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SEP-0222-2023 SEPTIC DISPOSAL PERMIT Office Use Only APPLICATION Permit#: 93, Town ofQueensbury E 0 W E Cyr) Permit Fee:$ Invoice#: ry 742 Bay Road,Queensbu ,NY 12804 MAY 0 5 29 .22 3 P:518-761-8256 www.gueensburV.net I—_— Septic Variance? TOWN OF QU'--EiNS.BURY BUILDING CODES I Flood Zone? Y Wetlands? Y N;?Reviewed By: Project Location: 1 )Ld4694 , 0�kj Tax Map #: RESIDENCE INFORMATION: Year Built Gallons #of bedrooms: X gallons per =total daily flow per day bedroom Garbage Grinder Yes N o/ 1980 or older 150 Installed? (choose one) El R 1981-1991 130 Spa or Hot Tub Yes N 1992-Present i 110 Installed? (choose one) -PARCEL INFORMATION: Topography Flat Rolling ❑ Steep Slope % Slope Soil Nature Sand E] Loam 0 Clay E] Other, explain: it Groundwater At what depth? Bedrock/impervious material At what depth? Domestic Water Supply E] Municipal RrWell E]Lake I (if well or lake, water supply from any septic system absorption is Percolation Test Rate: per minute per inch (test to be completed by a licensed engineer/architect) PROPOSED_ -SYSTEM INFORMATION-.-� Tank size JTQQ gallons (min. size 1,000 gallons, add 250 gallonS for each garbage cylinder or spa/hottub � System Absorption field w/#2 stone Total length ft.; Each Trench Seepage Pit w/#3 stone How many: _; Size: Alternative System Bed or other type: Holding Tank System Total required capacity?',_; tank size # of tanks Septic Application Revised July 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): „r---AZ Qy&M ��A I + 4 Mailing Address, C/S/Z: TSB jch� h�co y Cell Phone: Land Line: �— Email: /Jz P"P, cra►1 • Primary Owner(s): Name(s): �,::;6 mf Mailing Address, C/S/Z: c m t Cell Phone: -S Ci w, Land Line: Email: J5G WZ ❑ Check if all work will be performed by property owner only • Contractor: Contact Name(s): Xon4 le v Contractor Trade: —L(ca VCJ Mailing Address, C/S/Z: Cell Phone: S18-Z(6 - %30 Land Line: Email: **Workers' Comp documentation must be submitted with this application** • Engineer(s)• Name(s): Mailing Address, C/S/Z: Cell Phone: Land Line: Email: Contact Person for Compliance in regards to this project: Cell Phone: Land Line: Email: I Declaration: Any permit or approval granted which is based upoin or is granted in reliance upon any material representation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. PRINT NAME: /ZGz�E rG/ H SIGNATUR DATE:qg2i I/ Septic Application Revised July 2022 C_l O N r- C O U a) V) 3 0 J C O 0 U 7 U W a� 0 0 r 3 a� 0' W C W E a L o- a� a� s s 3 a E 0 U 0 s w 0 c O w 1n 0 a- L71 a) s - a� a� 0 T 0 3 T C 0 W U O v -C L 0 0 T (n v 0 J a aa) X N 0 a� aa) c c w 0 c 0 U) 1n 0 O_ 0 0 c 0 U a Q r L v c 01 c U a In 1n a) c c O r L a) a >1 c 0 Lo CV 0) O N r- c 0 U a1 to 3 0 J c 0 0 U w a� O (n .Y O r 3 a� Z N L 0 C 0 0 0 0 I c� Z z Ir Q 3 SEPTIC SYSTEM LIMITATIONS 1. The best designed and installed septic disposal system will eventually fail to function properly without adequate maintenance. Inadequate septic tank maintenance can result in clogging of the tank and I sewage back-up into the home and/or sewage overflow onto the ground surface. The failure to 279 18-1-7 I periodically clean a septic tank commonly results in clogging of the soil that surrounds the absorption -� trench by overflowing solids not removed by the septic tank. �„�.