1999-652 •
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 15 19 99
blf) • 11
99652
This is to certify that work requested to be done as shown by Permit No.
has been completed. SEPTIC ALTERATION
. This structure may be used as a
51 BOULEVARD
Location
GRANGER, MUMAR. F�CVId
Owner
TAX MAP NO. 112.. -1-16 By Order of Town Board
�-� TOWN OF U ENSBURY
o
, Director of Building & Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 0 Building Permit No. 99652
TAX MAP NO. 112 . -1-16
Permission is hereby granted to GRANGER, MARY ANN
Owner of property located at 51 BOUT, VABD
in the Town of Queensbury,to construct or place 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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
R.R. #1 BOX 1387
LAKE GEORGE, NY 12845
Contractor or Builder's Name:
, QUEENSBURY SEWER
Contractor or Builder's Address:
JAY SWEET
0
Electrical Inspection Agency: _
Type of Construction:
SEPTIC
Plans and Specifications:
SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
SEPTIC ALTERATION
$ 35 PERMIT FEE PAID—THIS PERMIT EXPIRES October 14 2001
(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.this 14 Day of October 1999
SIGNER- .. for the Town of Queensbury
Code Enforcement Officer
Application for SEPTIC DISPOSAL PERMIT
TDepnt.
of Que nsbury
CA-Q
Dept_ of Community Development Permit No.
D-_,
Binding &Codes Office m cO
742 Bay Road Fee Paid $�
Qu_ensbury, NY 12804 '
J
Location of property for installation: / fa) k /v J ,
rxk e< <u.f .4 v'
Property Owner's Name: _/A/jd v 7 (/,(_ �� , -
f e V
Property Owner's Mailing Address:
Installer's Name:( p e ,",1 arc ✓
7 •
c� e v' Phone # 9- 02 �� - ,,r
- Number of bedrooms (if residential): Total daily flow:
(residential - compute @ 150 gal./bdrm.)
Topography: ')( flat, roiling, steep slope % of slope
- Soil Nature: X sand, loam, clay, other I depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet
Percolation test: X' not required, re;uired [rate min. per inch]
Domestic water supply: X municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
.74,/ 7- ii /1,Z ,
Septic tank/°° °gallon (minimum size: 1,000 Pal.)
Tile field: each trench feet / Total system Iength: feet
i � �
tiFD
Se'Seepage pit(s): number of / sue each: . ft.by � '
OCT 14 1999
Size of stone to be used: # / depth or thickness feet
TOWN OF QUEENSBuRY
BUILDiNG AND CODE -
HOLDING TANK SYSTEM: (if required)
Number of tanks: 7' : Size of each: / c o o gallons
Alarm system and associated electrical work to be inspected by a certified agency.
J
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Qrnensbury, any permit or
appal al granted which is based upon or is granted in reliance upon any material naisrepresentztka.or failure to make a
material fact or circumstance known by or on behalf of an applicant, shall be void.
I have :mod the regulations with respect to this application and agree to abide by these and all requirements of the Town of
Queersbtay Sanitary Sewage Disposal • .:.:.
Signature of responsible person: al c,cp ee Date: /O — —
TOWN OF Q UEENS B LJR Y Office Stamp (received)
742 Bay Road, QUEENSBURY, N.Y. 12804-9725
`' -- SEPTIC VARIANCE 44,
NpAY
Application to be reviewed by Town Board of .`�ealth
1. Applicant's Name: �(\ a'r /fl�t. r p p
Street Address: -
City,, State, Zip: 1--0 H4 v-k /I/(1,Telephone No. L(,(��P �.o 660. 3c0
2 . . Agent's Name: !•lcc c /e)caa✓,�-t f •7.C,
Street Address: C-fhe
City, State, Zip: c Ie n !=r"Lt ,J; Lj 12ed/
Telephone No. 74-S- 4400
3 . Owner's Name: AA r• A /i ) C; -1 ( e
Street Address: J
City, State, Zip:
Telephone No.
•
4 . Location of property: -pOu -1133
5 . Description of holy to find the property: .Scvd
el
!. leue ,J ?h bletc,. T7,0oiau_111 1- , C Lka.0
6 . Tax Map Number: Section / / 2- , Block / , Lot /6y. d 17.1 ca
7 . Lot size: acres/sq. ft.
8. Section of the Sanitary Sewage Ordinance from which you are
seeking this variance:
/34�— A — 1/c,•
+ le 13 . ✓c Oh V1 SIB.iC .
,a5-4- e t, t'ui e ,%e )
nn c %bin &A A / ve/s .. •
9 . Distance from well on property to septic system (if
applicable) . Ism
•
10 . Is it possible to install a conforming septic system on this •
property?
