SEP-0350-2023 SEPTIC DISPOSAL PERMIT Office Use Only
APPL -...�. Permit#: � -O��- Zo 2 25
Town ofQueensbury rmlt Fee:$
JUN 1 6 2023 1 voice#: E22-
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensbury.net TO epticVariance``LJ
OF OGEE
BUILDING& COI)E'S lood zone?
Wetlands? fJ-0 Reviewed By:
Project Location: 24 Island View Drive
t
Tax Map #: 309.18-1-
RESIDENCE INFORMATION:
Year Built Gallons #of bedrooms: X gallons per =total daily flow
per day bedroom Garbage Grinder Yes No
1980 or older 150 Installed? (choose one) Q ❑
1981-1991 130 Spa or Hot Tub Yes No
1992-Present 110 3 110 330 Installed? (choose one) ❑ o
PARCEL INFORMATION:
Topography Flat Rolling ❑ Steep Slope % Slope
Soil Nature 0 Sand ❑ Loam ❑ Clay ❑ Other, explain:
Groundwater At what depth? >82"
Bedrock/Impervious material At what depth? >82"
Domestic Water Supply ❑ Municipal 0 Well ❑Lake
(-if well or lake, water supply from any septic system absorption is
105 ft.)
Percolation Test Rate: 1:50 per minute per inch (test to be completed by a
licensed engineer/architect)
PROPOSED SYSTEM INFORMATION:
Tank size 1.000 gallons (min. size 1,000 gallons, add 250 gallons for each garbage cylinder or
spa/hot tub existing 1,000 gallon concrete
System Absorption field w/#2 stone Total length ft.; Each Trench ft.
Seepage Pit w/#3 stone How many: ; Size:
Alternative System Bed or other type: 15' x 30' pipe-in-stone absorption bed
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): David Cook
Mailing Address, C/S/Z: 24 Island View Dr.,Queensburj,NY,12804
Cell Phone: Land Line'
Email: modmel@hotmail.com
• Primary Owner(s):
Name(s): David Cook, Vicky Cook
Mailing Address, C/S/Z: 24 Island View Dr.,Queensbury NY 12804 Y
Cell Phone: 518-681-6261 Land Line:
Email: modmel@hotmail.com
❑Check if all work will be performed by property owner on iv
• Contractor:
Contact Name(s): Daigle Construction
Contractor Trade: Construction &excavating
Mailing Address, C/S/Z: 19 Boulevard Queensbury, NY 12804
Cell Phone: 518-796-6521 Land Line:
Email: daiglenick@yahoo.com
"Workers' Comp documentation must be submitted with this application"
• Engineer(s):
Name(s): Hutchins Engineering PLLC
Mailing Address, C/S/Z: 169 Haviland Road Queensbury, NY 12804
Cell Phone: Land Line: 518-745-0307
Email: thutchins@hutchinsen ineering.com
Contact Person for Compliance in regards to this project: David Cook
Cell Phone: Land Line: 518 79 35 7 B
Email: modmel@hotmail.com
Declaration: Any permit or approval granted which is based upon 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: David Cook
SIGNATURE:, DATE: 5/16/23
Septic Application Revised July 2022
(awTOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY. 12804-5902
Septic System Checklist
elan to scale
4 Received Deep hole perc test results from engineer/Architect if applicable(Town Approved Engineers and
Architects;June 30 to April 15 Town Engineer for unapproved Engineers and Architects)
q-6All
wells on property and adjacent properties shown
eater line shown Municipal or well 10'separation to any part of system
'Setback to property lines show 10'or more for any part of system
2 Septic tank and pump stations 10'from foundation, 50'from any well/lake/wetland, 10'from any waterline
/J418c�
eptic tank to foundation crawl space/slab on grade,grade in crawl space must be above top of septic tank
for 0',Separation required (field verification required)
�q5ASeptic.tank sized for number of bedrooms and add 250 gals for Jacuzzi tubs/garbage grinder each
Iff�iLeech Field 20'from foundation 100'from any well 10'from water line
&�44Seepage pit 150'from well 50'from septic tank
�4k5eepage Pits 3-times diameter apart
Septic tank and pump stations over 30 gallons 50'from watercourse or wetland
Distance from bottom of trench or system to bedrock or mottling 36" within 1000'of Lake George
C''P` eech field 100'from watercourse or wetland
NbToe of mound or bottom of retaining wall 10'from property line, 100'from well,20'from foundation
� Provide Engineer/Architect stamp f
Department of Health Approval for all mobile home park new systems Flood Plain requirements
2'above established flood elevation to bottom of system
All tanks anchored or 2' above flood elevation
LANDS N/F OF
EVELYN R. CARROL
PARCEL VACANT
NO WELL
b /
I
� \ E E E
E
-40,k
APPROXIMATELY
180' TO
LANDS N/F OF` NEIGHBORING WELL /
KWW RAE ERNST
/
/
WASTEWATER SYSTEM PLAN
SCALE: 1 "=20'
GRAPHIC SCALE
10 0 5 10 20 40
( IN FEET )
CONTRACTOR TO FIELD VERIFY LOCATIONS AND DISTANCES
THIS IS NOT A FIELD SURVEY.