� •� 2. This set of design plans and details is intended to provide subsurface sewage disposal for a typical 1..� single family dwelling. No additions involving living or sleeping areas may be added to the dwellings without the approval of the Code Enforcement Officer and the system redesign by a licensed Professional Engineer. The seal and signature on any drawing specifically excludes certification for future expansion or field replacement. 3. No garbage grinders allowed unless installed as initial construction of the house, and the septic tank size increased by 250 gallons. 4. No sump pump, water softener backwash, spas, hot tubs, whirlpools, or condensate waste shall be drained into the system. ' O 5. The dwelling shall have water saving fixtures, including but not limited to: 2 gpm shower heads, ' low water use toilets. 6. Observe water conservation practices. 7. Septic tanks shall be inspected annually to determine the scum and sludge accumulation by the to 279. 18-1-6 100$ EXPANS/ON AREA homeowner or a qualified septage hauler. The amount of build-up noted at each inspection shall be I co recorded and maintained in a record book. The septic tank shall be pumped whenever the bottom of , t wooded ' the scum layer is within three inches of the bottom of the outlet baffle or tee, or the top of the sludge is within ten inches of the bottom of the outlet baffle or tee. The pump -out clearances also apply toProposed any chamber in multi -compartment tanks and to any tanks in series (i.e. pump out all tanks/chambers as soon as any tank or chamber fails the minimum clearance). Most tanks should be pumped out every N wooded Sewage Disposal Field W two to five years. - 4 /otero/s ® 45' 8. When septic tank is pumped, the septic tank inlet connection, baffles/tees, house sewer connection, _ 20� min to b/dg /. \ \ \ \ tank outlet connection, and pump pit (if present) shall be inspected. Any baffle or tee that have 10 min to property line \\\\\\\� deteriorated and no longer perform as designed must be replaced. Cracked or broken lines must be - 100' min to well sourced.\�\�.�\�\/` repaired or replaced. ��Y 45'f I 9. Any company employed to clean and service the septic tank and system, must be a permitted ' TP septage hauler, with valid standing with the New York State Department of Environmental Conservation 0 \ office. Septic tanks should not be washed or disinfected after being pumped out. 10. Septic tank additives shall not be used in the septic system. Additives are unnecessary for the proper operation of household systems and may cause the sludge and scum in the septic tank to be - - - _ - - _ - - PT1 discharged into the absorption field, resulting in premature failure. O °! 11. Do not dispose of excess household grease and fat in the septic system. ' / PT2 \ ° 12. Whenever septic tanks are to be abandoned (i.e. when public sewers are installed to handle ° C household wastes), the tanks shall be pumped out and refilled with soil to prevent future collapse. I ' °TI 13. Do not pour or dump chemical cleaners (i.e. ammonia) in the sinks or toilets.121 14. Do not discharge roof drains, or allow stormwater runoff to collect on the absorption field area. paved 15. No vehicle parking or traffic shall be allowed on any portion of the sewage disposal system. 