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1999-078
TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road • Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name kl\k`L64C 5 CO ogir• Location L rr 2- 1 > U2tC(--5,1 )--I&-e--0 S Date S 11 91 Perm't # �i'' 7( -07e 1 SOIL TYPE: Sand-Loam-C1 y- Results of Percolation T st- (if applicable) Rate-Minn a/Inc TYPE OF SYSTEM: ABSORPTION FIELD: Total Legt Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x t. Stone size PIPING: ize Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No arti ail LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorptipn feet Separation of Pits I feet Conforms as per Plot plan Yes No LOCATION OF SYSTEM ON1PROPERTY: (circle one) Front - Rear - Left Side - Right S`de Middle Front - Middle Rear COMMENTS: x.)O► �6A ►�U J SYSTEM USE APPROVED: YES (;-I!) Arrived: Departed: , 3 Building Inspector MAP REFERENCE: SURREY FIELD SUBDIVISION DATED: OCTOBER 27, 1998 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC TOvV-,4 01F H.O.A. COMMON GREEN SPACE I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: Mary B. Shea HSBC Mortgage Corporation (USA), Its successors and/or assigns Chicago Title Insurance Company CERTIFIED BY: MATTHEW C. SIEVES, LLS NYS 50135 DATED:June 10, 1999 �1 an D u s eh 8c Steves Land Surveyors, LLC 37 Chester Street L18) 792-8474 Glens Falls, New York 12801 New York Lie. No. 50135 N 27 7,739.49 sq ft (.13f NEW y© . C. F G�(P ; ,�3b LANCE %Nanwwdzw AL TW OR ADM" TO A S AWY MAP SEAR1p A LAND SUIlMEYgq XX IS A MOLA7MSN W SEJ0FL0wft &W-OIMLSa % OF 711E NEW VMMW STAL LAMA' 'MLY COPIn gawk w *0 SIRNMeY MAMM w M AOF IM LAID SMLME"" wx SMALL eelO •LT]tIIfICA1RSD ec YAM 7" COPOW 1!t! SINMEY MIIM MM M SRNPFY vw ACOMD MCE I M 74E EOSIe Om[ OFOR LAND 3% elQ4 ADOP1lp 8Y 1ME IEM YpAS900M1MM OF PROiplpM/tLAND SURVE7dLLI:LCA100 MALL RM Ol.Y TO 7NE PEMOM 7LIE SLWWY IS P9VAr= ANDOM Re SENW =PAMX OOM WNXTAL AMMY AND U3US= NOOK AID70 1ME A35MLE70IMO RA7111Uim, F� PN PLC oR\� PS / V-1 26 Map of a Survey made for MARY B. SHEA Town of Queensbury, Warren County, New York 25 1 06/10/5 NO DA TE 7 DRIVEWAY do CERTIFICATIONS DESCRIPTION a-cei MAY 11, 1999 cale 1-=20' S -1 i SHEET 1 OF 1 SHEA DWG. NO. 97061-27