4" TOPSOIL COVER ABOVE
TOP OF STONE BED,
SEED & ESTABLISH TURF
r
4" PVC PERFORATED LATERAL
INSTALLED LEVEL, IN BED
CONFIGURATION 107H MANIFOLDED ENDS
8-16"
COVER _ —
3/4"-1-1/2" WASHED
CRUSHED STONE
i
i
i
EXISTING/
WELL]
/
HUDSON
RIVER
FILTER FABRIC
MIRAFI 140N OR EQUAL
5' PIPE SPACING 2.5' TO EDGrET
OF BED
-
BED WID7H & GEOMETRY PER PLAN
F-11 I-
..............
.._.
..._..._�40N.
ABSORPTION BED SECT ION
N7S
12 TOTAL
STONE DEPTH
I
2' MINIMUM .. .
..
SEPARATION .
..........
TO BOUNDARY
- _..:: ........
CONDITION
WASTEWATER SYSTEM DESIGN
3-BEDROOM RESIDENCE
DESIGN FLOW - 110 GPD/BEDROOM
SYSTEM DESIGN FLOW - 330 GPD
SEPTIC TANK - EXIST. 1,000 GALLON PRECAST CONCRETE
TO BE PUMPED, INSPECTED, & REUSED IF
SUITABLE. INSPECT BAFFLES
DESIGN APPLICATION RATE: .95 GPD/SF, BASED ON
1-5 MIN/IN PERCOLATION RATE
ABSORPTION BED AREA REQ'D = (330 GPD)/(.95 GPD/SF)
= 348 SF
ABSORPTION BED AREA PROVIDED = 15 x30' - 450 SF
POTABLE WATER SUPPLY IS TO BE WELL
MAINTAIN 50' MINIMUM SEPARATION BETWEEN
SEPTIC TANK & WELL
MAINTAIN 100' MINIMUM SEPARATION BETWEEN
ABSORPTION FIELD & WELL
4" MINIMUM TOPSOIL ON
ENTIRE BACKFILL AREA;
SEED AND ESTABLISH TURF
25' BED
+--&awE LENGTH
SITE SOILS DATA
TEST PIT
TP-1 - 6/13/2023 BY TOM HUTCHINS, P.E.
0-16" — TOPSOIL
16-75" — YELLOW BROWN FINE & VERY FINE SAND
75-82" — LIGHT BROWN COARSE SANDY GRAVEL
DRY ALL DEPTH
ROOTS 0 57"
MOTTLING 0 64"
BOUNDARY ® 64"
PROVIDE 24" VERTICAL SEPARATION TO
BOUNDARY CONDITION
PERCOLATION TEST
PT-1 6/13/2023 BY TOM HUTCHINS, P.E.
STABILIZED PERCOLATION RATE: 1:50 PER INCH
APPROXIMATE
EXISTING GRADE
4" SDR-35 PVC PERFORATED ABSORPTION BED PROFILE FILTER FABRIC, TENCAIF
LATERAL INSTALLED NEAR LEVEL, NIS MIRAFI 140N OR EQUIVALENT
IN BED CONFIGURATION
15'
LIMIT OF 15'x30' 4" PERFORATED PVC LATERALS
STONE BED INSTALLED NEAR LEVEL IN
/T BED CONFIGURATION
30'
4" PVC WTH
GOOSENECK T ABSORPTION BED PLAN
N7S
DISTRIBUTION BOX
4" PVC SDR-35
OUTLET
MIN. SLOPE BAFFLE
1/8" PER FOOT
2" MIN. DROP
BETWEEN INVERTS
12" MAX.