16. The sewage disposal system is designed for domestic wastewater only, with the design of the m absorption field on the projected flows. Any use of the dwellings that has a greater discharge of $ f'aw/7 \ wastewater flow than designed will require a redesign of the disposal system by a licensed Professional 3 Engineer. 9 � 17. The stamp seal and signature of the design engineer is for the intended use only, and any changeof use invalidates the seal. 18. The effluent filter shall be checked and cleaned if necessary during each inspection of the septic tank. A record of filter cleaning is recommended so to better monitor the amount of solids trapped in the 5 1_� filter cartridge. 2 bathroom i SEPTIC SYSTEM CONSTRUCTION NOTES \ \ I bid9 o ' 1. The installation contractor shall notify the Code Enforcement Officer and/or the design engineer \ existing prior to work, to review the installation details and inspection procedures. C%7U/-Ch 2. There shall be no construction of sanitary facilities (septic systems) within 100 feet of a classified wetland or water body. \ 3. No roof, footing, floor, condensate, cooling water, softener backwash or any other drains shall be �., paved / connected to the septic system. 4. Fill material to be clean, loamy sand, with a stabilized in -place percolation rate to be no less than 1 inch in 5 minute, nor greater than 1 inch in 10 minutes. All imported materials to be approved in 279. 18-1-5 writing by a licensed Professional Engineer prior to delivery to the site. - - - 8 5. Piping material specifications: , � .•�^20 A. House to septic tank: 4" PVC schedule 40 solid pipe with watertight joints, minimum slope of 1 /4" per foot; B. Septic tank to distribution box or effluent pump pit: 4" PVC schedule 40 solid pipe with -_ _ _ - J fog line watertight joints, minimum slope of 1/8" per foot; C. Where installed, effluent pump pit to distribution box: 1 1/2" PVC schedule 80 solid pipe _ _ _ - - - �� yS1de Road fog line with pressure rated watertight joints, pitched on reverse slope to drain into pump pit; Sn D. Distribution box to septic field absorption trench: 4" PVC sdr-35 solid pipe, minimum slope of 1/8" per foot; E. Septic field absorption trench: 4" PVC sdr-35 perforated pipe, maximum slope of 1/16" per foot, cap all ends. 6. Septic tank specifications: A. Tank to be installed level on a 6" minimum layer of compacted gravel or stone; B. Precast concrete tank, dimensions and features as shown; C. Inlet baffle or 4" PVC tee to extend 16" minimum below flow line, 6" above flow line; D. Outlet baffle or 4" PVC tee to extend 18" minimum below flow line, 6" above flow line; E. Free air space above tees to be 3" minimum to top of tank. F. Where installed, 4" plastic effluent filter cartridge with wooden handle extension to grade. G. Grade access covers to be 24" integrated plastic or cost -iron cover, securely attached to tank. 7. Distribution box specifications: A. Box to be installed level on a 12" minimum layer of compacted gravel or stone; B. Precast concrete box, dimensions and features as shown; C. Outlet speed levelers to be installed in the distribution box and adjusted to equalize the flow to each lateral. 8. A permeable geotextile or non -woven filter fabric to be installed over the absorption trench areas to prevent the infiltration of soil into the aggregate. SEPTIC SYSTEM GENERAL NOTES 1. There shall be no change on these plans in advance of, or during construction, without prior written approval of the design engineer. 