTIC TANK. CL SPEED LEVELERS INSTALLED IN D-BOX 10:30AM 11/19/02, OBSERVED LU 0 Cc BY RUH. GRAPHIC SCALE 10 0 5 10 20 40 r IN FEET SCALE: 1" = 10' WASTE,l WATER AN= 1-