COVER
2" MIN.
PROPOSED
DISTRIBUTION BOX
r 4" PVC
I EFFLUENT SEWER
DISTRIBUTION
BOX NOTES
USE SPEED LEVELERS TO • PIPE JOINTS TO BE SEALED WITH ASPHALTIC
ASSURE ALL OUTLETS ARE AT MATERIAL OR EQUIVALENT.
EXACTLY THE SAME ELEVATION • INVERT ELEVATIONS OF ALL OUTLET PIPES
4" PVC SDR-35 SOLID HEADER-1MUST BE EQUAL, USE SPEED LEVELERS.
• D—BOX TO BE INSTALLED IN CONFORMANCE
TO PERFORATED TRENCH PIPING, 1/8" PER FOOT MIN SLOPE WITH MANUFACTURER'S INSTRUCTIONS.
DISTRIBUTION BOX DETAIL
NIS
MAP REFERENCE:
BASE MAP INFORMATION FROM WARREN COUNTY GIS,
AERIAL PHOTOGRAPHY, AND FIELD MEASUREMENTS.
THIS IS NOT A FIELD SURVEY. ALL LOCATIONS ARE
APPROXIMATE CONTRACTOR TO FIELD VERIFY ALL
SETBACKS PRIOR 70 BEGINNING INSTALLATION.
WASTEWATER SYSTEM SETBACK REQUIREMENTS
PROPERTY LINE
HOUSE
STREAM, LAKE,
WATERCOURSE,
WETLAND
WELL
SEPTIC TANK
10'
10'
50'
50'
ABSORPTION FIELD
10'
1 20'
1 100'
1 100'
SITE LOCATION —' LOCATION MAP
SYSTEM INSTALLATION NOTES
CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING AND IN ACCORDANCE WITH THE N.Y.S. DEPARTMENT OF
HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS AND ASTM F481 INSTALLATION OF THERMOPLASTIC PIPE AND CORRUGATED
TUBING IN SEPTIC TANK LEACH FIELDS
AFTER EXCAVATION OF 15' WIDE X 30' LONG ABSORP7ION BED TO THE DEPTH REQUIRED, THE WALLS AND FLOOR
SHALL BE CLEANED AND RAKED IN ORDER TO LOOSEN SMEARED AREAS OF SOIL.
PLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND FILTER FABRIC SHALL BE AS SHOWN, AND CARE SHALL BE
EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND WASTE MATERIAL IN 774E STONE AND PIPE.
THE PIPE SHOULD BE LAID AT THE GRADES INDICATED, MAINTAINING STRAIGHT CONTINUOUS GRADES WITHOUT SAGS,
HUMPS, SEPARATED JOINTS, OR OTHER UNSUITABLE CONDITIONS PIPE SHALL BE LAID WITH HOLES DOWN IN ALL
CASES.
ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND DIVERT SURFACE RUNOFF AWAY FROM THE
DISPOSAL FIELD.
DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION AREA AFTER PIPING HAS BEEN INSTALLED.
THE WASTEWATER TREATMENT SYSTEM IS DESIGNED AND APPROVED BASED UPON THE INSTALLATION OF WATER
CONSERVING FIXTURES AND A DESIGN FLOW OF 110 CPO PER BEDROOM. THE SYSTEM IS NOT DESIGNED TO
ACCOMMODATE EXTREME WATER USE FIXTURES, SUCH AS JACUZZI—TYPE SPA TUBS OR WATER TREATMENT
EQUIPMENT. THE INSTALLATION OF NON —CONSERVING WATER FIXTURES OR EXTREME WATER USE FIXTURES 1S
CONTRARY TO THE APPROVAL OF THIS WASTEWATER TREATMENT SYSTEM.
ROOF, FOOTING, GARAGE, CELLAR AND SURFACE WATER DRAINAGE MUST BE EXCLUDED FROM THE WASTEWATER
SYSTEM.
CONSTRUCT DRAINAGE SCALE UPGRADE OF SYSTEM IN ORDER TO DIVERT SURFACE RUNOFF AROUND ABSORPTION
FIELD.