2. The workmanship, construction practice, material standards, and inspection requirements shall comply with the latest edition(s) of the following: A. New York State Department of Health 1. New York Title 10. Department of Health. Chapter II. Part 75. Standards for Individual Onsite Wastewater Systems 2. Appendix 75-A, Wastewater Treatment Standards -Residential Onsite Systems, March 16, 2016 B. Local town, village, or city sanitation ordinance(s). 3. The following inspections of the septic system by a licensed Professional Engineer shall include: A. Fill material, at borrow pit or source of origin (perc. test may be required); B. Fill material, in -place and finish graded; 4" INLET PIPE C. Prior to backfill of piping, tanks, pits, well seals, etc.; 1/4' / FT. MIN. D. Upon final grading of site. SLOPE -y 4. Any modifications to the septic system design shall be performed by a licensed Professional Engineer. A 5. The installation contractor shall prepare the "as -built" sketch which has accurate dimensional - distances to each of the septic system components, as measured from at least two different physical landmarks (i.e. foundation corners, well cap, boundary markers, etc.). This record information shall be furnished to the home owner, Town, or other municipal officer, as required, and prior to occupancy of the dwelling. 6. The septic system designs are typical size requirements for the number of bedrooms listed in the design charts, and are based on established design flows and preliminary soil percolation rates determined in the field. The installation contractor shall immediately notify the design engineer of any field conditions which deviate from the information as shown on the approved plans. 7. The septic system designs shown were sized in accordance with the New York State Department of Health standards, and local regulatory codes, as applicable. N t 2 hA21'td '1\ ME z b II II II WELL SUPPLY _ Proposed 1500 gallon septic tank -10• min to building - New PiPM9 from bldg to tank - Effluent filter to be added Approximate location of existing septic Components. Exact location of tank (if present) Is unknown. Piping to drywell in approx location. Drywall to be exposed, any effluent debris to be removed and backffiled with suitable material. Compact In lifts to reduce future settling. line MAP REFERENCES: 1. Mapping taken from Warren warty GIs. Tax Maps and limlbed field measurements. SITE PLAN 1 "=40' DUAL COMPARTMENT FULL -DEPTH BAFFLE w/PORT (SEE NOTES) 24" INSPECTION 4* OUTLET PIPE COVER (TYP) 1/8- / FT. MIN. SLOPE *BAFFLE (TYP. A o ---------E{------ *INLET & OUTLET a PVC TEE'S MAY BE USED INSTEAD OF CONCRETE BAFFLES 'LENGTH' PLAN VIEW FINISHED GROUND 8. The home owner Is referred to the Health Department publication ( o e paragrap Ise 4. INLET p 1z- COVER MAX. TOP, above) for the recommeded procedures in system operations and maintenance. 1/4' / F1. MIN. 9. The design engineer shall be relieved of liability if the home owner fails to maintain the septic system SLOPE 6" MIN. in accordance with the Health Department guidelines and/or the limitations listed on this plan, causes - . - to exceed the design flows, or modifies the system in any way. 16" MIN. IS- MIN. 10. The home owner shall immediately notify the Health Department if the septic system has failed. _ ZIf B CT � FINISHED GROUND 12* COVER MAX. 1 1/2" TWX ALL SIDES SLOPE 4' INLET PPE ' .' .'