Yes No
if Yes, please explain and attach diagram.
I PAGE
j
•
11 . Does proposed system meet setback requirements for distance
from wells and septic systems on neighboring properties?
Yes No
if No, please explain: -
12 . Is proposed system to be installed under a parking area?
Yes X. No
13 . List the names, addresses (including tax map number) of all
adjoining property owners . You may obtain tax map numbers
from the Assessor's Department as well as the names and
addresses of neighboring property owners .
Name: T:''ed Next
Tax Map # /Jz - 1-15,2
Address 13e F S Z
61414ew,447l . kit/ IzSLa
\ l NORTH 1
Nalll2: ��m .D`'t. ils ; Nallle: Fr", '� m �,nc
Tax Map # //Z-/' 15.3 WEST 4- EAST"Tax Map # liz-/ - /7,2,
Address 17 �-c`�¢ e�- Address S3 -2)6uleja cd
�,kks o�d t4-534 SOUTH C�2‘4,.ce. .5\0
•
Name:
• 544- 'c oC A/ Y 1Zao4
Tax Map # _
Address eclnul
PAGE 2
•
AUTHORIZATION TO ACT AS AGENT FOR
I, /`'Iar;a"nc 6/4 neje.' seller El owner JJ of premises located at
Soule 4P Tax Map Number: /I L - l- 1,5, 3 hereby
designate: 1 -cce 5ygc,eevnl �-G. to act as my agent regarding
an application for a septic variance at the above premises.
Applicant's signature �� ���� Date '7- .z — 1
Applicant's agent signatur_ -- L- Date 8f L14'S'
STATEMENT
I, (we), e✓i it 6 rc kSw do hereby relieve the Town of
Queensbury from any liabilities on the plumbing and septic system located at:
30c.//edOte' 'K i-1? 4-' //z - /f- /5•3
I, (we), realize that putting the system less than the required �y feet from
, the a fte�covv a may increase risk of pollution.
Cede-
��t't'(•cam.. \-/ V=4-c_
Applicant's sign Date . //z/s5'
OFFICIAL RECORD OF MEETING - MINUTES
"The parties hereto consent that the proceedings which result from the within
application may be tape recorded and transcribed by the Town Clerk or his
agent and that such minutes as may be transcribed shall constitute the official
record of all proceedings regarding this application, unless the same may vary
from the handwritten minutes taken by the Town Clerk, in which event the
handwritten minutes as to such inconsistencies shall be deemed the official
- record."
Applicant's signature ; • U t - Date /99e
• Applicant's agent sign Date ��7_fi.f•
PAGE 4
;. NUMBER • 617.21 SEQR
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
9.
.RT I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1. APPLICANT/SPONSOR 2. PROJECT NAME
cAnvie 6?la nclev- IAolci,v•l _T,t l� —
3. PROJECT LOCATION:
Municipality /7.1W !) O C QL(2-e✓r53 ,1 County Giv✓ter..
4. PRECISE LOCATION(Streetaddress and road Intersections,prominent landmarks,etc.,or provide map)
5( O /, .M -d
624een S L,f7 n11.j
5. IS PROPOSED ACTION:
❑New ❑Expansion , lodlllcallon/alteration
6. DESCRIBE PROJECT BRIEFLY:
_Ty)s •6 a v l No`/d,�, -- w/t�. •4. r eetgc-e /el, r.% ;tee
5•e ci%)•c '111
7. AMOUNT OF LAND AFFECTED: ✓
Initially ° \•f'. acres Ultimately LQ acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
❑Yes ❑No If No,describe briefly •
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
❑Residential ❑Industrial Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other
Describe:
10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL,
STATE OR LOCAL)?
❑Yes )'No If yes,Ilst agency(s)and permlllapprovals
11. DOES ANY ASP,CT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? •
❑Yes bt-`l'No If yes,list agency name and permlUapproval
12. AS A RESULT OF OPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
❑Yes No .
I CERTIFY TH THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE 1�- V✓•._ Q,QJa I Dale: 8//Z/f
AppllcanUsponsor name:
Signature: fZDN?GS. (h ✓feet, r't ,4 / 7_ ‘1 ra 16L,
If the action Is in the Coastal Area, and you are a state agency, complete the .