SEPTIC TANK & ABSORPTION BED MUST BE INSPECTED BY LOCAL BUILDING DEPARTMENT AND DESIGN ENGINEER
PRIOR TO BACKFILL AND FINAL GRADING IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO IDENTIFY THE
NECESSARY PARTIES AND REQUEST INSPECTIONS
.SY(TFM MATFI?TAI SPFrTFTrATTnNS
ABSORPTION FIELD AGGREGATE
STONE IS TO BE 3/4" TO 1-1/2" WASHED CRUSHED STONE.
EFFLUENT SEWER PIPE
PIPING- TO BE 4" SDR-35 OR SCHEDULE 40 PVC. INSTALL WI7H 1/8" PER FOOT MINIMUM SLOPE.
FILTER FABRIC
FILTER FABRIC TO BE 4.8 OZ/SY NON —WOVEN SEPARATION FABRIC, 7ENCATE MIRAFI 140N OR EQUIVALENT.
TOPSOIL
PLACE 4" MINIMUM TOPSOIL OVER ENTIRE BACKFILL AREA. SEED, MULCH, AND ESTABLISH TURF.
Dig rFA
Safely,
New/,York
E Call Before You Dig
■ Wait The Required Time
■ Confirm UdI ty-Response
■ Respect The Marks
N Dig V ith Care
800-962.7962
wwW.digWE nawyork.com
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination, compliance
with our comments shall not be construed as
indicating the plans and specifications are in
full compliance with the Building Codes of
New York State.
FILE COPY
Nsgv Epp '
CL\� �V� a
TAX MAP # 309.18-1-2
LANDS N/F OF
EVELYN B. CARROL
PARCEL VACANT
NO WELL
as
F5\
A
a
o/
\ \ E E E
E
0
i
i
i
v
EXIS77NG//
WELL]
/
APPROXIMATELY
` ® 180, TO
LANDS N/F OF ` NEIGHBORING WELL
KELSEY RAE ERNST ` % / / II UDSON
a � / •//// RIVER
O A
WASTEWATER SYSTEM PLAN
SCALE: 1 "=20'
GRAPHIC SCALE
10 0 5 10 20 40
( IN FEET )
CONTRACTOR TO FIELD VERIFY LOCATIONS AND DISTANCES
THIS IS NOT A FIELD SURVEY.
RECORD DRAWING DIMENSIONS
TABLE
CORNER "A"
CORNER "B"
S. T. INLET PORT
38.5'
29'
S T. 0U77-ET PORT
43,
32'
DISTRIBUTION BOXr—
48,75'
-- —
2 STONE
a \
12" TOTAL
. �... .:.COVER OVER ....:..;
_..
STONE DEPTH 1
PIPE
!�i:_ . .p
r
j
6" MIN STONE
---:
BELOW PIPE ._
_
... —BED WIDTH & GEOMETRY PER PLAN
2' MINIMUM
' SEPARATION
TO BOUNDARY:
_. _
CONDI LION
3/4"
CRUSHEDWSTONE
ARgnPPTTnN RFI) SFrTTnN
NTS
WASTEWATER SYSTEM DESIGN
3—BEDROOM RESIDENCE
DESIGN FLOW — 110 GPD/BEDROOM
SYSTEM DESIGN FLOW — 330 GPD
SEPTIC TANK — EXIST. 1,000 GALLON PRECAST CONCRETE
TO BE PUMPED, INSPECTED, & REUSED IF
SUITABLE. INSPECT BAFFLES.
DESIGN APPLICATION RATE: .95 GPD/SF, BASED ON
1-5 MIN/IN PERCOLATION RATE
ABSORPTION BED AREA REQ'D = (330 GPD)/(.95 GPD/SF)
= 348 SF
ABSORPTION BED AREA PROVIDED = 15'x30' = 450 SF
POTABLE WATER SUPPLY IS TO BE WELL
MAINTAIN 50' MINIMUM SEPARATION BETWEEN
SEPTIC TANK & WELL
MAINTAIN 100' MINIMUM SEPARATION BETWEEN
ABSORPTION FIELD & WELL
4" MINIMUM TOPSOIL ON
ENTIRE BACKFILL AREA;
SEED AND ESTABLISH TURF
25' BED
LENGTH
s�.oPE SLaPE--,
77 41'.