• ` ,...` _ 4' OUTLET PIPE 11W / FT. MIN. `BAFFIFT, .s. I/W / IN. SLOPE r 2' MIN. SUMP U' LI� - - -MIN. COARSE SAND WATERTIGHT OR PEA STTkIE 4' KNOCKOUTS JOINT (TYP) w/HDPE PIPE SEALS PRODUCT. FORT MILLER #2 DISTRIBUTM BOX. OR EQUAL SECTION A -A DISTRIBUTION BOX DETAIL EACH OUTLET FITTED NON -TRAFFIC RATED MATH SPEED LEVELERS ' STRUCTURE i I ;. 4" OUTLET PPE 4" INLET PIPE 1/8- / FT. MK 1/8- / FT. MIN. BALL SLOPE SLOPE AL--- ------ : --- A OUTLET (TYP-5) GROUT UNUSED OPENINGS PLAN VIEW rs 6" MIN. CLEAN SAND, PEA TONE, OR WASHED AGGREG TE' • �l.Crl.ld N SECTION A -A SEPTIC TANK CAPACITY NUMBER OF BEDROOMS DESIGN FLOW MINIMUM TANK CAPACITY & LIQUID SURFACE AREA W/0 GARBAGE GRINDER W/ GARBAGE GRINDER 2 220 GPD 1.000 27 S.F. 1,250 * 34 S.F. 3 330 GPD 1,000 27 S.F. 1,250 * 34 S.F. 4 440 GPD 1.250 34 S.F. 1,5w * 40 S.F. * DUAL COMPARTMENT TANK & GAS DEFLECTION BAFFLE REQUIRED NOTES EFFLUENT FILTER 1 WHEN GARBAGE GRINDERS ARE INSTALLED AT THE TIME OF HOUSE CONSTRUCTION, w/ GRADE ACCESS COVER (SEE NOTES) A GAS DEFLECTION BAFFLE AND A DUAL COMPARTMENT SEPTIC TANK, OR TWO TANKS IN SERIES, SHALL BE PROVIDED TO MINIMIZE THE SOLIDS CARRYOVER TO THE ABSORPTION AREA (DISPOSAL FIELD). 4' OUTLET PIPE 1/8- / FL MIN. 2. 3" MINIMUM ELEVATION DROP THROUGH STRUCTURE FROM INLET TO OUTLET. SLOPE - 3. TANK SIZE REQUIREMENTS FOR MORE THAN SIX BEDROOMS (EQUIVALENT DAILY FLOW) SHALL BE CALCULATED BY ADDING 250 GALLONS AND SEVEN SQUARE FEET OF SURFACE AREA FOR EACH ADDITIONAL BEDROOM. A GARBAGE GRINDER SHALL BE CONSIDERED EQUIVALENT TO AN ADDITIONAL BEDROOM FOR DETERMINING TANK SIZE. A HOT TUB/SPA SHOULD BE CONSIDERED EQUIVALENT TO AN ADDITIONAL BEDROOM FOR DETERMINING TANK SIZE. 1- x 4. EFFLUENT FILTER,-POLYLOK" BRAND OR SIMILAR PRODUCT TO BE w ADDED TO THE SEPTIC TANK OUTLET. EFFLUENT FILTERS WHEN ? PROPERLY MAINTAINED CAN EXTEND THE USEFUL LIFE OF THE DISPOSAL FIELD. ALL SYSTEMS ARE SUSCEPTIBLE TO CLOGGING BY SOLIDS CARRY-OVER, LEADING TO PREMATURE FAILURE. IF INSTALLED, A GRADE ACCESS COVER SHALL BE PROVIDED D-BOX FOR PERIODIC INSPECTION & CLEANING OF THE EFFLUENT FILTER DEVICE. GAS DEFLECTION BAFFLE (SEE NOTES) * AVAILABLE AS SINGLE COMPARTMENT TANK ** AVAILABLE AS DUAL COMPARTMENT TANK SEPTIC TANK DIMENSIONS TANK CAPACITY LENGTH WIDTH INLET OUTLET HEIGHT WALL TOP FLOOR LQ MANUFACTURER INFORMATION 1.000 8'-8 1/2' 5'-0 1/2' 4'-9* 4'-6- S'-6" 3" 4" 4" 48' FORT MILLER CO., SEAMLESS 1,250 10'-2" 5'-3" 4'-9- 4'-6" 5'-6- 3" 4- 4- 48- FORT MILLER CO., SEAMLESS 1,500 W-O" 6'-0. 5'-1' 4'-10' 6'-3. 6- B. 6- 49" FORT MILLER CO., HEAV"DUTY SEPTIC TANK DETAIL (If Needed 100' MINIMUM (200' MINIMUM TO ANY UPSLOPE DISPOSAL SYSTEM) TRENCH LENGTH - SEE BASIS OF DESIGN & LAYOUT DETAIL 10' MIN. 50' MINIMUM o NOTE: THIS DETAIL ILLUSTRATES THE MINIMUM REQUIRED -' � 20' MINIMUM SEPARATION DISTANCES FOR SANITARY FACILITIES ON A z BUILDING LOT. SEE SITE PLAN FOR LAYOUT DIMENSIONS WHICH MAY BE GREATER THAN SHOWN IN THIS DETAIL o 10' MINIMUM 10' MINIMUM o i v1 p a - o{{ 1 F.F. ELEV. UPSLOPE RUNOFF DIVERSION SWALE a w I 45 LF-' PERF. PVC SDR-35 1/16' / FT. Z 1 a a �� i �� \ \�\ MAX. SLOPE ,\\/\`\ N� M i\t, �-�\ t FINISHED MIN. / ISH D GROUND / 12' MAX. 12 4* SOLID PVC 1/4'/ FT MIN. SCH-40 SLOPE END CAP SOLID PVC SDR-35 SEPARATION: 1/8' / FT. MIN. SLOPE 24' MINIMUM DEPTH TO BOUNDARY CONDITION i�%ij%�i7%�i LANDSCAPING: 6" MINIMUM 