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98-080 CERTI FICXrE OJ-i' {COMPLIANCE TOWN OF QU'EENSBURY WARREN COUrnY, NEW YORK Date ajar i 1 y 19 C, (. ? 1 r This s to verify tha # work requested to be done as shown by Permit No . 98080 has been completed . This structure may be used as a SEPTIC. ALTERATION Location 122 SWEET RD . Owner BLANCHARD , ROBERT & TAX MAP No . 641 - 1 - 9 By Order of T wn Boar Director of Building & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY No_ 98080 TAX MAP NO . 64 . - 1 - 9 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to ELANCHRRD r ROHERT & OWNER of property located at 122 SWEET RD . Street, Road or Ave, in the Town of Queensbury, To Construct or plaoe a SEPTIC ALTERATION at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance_ ©'"W%1LWd V$ 12 2 SWEET RD . +QUEENSSURYr NY 12804 2. CONTRACTOR or SUILOeR'S Name CONDON SEPTIC & DRAIN SERVICE 3. CONTRACTOR or BUILDER'S Address 4, ARCHITECT'S Name 5. ARCHITECT'S Address o_ TYPE of Construction — (Please indicate by X) SEPTIC I i Wood Frame ( 1 Masonry ( l Steel 1 1 7. PLANS and Specifications SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS No, 8. Proposed use .SEPTIC ALTERATION 25 March 18 2000 S PERMIT FEE PAID - THIS PERMIT EXPIRES 119 llf a tootler t►eriod is required an application for an extansion must be mad* to the Sullding and Zoning inspector of the town of Oueansbury before the eKpiretion date.) 18 March 19 Crated at the Town of Queensbury this Day of 19 SIGNED By ym for the Town of Queenstwry Building and Zoning Impactor Application for SEPTIC DISPOSAE PERMIT Dawn of Community Queensbury Permit No. Dept. of unity Development Building & Codes Office 742 Bay Road Fee Paid S cx Queensbury, NY 12804 Location of property for installation: ygr &VFe y` k ) �^+ ■ p� Property owner's Name: 1 ^ RFC ��. 1wI° #.J Property owner's Mailing Address: 'i�`I- 4[1cR`E,� mar r MAR 171998 Installer's Name: j-�f c ►�, (;V—S .+R Phone # �f jt � N*A iU CODE Number of bedrooms (if residential): Total daily flow: ��-- (residential - compute Qa 150 gal.Cbdrrn.) Topography: flat, rolling, steep slope h'o of slope fra/� i Soil Nature: sand, loam, clay, other f depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? 4 feet Percolation test: not required, required [ rate min. per inch ] Domestic water supply: municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank: = gallon (minimum size: 1 ,000 gal.) Tile field.: each trench .6C) _ feet I Total system length: ?d 0 feet Seepage pit(s) : number of ! size each.: ft. by ft. Size of stone to be used: # I depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each. gallons Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that ;pursuant to Section 13Er29 of the Code of the Town. of Queensbury, any permit or approval granted which ie based upon or is granted in reliance upon any material misrepresentation or failure to I17al a material fact or circumstance lmowxt by or on behalf of an applicant, sbAU be void. I have react the regulations with respect to this application and agree:', to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposalordintlnce. Signature of responsible person: 'ir� �+"^.�_ .. .._. _ ._. Date: J ` � r' `J�-x- � le TOWN OF QUEENSBURY BUILDING A CONE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name � $Q� Location 1- &1 Ta - - 3y- Date SSy — % =5RPermi t # = SOIL TYPE: Sand- Loam—Clay—Results of Percol ati Test- ( if applicable ) Rate Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD : Tot 7 L Length of each trench Depth of trenches Size of stone SEEPAGE PITS : NyMber- Size Irto x ft , Stone size PIPING: Size Type Bldg , to Tank Tank to Dist , Box Dist . Box to Field/Pi t Openings Sealed ? Yes^"" o P57IT57 LOCATION/SEPARATIONNS : Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : SYSTEM USE APPROVED : Yam-E`7xn Arrived : Depart 1, B ding r CP4) Ale v FFrVS30r kf 11 dr © on 0 1 ' E AMR 31 CODE Tow OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY I2804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Fy � Date Permit # ,. 09" SOIL TYPE; Sand- Loam- Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION IELD : Total Length 30p Length of ea h tren Depth of tree hes Size of stone SEEPAGE PITS : ber- Size - t . t . Stone size PIPING : ize ype Bldg . to Ta Tank to Di Box : --' '— Dist . Box to Field/Pit., Openings Sealed ? o P art7a LOCATION/SEPARATIONS : Foundation to Tank _ormr. feet Foundation to Absorption feetSeparation of Pits feet Conforms as per Plot Plan s LOCATION OF SYSTEM ON PROPERTY: ( circle one ) --� Front - Rear - ft Sidi] Right Side Middle Front - Mi a ear COMMENTS ` '�' i SYSTEM USE APPROVED: YES Arrived: Depart 4di Spector I TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name „�sl #�:Y J 1X)V ^ _ Location Date Permit # 9 SOIL TYPE: Sand- Loam-Clay- Results o Percolatio st- ( if appli able ) Rate in to/Inch TYPE OF SY ABSORPTION ELD : To a ] L ngth Length of eac trenc Depth of trenc s Size of stone SEEPAGE PITS : Num Size - ft . x 1 ft . Stone size PIPING : Size ype Bldg . to Tank Tank to Dist . Box Dist . Box to Field/Pit Openings Sealed ? Yes—" 'Iffo Partia LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan ""Yes No LOCATION OF SYSTEM ON PROPERTY: ( circle one) Front - Rear - Lett Side - Right Side Middle Front - Middle Rear COMMENTS ." SYSTEM! USE APPROVED : YES Arrived= c� _ Depa i B rt9 n C r A) y r� 'q y 'l� �u TO4Too of Qua 1� auf campti 1 1 , ¢wJ . mttehuedas f _V �+� ��and ira�r�ere in full DATE code ..Y � K IIVED MAR 1719% FILE NOc,f " facto seat at observed, or believe I saw evidence of, V4U � .� rYU W a� f1at19BS, webs, trees, fences, etcY ��15� aiMa01 10911 afao Wtttfmt f hm � t aK aftt A as t�li�atR." 3�1 ��Pjf r SLV F -� ��, /fi r C%'F Ad(