Coastal Assessment Form before proceeding with this assessment
OVER
1
• PAGE5
S;•l ! !l)•• .k •_Q'..LV"'•2.:'• J.•l�•_l', J•Q J_ll:.N_l AL!;Lik!'.•,!AL:Al';•,l J_•L!":J_•l'At!AQ'AN'),,Q •l).•_l !lS•'A!W l'J_Q')AQ'!_l.J_•,),l e)J,•e 1_._l.'ftQ.l• '•n•c4 •_l'+ii
i+
1116 THE NEW YORK BOARD OF FIRE UNDERWRITERS Ar -t
i € 8050 q
'= BUREEAU OF ELECTRICITY v}!
ki p 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210' qi-
it O.C"rOJ3L•R l c)„ ?9rd r L� 6"s3 r} �9 d 4567_", i
,_c Date Application No. on file +
THIS,--4, 9 CERTIFIES THAT 71 - `;
(i only the electrical equipment as described below and introduced by the applicant namedon e e a plication number is in the premises of I}
es,• MARY A NN GRANGER, 52 BOLTIEV.AIW, QUEEN`at3VRY, NY ,!
i ii
in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on OCTOBER 15.199'3 and found to be in compliance with the National Electrical Code.• }
i I
i !T
'W� FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS g
;1+ OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. IY
'i----- ■-■■■.■.■ SSi
c DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Y
S
j: AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. H.P. NO.OF SYSTEFEETAMT. WATTS yr
WI
j' SERVICE DISCONNECT NO.OF S E R V I' C E ,y!
'=+ ,
iMETER
AMT. AMP. TYPE EQUIP. 1 0 2WMMI 3 0 3W 3 0 4W NO.OF C COND. A.W.G. NO.OF HI-LEG A.W.C'' NO.OF NEUTRALS A.W.G. vY
;.:(� PECR 0 OF CC.COND. OF HI-LEG OF NEUTRAL 1)^
Vo
OTHER APPARATUS: i
!fir i
orb
C+ SEPTIC IC ALARM-1 I
�+ MOTORS:1-i H.P. IN
•
yr
4 IN
+� � L
BOXire:..x 1+3"i �2 5t. + 31'_f+ 4: (h
:) QTPF,'E1tTs,P1)RYs ITh 12804 a ,:t t 4'`.'-(4�"f'"< GENERAL MANAGER vY
1 Rj:. [ k,}3^R"• v c yr
Pi
ji Per N,
iil This certificate must not be altered In any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. !Q
o.Y•Y Y•Y Y�Y Y•Y Y.l;Y�Y,Y•Y+4Y-4,-6 ,iY Y;Y Y•Y ..Y Y,Y Y•Y Y Y Y•Y,Y,,Y Y.Y Y•Y Y-'Y Y•Y Y•Y 4Y,Y4176 YiY,.Y•Y 4-ei 3•KiWY•irAit t4i-1'•Yj.-0W YeNV6YiY`4Wifi1;Tii AY riinfoYY•YY1Y\
rnpV Fn0 RI III ninin nPPARTAAINT THIS rnPY OF r.PPTIFIrATP AAI I.ST NnT RP Al TFRFTI IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name i2.94 6 C12
Location _ ocK..e(/WO
Date n/ 19 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 Ab,
Size of stone Mt
SEEPAGE PITS: Num' -
Size - ft. ft.
Stone size
PIPING:
Size Type
Bldg. to a. pir
Tank to Dist. :o ,
Dist. Box to Fie 'd/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARA IONS:
Foundation to T.nk feet
Foundation to Alsorption feet
Separation of P is _ feet
Conforms as pe Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one) /
Front - Rear ' Left Side - Right Side
Middle Front - Middle Rear
COMMENTS: `ot_17( ftz-ND .v ma
-- DAL
Zl e;-e •
SYSTEM USE APPROVED: YES 60)
Arrived:
Departed: ACM
Building Inspector
•
NACE ENGINEERING, P.C.
37 Chester Street, Glens Falls,NY 12801
Phone-518-745-4400 Fax -518-792-8511
July 1, 1999
Job#48007
Mr. Chris Round
Town of Queensbury Planning Dept.
742 Bay Road
Queensbury, NY 12804
Re: Septic System-Yellow Freight Terminal
Dear Chris:
To confirm our short conversation yesterday, I have been retained by Mrs. Granger to assist her in
addressing a septic system problem at a building she owns on the Boulevard. This building is presently
used by Yellow Freight as a shipping terminal. As such the building is occupied by one or two full time •
workers and several drivers who are on the premises for a few hours each morning.
Earlier this spring, Mrs. Granger discovered that the restroom facilities at the building discharged raw
sewage directly into the Feeder Canal. At that time she retained Queensbury Septic Tank Service who
informed the Town Building Dept. of the situation, immediately plugged the outfall sewer and shut off all
water service to the building.