20• TOPSOIL w/SEED & MULCH (SEE BASIS OF DESIGN) GRADE TO DRAM RESERVED ORIGINAL GRADE A - - MINIMUM 50% EXPANSION USABLE SOIL: 48" MIN. DEPTH 1 TO 60 MIN/INCH PERCOLATION RATE ABSORPTION TRENCH 4•-0" 2'-0' (SEE TYPICAL DETAIL) MIN. MAX. SEPARATION: 24" MINIMUM DEPTH TO BOUNDARY CONDITION: GROUNDWATER, BEDROCK, OR IMPERMEABLE STRATA BOUNDARY CONDITION ABSORPTION TRENCH SYSTEM 2' OF STONE OVER PIPE MOL 4' PERFORATED PIPE 42" MIN. 6* OF STONE UNDER PIPE MIN., UP TO 10" MAX. 24" MIN. 24" BACKFlLL 6' TO 12" L- UNDISTURBED GROOM) SHWT / LEDGE ROCK FINISH GRADE GROUND SURF �- PERMEABLE GEOTEXTILE- 12* WASHED CRUSHED STONE 3/4* - 1 1/2- OR WASHED GRAVEL MIN., UP TO 16' MAX. EARTH BACKFILL UNDISTURBED GROUND PIPE JOINT PERFORATIONS (DOWN) PIPE SLOPE O 1/16- TO 1/32- PER FOOT TRENCH BOTTOM NOTES TRENCH PROFILE 1. DO NOT INSTALL TRENCH IN WET SOIL 2.INSTALL TRENCHES PARALLEL TO CONTOURS. SECTION VIEW 3. INSTALL TRENCHES AS SHALLOW AS POSSIBLE WHICH MEET ABOVE NOTED MINIMUM DEPTHS. 4. RAKE SIDES AND BOTTOM OF TRENCH PRIOR TO PLACING GRAVEL OR STONE 5. ENDS OF ALL DISTRIBUTOR PIPES MUST BE CAPPED. 6. SLOPE DISTRIBUTOR PIPE O 1/16" - 1/32" PER FOOT. ABSORPTION TRENCH DETAIL - TYPICAL MATERIAL SPECIFICATIONS SCHEDULE I TEM SIZE MATERIAL SLOPE SEPTIC TANK SEE DETAIL PRE -CAST CONCRETE - DISTRIBUTION BOX SEE DETAIL PRE -CAST CONCRETE - HOUSE TO SEPTIC TANK 4" SOLID PVC SCH-40 1/4" / FT. MIN. SEPTIC TANK TO D-BOX 4" SOLID PVC SCH-40 1/8" / FT. MIN. D-BOX TO LATERALS 4" SOLID PVC SDR-35 1/8" / FT. MIN. LATERALS 4" PERFORATED PVC SDR-35 1/16" / FT. MAX. (F/7 /-7, -7j t00X RESERVE AREA YL1 45' I END CAP (TYP) r APgnPPTinI\I TRFt\IrH I AY()IIT nFTAII N.T.S. N.T.S. N.T.S. Er a C O N DeSlgned ®y Drawn OV Checked ®y 9V Filename N N N 0 O W to Q U Z a V4 � (M U W �� E CM A � o C4 �. rl U PmJw No. ( 23-328 Project Date { 5.2.23 BN OF p PARSMENIomP�� nce uw O\. inabon, s exam e con Co saof Based OUT i\meted \i not b. with ou comet fans and s eu1 dingoes indicat pl-,ance with the lull C tAeo1k State. w }. BASIS OF DESIGN Z Dance Studio/Assembly Hall Percolation rate = Stabilized ® 2min 10sec. (actual) O }. 0 Percolation rate = Use 6-7 min. for design. N Application Rate 1.0 gal/day/s.f. V J O (U Existing Facility = 60 people/day 0 5gal/person/day Z = 2 employees 0 15 gal/person/day O i u- (Concert hall/arena/assembly hall/dance) W! Hydraulic flows: O (,'� Existing = 5gpd/person x 60 people = 300 gpd LMw W Q Existing employees = 2 0 15 gpd each = 30 gpd a V Total flows = 330 gpd IdJ Q = 330 gpd UEEt4SBUR Cd ad:5 330 gpd N OF Q V A 1.o d sf TQW IRO & Lp0F_ DE T• M = W Q Z ep / BUILD � A = 330 sf Revieweds• 0 r- (A d L= 330sf/2 sf/Ipate: �•i• a W W L = 165 ft trench required - 4 laterals O 45 ft. each = 180 LF PROPOSED Z O O PERCOLATION TESTS: APRIL 27. 2023 SOIL PROFILE INFORMATION DEEP HOLE TEST PITS AND PERCOLATION TESTS: APRIL 27, 2023 TP-1 0-6" TOPSOIL 6"-26" BROWN SAND 26"-73" TAN SAND ROOTS TO 3", NO WATER, NO MOTTUNG. STABILIZED PERCOLATION RATE: 2 minute 10 seconds PERFORMED BY JEFF MANCINI AND BENTLEY EXCAVATING CLEAR 72' N.T.S. PERCOLATION TEST RUN NUMBER PERCOLATION HOLE (PT) 1 (24" DEEP) 2 (24" DEEP) 1 PRESOAK PRESOAK 2 1min 37sec 2min OOsec 3 2min 02sec 2min 11sec 4 2min OOsec lmin 59sec 5 2min 10sec. Warren County Tax #279.18-1-6 VC0WALES ENGINEERING 68 Waterview Drive, Saratoga Springs, W 12866 (516) W-0028 Phorw/Fan • Hraleser W.rr.