98-141 CERTIFICATE +Qa,+ COMPLIANCE
TOWN OF QUEENSOURY
WARREN COUNTY, NEW YORK
]C .� Da to May 8 19 98
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This is to certify that work requested to be done as shown by Permit No . 98141
has been completed .
This structure may be used as a SEPTIC ALTERATION ( CUSTARD )
Location 1172 STATE ROUTE 9
Owner GREAT ESCAPE HOLDING , INC .
By Order of Town Board
TAX MAP NTO . 36 . - 2 - 3 . 1 TOWN OF QUEEN "BURY
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No. 98141
TAX NAP NO . 36 . - 2 - 3 . 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to GREAT ESCAPE HOLDING , INC .
OWNER of property located at 1172 STATE ROUTE 9 Street, Road or Ave.
in the Town of Queensbury, To Construct or place a SEPTIC ALTERATION ( CUSTARD )
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_
1. OWNER'S Address is
P . O . BOX 511 , ROUTE 9
LAKE GEORGE , NY 12845
2. CONTRACTOR or BUILDER'S Name
GREAT ESCAPE , THE
3. CONTRACTOR or BUILDER 'S Address
1172 ROUTE 9
QUEENSBURY , NY 12804
4. ARCHITECT'S Name
6, ARCHITECT'S Address
6 TYPE of Construction — ;Please indicate by X)
SEPTIC
I i wood Frame f I Masonry f ) Steel C I
7. PLANS and Specifications
SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SEPTIC ALTERATION ( CUSTARD )
35 April 22 2000
5 PERMIT FEE PAID — THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Outensbury before the expiration data.)
22 April 19
Dated at the Town of Queensbury this Day of 19
SIGNED BY 'G ± r E for the Town of Queensbury
ullding and Zoning inspector
Y A Application for SEPTIC DISPOSAL PERMIT
)Dept of Community Developmenc Permit No-
Buildtagg & Codes QPFtce
742 Bay Road Fee Paid �
Q "censburv. NY I2$0a p�
.yUn}� ,.•.••"•• for L^. The Great Escape - Custard
VIo 1Jl 1./MA Vim}
Property Clwner% Name: Great Escape Theme Park LLC
Property Owner's Mailing Address: PO Box 511 , _ Lake George ,, NY 12845
Installer's Name- The Great Escape Phone 518/792 -3500
Number of bedrooms Of residential): Total daily flow: 150
(residential - compute 150 galdbdrm-)
Topography: flat, risMr g, steep slue % of slope
Soil Nature: x sand, loam., clay, other ! depth.:
Ground water: at what dcptu? 3 fact ! Bedrock or Impervious Material: at what depth? T feet
Percolation test: x not required, required [ rate min. per inch. ]
I7ornestic water supply: x municipal, well, ocher
If domesdc water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM * PUMPING STATION * SEE DRAWNINGS
Septic tan L 7000 gallon (minimum size: 1,000 gal.)
Tile field, each trench feet I Total system length: feet
Seepage pit(s): number of 21 ! size each: 8 ft, by 4 ft,
Size of stone m be used. # I depth or thickness feet
HOLDING T.A % K SYSTEM: (if requftred)
Number of tanks: Size of each: gallons
AI"= ryawm acad associated electrical wtork to be inspected by a carsiSed agency. �
For your protection, pies" rote tlucr puns c to Section 236-29 a the Coda of rho Town of Quw=b v, ai* pe it or
approval grayed which is based upon or is geared in raUn=ce +.spoor any numorial misxopre+eotaxivra or f Lamm sa ms+ks a
mareaial fact or ciresssvltappee lmewa by or cm bebalf of as applicant, skull be void.
I ha,..e read the regulations with respect to this applie ' n and agree to abide by these and all regoi+emtrs of the Town of
Qucaasbwry Sanitary 5awage Diapocal Ordmmx
Signarure of responsible person: __ _ Date : 4/ 10/98
hn S . Collins
Vice President. / General Manager
TOWN OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
742 Bay Road
Queensbury MY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name fi' }
Location k-r
Date 4 Permit # ,
SOIL TYPE : Sand- Loam- Clay-
Results of Percolation Test-
( if applicable ) Rate- Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD : Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE P 1LS : Number- _
Size - fto x ft .
Stone size
PIPING : Size Type
Bldg . to Tank
Tank. to Dist . B x
Dist , Box to Feld/Pit
Openings Sealed ? Yes Imo Partial
LOCATION/SEPARATIONS :
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan �—es No
LOCATION OF SYSTEM ON PROPERTY :
( circle one )
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS : �'larvR -T 4R"'� �. � tfiC���-C.L_
S,v 43 G►t, Tc Ire ,. E? &e-,cf *`•
SYSTEM USE APPROVED : YES NOS
Departed :
Building Inspector
TOWN OF QUEEHSBURY
BUILDING A CODE ENFORCEMENT
742 Say Road
Queensbury NY 12804
(sis) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
NameLocation �� s'r*Rt>
Date SJ Permit # �-
SOIL TYPE : Sand- Loam-Clay-
Resul is of Percolation Test-
( if applicable ) Rate-Minute/Inch
TYPE OF rx .
M
ABSORPTD : T tal ngth
Length tr ch
Depth ohe
Size of
SEEPAGEumber-
Size - ft , x ft .
Stone s
PIPING: Size Ype
Bldg . t
Tank toBox
Dist . Bield/Pit
Openings Sealed ? Yes No artia
LOCATION/SEPARATIONS : feet
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERT
( circle one )
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
SYSTEM USE APPROVED : YES No
Arrived : �`•��'
Departed : '2 :
Bui -, ng nspector
TOWN OF QIlEE NSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Q+ueensbury MY I2804
(S 18) 761-9256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name /2A-� Sc
Location41 (
_ {
Date 7- Permi # /G► ' /
SOIL E: San oam-Clay
Results of l ation Tes -
( if applicabl ) Rate-Minut Inch
TYPE OF SYS
ABSORPTION FI Total Le th
Length of each trench
Depth of trenc es
Size of stone
SEEPAGE PITS: umber-
Size - x ft .
Stone size
PIPING : � Size
Bldg . to Tank
Tank to Dist . Box
Dist . Box to Field/ t
Openings Sealed? / es�a aarrMl
LOCATION/SEPARATI[ IS : �/
Foundation to Tankk feet
Foundation to A4,torpti n feet
Separation of P: is feet
Conforms as pe+ Plot P1 a Yes No
LOCATION OF SS*STEM ON P ERTY :
( circle one ) /
Front - Reari - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS : 7
SYSTEM USE APPROVED : YES M
Departed
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Building nspector
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