SITE SOILS DATA
TP-1 — 6113/2023 BY TOM HUTCHINS, P.E.
0-16" — TOPSOIL
16-75" — YELLOW BROWN FINE & VERY FINE SAND
75-82" — LIGHT BROWN COARSE SANDY GRAVEL
DRY ALL DEPTH
ROOTS ® 57"
MOTTLING @ 64"
BOUNDARY @ 64"
PROVIDE 24" VERTICAL SEPARATI0N TO
BOUNDARY CONDITION
PERCOLATION TEST
PT-1 — 6/13/2023 BY TOM HUTCHINS, P.E.
STABILIZED PERCOLATION RATE: 1:50 PER INCH
4" SDR-35 PVC PERFORATED
LATERAL INSTALLED NEAR LEVEL,
IN BED CONFIGURATION
LIMIT OF 15'x30'
STONE BED
15' _.
ABSORPTION BED PROFILE
NTS
30'
4" PERFORATED PVC LATERALS
INSTALLED NEAR LEVEL IN
BED CONFIGURATION
4"PVC NTH
GOOSENECK VENT ABSORPTION BED PLAN
NTS
DISTRIBUTION BOX
4" PVC SDR-35
OUTLET
MIN. SLOPE BAFFLE
1/8" PER FOOT
2" MIN. DROP
BETWEEN INVERTS
12" MAX.
COVER
2" MIN.
5
APPROXIMATE
EXISTING GRADE
FILTER FABRIC, TENCATE
MIRAFI 140N OR EQUIVALENT
PROPOSED
DISTRIBU770N BOX
r 4" PVC
I EFFLUENT SEWER
DISTRIBUTION BOX NOTES
USE SPEED LEVELERS TO • PIPE JOINTS TO BE SEALED W1714 ASPHAL71C
ASSURE ALL OUTLETS ARE AT MATERIAL OR EQUIVALENT
EXACTLY THE SAME ELEVATION • INVERT ELEVATIONS OF ALL OUTLET PIPES
4" PVC S110-35 SOLID HEADER MUST BE EQUAL, USE SPEED LEVELERS.
TO PERFORATED TRENCH PIPING, D-BOX TO BE INSTALLED IN CONFORMANCE
1/8" PER FOOT MIN SLOPE MTH MANUFACTURER'S INSTRUCTIONS.
DISTRIBUTION BOX DETAIL
NTS
MAP REFERENCE:
BASE MAP INFORMATION FROM WARREN COUNTY GIS,
AERIAL PHOTOGRAPHY, AND FIELD MEASUREMENTS.
THIS IS NOT A FIELD SURVEY. ALL L0CA77ONS ARE
APPROXIMATE. CONTRACTOR TO FIELD VERIFY ALL
SETBACKS PRIOR TO BEGINNING INSTALLATION.
WASTEWATER SYSTEM SETBACK REQUIREMENTS
PROPERTY LINE
HOUSE
STREAM, LAKE,
WATERCOURSE,
WETLAND
WELL
SEPTIC TANK
10'
10'
50'
50'
ABSORPTION FIELD
10'
20'
100'
100'
Ail
tQ1
hk '.
b a t
.,
,r
SITE LOCATION I orA TT®A/ MAP
SYSTEM INSTALLATION NOTES
CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING AND IN ACCORDANCE WITH THE N.Y.S. DEPARTMENT OF
HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS AND ASTM F481 INSTALLATION OF THERM0PLAS77C PIPE AND CORRUGATED
TUBING IN SEPTIC TANK LEACH FIELDS
AFTER EXCAVATION OF 15' WIDE X 30' LONG ABSORPTION BED TO THE DEPTH REQUIRED, THE WALLS AND FLOOR
SHALL BE CLEANED AND RAKED IN ORDER TO LOOSEN SMEARED AREAS OF SOIL.
PLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND FILTER FABRIC SHALL BE AS SHOWN, AND CARE SHALL BE
EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND WASTE MATERIAL IN THE STONE AND PIPE.
THE PIPE SHOULD BE LAID AT THE GRADES INDICATED, MAINTAINING STRAIGHT CONTINUOUS GRADES WITHOUT SAGS,
HUMPS, SEPARATED JOINTS, OR OTHER UNSUITABLE CONDITIONS PIPE SHALL BE LAID WITH HOLES DOWN IN ALL
CASES.
ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND DIVERT SURFACE RUNOFF AWAY FROM THE
DISPOSAL FIELD.
DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION AREA AFTER PIPING HAS BEEN INSTALLED.
THE WASTEWATER TREATMENT SYSTEM IS DESIGNED AND APPROVED BASED UPON THE INSTALLATION OF WATER
CONSERVING FIXTURES AND A DESIGN FLOW OF 110 GPD PER BEDROOM. THE SYSTEM IS NOT DESIGNED TO
ACCOMMODATE EXTREME WATER USE FIXTURES, SUCH AS JACUZZI-TYPE SPA TUBS OR WATER TREATMENT
EQUIPMENT. THE INSTALLATION OF NON -CONSERVING WATER FIXTURES OR EXTREME WATER USE FIXTURES IS
CONTRARY TO THE APPROVAL OF THIS WASTEWATER TREATMENT SYSTEM.
ROOF, FOOTING, GARAGE, CELLAR AND SURFACE WATER DRAINAGE MUST BE EXCLUDED FROM THE WASTEWATER
SYSTEM.
CONSTRUCT DRAINAGE SCALE UPGRADE OF SYSTEM IN ORDER TO DIVERT SURFACE RUNOFF AROUND ABSORPTION
FIELD.
SEP77C TANK & ABSORPTION BED MUST BE INSPECTED BY LOCAL BUILDING DEPARTMENT AND DESIGN ENGINEER
PRIOR TO BACKFILL AND FINAL GRADING. IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO IDENTIFY THE
NECESSARY PARTIES AND REQUEST INSPECTIONS.
SYSTEM MATERIAL SPECIFICATIONS
ABSORPTION FIELD AGGREGATE
STONE IS TO BE 3/4" TO 1-1/2" WASHED CRUSHED STONE.
EFFLUENT SEWER PIPE
PIPING TO BE 4" SDR-35 OR SCHEDULE 40 PVC. INSTALL WITH 1/8" PER FOOT MINIMUM SLOPE.
FILTER FABRIC
FILTER FABRIC TO BE 4.8 OZ/SY NON -WOVEN SEPARATION FABRIC, TENCATE MIRAFI 140N OR EQUIVALENT.
TOPSOIL
PLACE 4" MINIMUM TOPSOIL OVER ENTIRE BACKFILL AREA. SEED, MULCH, AND ESTABLISH TURF.
INSTALLATION DATE: 71512023
INSTALLED BY - NICK DAIGLE CONSTRUCTION
RECORD DRAWING NOTE:
A REPRESENTATIVE OF OUR OFFICE VISITED THE SITE
DURING CONSTRUCTION AND IT IS MY OPINION THAT
THE SYSTEM IS INSTALLED IN GENERAL CONFORMANCE
WITH THE APPROVED PLAN AND THIS RECORD
DRAWING. FINAL SURFACE FINISHING AND TURF
ESTABLISHMENT 1S ONGOING.
G. THOMAS HUTCHINS, P.E.
71612023
TAX MAP # 309.18-1-2
Dig Safely.
New ® York
® Call Before You Dig
2
RECORD DRAWING
7/6/2023
Wait The Required Time
Confirm Utility Response
1
REVISED PER TOWN COMMENT
6/19/2023
IM Respect The Marks
EM Dig With Care
0
ISSUED FOR PERMIT
611612023
8 0 O— 9 6 2— 7 9 6 2
www.digsafelynewyork.com
No.
Revisions
Date-
0 F
WASTEWATER S Y,53TEM r"LA/V CX
DETAILS
y�®
prepared for:
Q7
David Cook
CD
acc
24 Island View Drive
Town of Queensbury, County of Warren, State of New
York
067pV79 4
Drawn: WGC
Checked: GTH I
Scale: NOTED
Date: 611312023
SSI
169 Haviland Road
ALTERATION OF THIS DOCUMENT EXCEPT BY
Queensbury, NY 12804
292177-01
A LICENSED PROFESSIONAL ENGINEER IS A
VIOLATION OF NYS EDUCATION LAW.
(518) 745-0307 Phone
Hutchins Engineering PLLC (518) 745-0308 Fax