(vn Sheet No. 1 of 1 DmvAng No. WE-001 �✓� �r r „r ,✓� r+ � f �o'ya�r + "x^ �IIIIIIIIIII III II I� rl f � x+` s' .#y✓Y ,yll� I � „ � �� rl F I s 4 t' ,wIsom= If �II 1 I Timothy W. Wales, P.E. CONSULTING ENGINEER 68 Waterview Drive Saratoga Springs, New York 12866 Tel: (518) 704-2480 June 5, 2023 Jim Poppa 1135 Ridge Road Queensbury,NY 12804 Re: Sewage Disposal System-Engineer's Certification 1135 Ridge Road-Poppa Property Dear Mr.Poppa The construction of a replacement sewage disposal system for the building at the above referenced location Tax 9279.18-1-16 has been completed. The installation was completed by IBS Septic and Drain Service on May 24 & 25, 2023.1 As the engineer of record, I certify to the Town of Queensbury as follows: 1. I am in fact the designer of the system. 2. I am personally familiar with the actual site conditions and in consideration of those conditions the system was designed in compliance with the Town of Queensbury standards requiring two feet of separation between the bottom of the tile trench and the annual high-water table and Part 75A of the New York State Department of Health Sanitary Code. 3. Wales Engineering staff, under my direct supervision, inspected the system at the time of construction and I have personal knowledge that it was constructed in compliance with the design. Further, there were no field conditions encountered during construction which deviated from the conditions observed at the time the system was designed. 4. Wales Engineering prepared an asbuilt plan (see attached) depicting the septic system as it was constructed, including measurements from: well to tank, well to leach field and d-box, adjoining property wells within 200' of disposal field (if applicable), to tank and leach field, building to tank, building to leach field, tank to d-box and leach field dimensions. Inspection performed on May 25, 2023. If you have any questions or require additional information,please contact me at your convenience. Sincerely, ��d�NEi�✓po n4� W. Wca , Timothy W. Wales PE Lisc. 9077263 077263 � �QFBSSiJt�� J l Note: THE AS—BUILT DIMENSIONS SHOWN WERE TAPE MEASURED DURING CONSTRUCTION WITH ACCURACY SUITABLE FOR OWNER'S USE. THESE ARE NOT SURVEYED DIMENSIONS. 1 RECORDED AS-BUILT DIMENSIONS I STRUCTURE DIMENSION -------------- --------- ------------- ----------- wooded A-C 102' ----------------------------- ----------------------------- A-D 117' 279. 18---1---6 -------------- --------- ------------------------------- C� B—C 63' ------------------------------ ------------------------------- ' B—D 63' Sewage Disposal Field 53't --------------D—WELL---- -------------103'----------- - 4 laterals ® 45' SEPTIC TNK-BLDG 11' -20'min to bldg II II II ------------------------------ ------------------------------- - to'min to property line — 100'min to well source II II II ` TANK TO WELL 76' - rmld sire 20W5' III II 1 "a ------------------------------ ------------------------------- II II III °'l ------------------------------------------------------------- D II II II II Z1 Distribution Box 1500 gallon septic tank -11 to building f -New piping from bklg to tank -Effluent filter added \ 76, A 1 ® I existing Warr I paved l fag line — 720 _ - fog line fog 1ir7 Sunnyside TN SITE PLAN NTS Poppa Property 113 5 Ridge Road Town of Queensbury, Warren County NY ON-SITE SEWAGE DISPOSAL SYSTEM AS-BUILT PLAN