Mrs. Granger then investigated the possibility of connecting the sewer from this building into either the
existing septic system serving another building on the site, or into a new septic system further back from
the canal. Unfortunately, running piping to a remote location proved impractical due to high bedrock
conditions on the site and the fact that the freight building is unheated (making interior, above ground
piping subject to freezing).
It appears that the only practical solution to this problem is for Mrs. Granger to install holding tanks
adjacent to the existing restroom. This will require two variances from the Town of Queensbury. First for
the installation of holding tanks; and second for installation of a septic tank (holding tank) closer than 50
feet to surface water the Feeder Canal. I have attached a sketch showing the proposed location of the
holding tanks.
Since there is an immediate need for sanitary facilities at this site (porta-johns have been used since the
problem was discovered) we are asking that the Town.Board grant the owner permission to immediately
install holding tanks with the understanding that we will follow up with a submission of design plans to the
Building Dept. and, if necessary, a full variance application.
Please call me if you have any questions.
Sincerely,
Thomas W. Nace,P.E.
cc: Mrs. Granger
Jay Sweet
•
•
FINISH GRADE
LIGHT DUTY MANHOLE FRAME
AND COVER (TYP.)
SYRACUSE CASTINGS #1304B OR EQUAL
CONCRETE EXTENSION RINGS
AS REQUIRED (TYP.)
CONNECT EXISTING 4"PVC
SEWER INTO
NEW HOLDING TANK. rs E ALARM #2 - AUDIBLE ALARM IN OFFICE
+ ACTIVATE SELONID TO
SHUT OFF WATER SUPPLY
o4 •
ALARM #1 - VISUAL ALARM
LIGHT IN OFFICE
•
• MERCURY FLOAT 1,000 SEAMLESS SEPTIC TANK
SWITCH WITH FORT MILLER OR EQUAL
WEIGHT (TYP.)
PROVIDE 3" SAND OR $0O0�0
PEA GRAVEL UNDER TANK
1 ,000 GAL. HOLDING TANK
NOTES
1. ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK
• STATE DEPARTMENT OF HEALTH AND SHALL BE PRECAST CONCRETE
AS MANUFACTURED BY FORT MILLER OR EQUIVALENT.
2. ALL STRUCTURES TO BE PLACED ON FIRM. COMPACT SAND OR
GRAVEL FOUNDATION. WHEREVER EXISTING FOUNDATION CONDITIONS •
ARE UNSUITABLE, 6" OF CRUSHED STONE SHALL BE PLACED AS
NECESSARY TO ACHIEVE ASTABLE FOUNDATION.
DESIGN BASIS
1 EMPLOYEE AT SITE FULL TIME - 15 GPO
+ 6 DRIVERS AT SITE FOR A FEW HOURS/DAY - 45 GPD
TOTAL DESIGN FLOW = 60 GPO
USING WEEKLY PUMP-OUT SCHEDULE, CCOE REQUIRES
TANK SIZE = 2 X 60 GPD X 7 DAYS a 840 GALLONS
NACE ENGINEERING,P.C. GRANGER SEPTIC VARIANCE HOLDING TANK
37 CHESTER STREET BOULEVARD-QUEENSB JRY,NY DETAILS
GLENS FALLS, NY
NOT TO SCALE
•
•
254 (, ��
2:
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r I Eduatign 72
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���� —=mac JL•_ �r-==- -- j �� �i ":IT f6 a /
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NACE ENGINEERING,P.C. GRANGER SEPTIC VARIANCE LOCATION MAP
37 CHESTER STREET
GLENS FALLS, NY BOULEVARD-QUEENSBURY,NY NOT TO SCALE
.4........ . IL.,,-Th ........... ......:.............1.................................. .,,....
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TOV‘``_ oiO
OCT 1 4 1999 '���, ��
'1l%1' ' '` t_S r 1►yP TO,,IN OF Ova
U ; DING AND CODE
Di TE — —if _
1 \%.,
' hp...___ )1 eift............, .......„— ............,
• 44 ,
have see0 • ham.w e ridence of,441 G
all objects suc 16 1•.e ells 'rees,fend r s, etc., a , el
.. 0. is 1• i mend.. iso epresent tf at I have A,��x\ � �
"u • • n;es set forth on the agram."per ,.; .. .su ., • • ^Pa-apE,,�Y
-0-4-' - . .. J 11 _tea- / Yc�L.0 .,�
•IGNATURE .`_ DAT z,po� .,, ---,
—1^Any
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1--__ — _ \ K - 2-`'$jc
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•
29�......_.... ..,- ...._............, �4 • 0 ------"\/ '