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SEP-0483-2023 SEPTIC DISPOSAL PERMIT Office use Only APPLICATION Permit#: bC-37?-04,b�S- 202.3 Town orouccnsbury - Permit Fee: $ /&S— Invoice#: 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.gueensbury.net C Flood Zone? Y I I� Reviewed By: VA era �— b2`� - 2©25 Project Location: 68 RICHARDSON STREET a Tax Map ' 309.18-1-46 AUG 2 3 TO1�m or t>UE-C-NSCURY RESIDENCE INFORMATION: CUELDING& COVES o� 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) X 1981-1991 130 Spa or Hot Tub Yes No 1992-Present 110 3 110 1330 Installed? (choose one) X PARCEL INFORMATION: Topography �/ Flat Rolling Steep Slope % Slope Soil Nature V Sand. V Loam Clay Other, explain: Groundwater At what depth? GREATER THAN 6 FT Bedrock/Impervious material At what depth? GREATER THAN 6 FT Domestic Water Supply Municipal Well Lake (if well or lake, water supply from any septic system absorption is ft.) Percolation Test Rate: 1 MIN per minute per inch (test to be completed by a licensed engineer/architect) PROPOSED SYSTEM INFORMATION: Tank size EX. l000 gallons (min. size 1,000 gallons, add 250 gallons for each garbage cylinder or Spa/hot tub EX. 1000 GAL PRECAST CONCRETE TANK System Absorption field w/#2 stone Total length ft.; Each Trench ft. Seepage Pit w/#3 stone How many: o Size: Alternative System Bed or other type:20FT X 25 FT Holding Tank System Total required capacity? ; tank size ; #of tanks Septic Application Revised January 2021 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): PETER&SUSAN BISHOP Mailing Address, C/S/Z: 68 RICHARDSON STREET, QUEENSBURY,NY 12804 Cell Phone: Land Line: Email: • Primary Owner(s): Name(s): SAME AS APPLICANT Mailing Address, C/S/Z: Cell Phone: Land Line: Email: Check if all work will be performed by property owner only • Contractor: Contact Name(s):SANITARY SEWER SERVICES Contractor Trade: Mailing Address, C/S/Z:LUZERNE RD, QUEENSBURY Cell Phone: Land Li n e:518-796-3760 Email: **Workers' Comp documentation must be submitted with this application** • Engineer(s)• Name(s): CENTER PROJECT SERVICES Mailing Address, C/S/Z:73 SHERIDAN STREET, GLENS FALLS NY 12801 Cell Phone: Land Line: Email: Contact Person for Compliance in regards to this project: GEORGE DRELLOS Cell Phone: Land Line: 518-796-3760 Email: NOTES: 1. Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency; 2. We will no longer allow systems to be covered until such time as an as-built plan is received and approved. The installed system must match the septic layout on file—no exceptions. 3. As- built drawings must be submitted prior to the inspection, if there has been a change to the submitted plans. 4. If, for any reason, the building permit application is withdrawn, 30% of the fee is retained by the Town of Queensbury. After 1 year from the initial application date, 100% of the fee is retained. 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 nd agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal O ina e. PRINT NAME:GEORGE EL S SIGNATURE: " DATE: Septic Application Revised January 2021 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY. 12804-5902 Septic System Checklist 4zJPlan to scale `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) )All wells on property and adjacent properties shown water line shown Municipal or well 10'separation to any part of system �jsetback to property lines show 10'or more for any part of system C+- Septic tank and pump stations 10'from foundation, 50'from any well/lake/wetland, 10'from any waterline /►J Septic 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) q�septic tank sized for number of bedrooms and add 250 gals for"Jacuzzi tubs/garbage grinder each Leech Field 20'from foundation 100'from any well 10'from water line �1 ' epage pit 150'from well 50'from septic tank hleepage Pits 3-times diameter apart L17L_'�eptic tank and pump stations over 30 gallons 50'from watercourse or wetland (f:::LAistance from bottom of trench or system to bedrock or mottling 36"within 1000'of Lake George C�Y_Aeech field 100'from watercourse or wetland 04Toe of mound or bottom of retaining wall 10'from property line, 100'from well,20'from foundation provide Engineer/Architect stamp for bed or design systems (I��d, Department of Health Approval for all mobile home park new systems Flood Plain requirements '7V - 2'above established flood elevation to bottom of system kp All tanks anchored or 2' above flood elevation t�. 0 V-L"Z \ , •RSID C 0 15' �X ' 'P \ i0 Of\ i EXISTING GARAGE SRO TP-1 , ►�� IQ EXISTING 9AA'P D-BOX n 3 13EDRM ��� t10U5E S,y � EXISTING \ \ 1000 GALLON \ SEPFICTANK ' I WASTEWATER SYSTEM PLAN SCALE: 1 =V± GRAPHIC SCALE 15 0 7.515 30 60 (INS) CONTRACTOR TO FIELD VERIFY LOCATIONS AND DISTANCES THIS IS NOT A FIELD SURVEY. AMC IS GREATER THAN 12' BELOW GRADE (NON -TRAFFIC AREAS) 12' UK COVER 1/4' PER FOOT MIN. SLOPE • • •' :• . lr M9L COVER 1/r PER FOOT OISTR8v7W BOX MM SLOPE 4' HOUSE SENER PVC SDR-35 OR SCH- LRM LEw- 4' EFFLUENT SEVIER • PVC SOR-35 OR SCH-40 BAFFLE WATERTIGHT SLEEVE40 18' 2WR a SEAL (TYR) MIN. USE SPEED LEVELERS TO ASSURE ALL OUTLETS ARE AT EXACTLY THE SAME ELEVATION 2' YMI DROP 4' PVC SOR-35 SOLID HEADER —'BETWEEN NVERTS� TO ABSORPTION FIELD, 1/4r PER FOOT MIN SLOPE SEPTIC TANK NOTES E70STMIC t,000 ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW PORK STATE GALLON DEPARTMENT OF HEALTH AND SHALL BE OF PRECAST CONCRETE AS CONCRETE SEP77C • MANUFACTURED BY UTOPIA ENTERPRISES OR EQUIVALENT. TANK •., ALL STRUCTURES SHALL BE PLACED ON FIRM, COMPACT SAND OR GRAVEL BASE NHERE EVS77NO SOIL CONDITIONS ARE UNSUITABL, CRUSHED STYMIE SHALL BE PLACED AS NECESSARY TO ACHIEVE A STABLE BASE �' • .' •.''� '�'• .: ' ' SEP71C TANKS INSTALLED IN TRAFFIC AREAS SHALL BE OF EXTRA HEAVY • ` NEW 1,000 GAL PRECAST CONCRETE SEPTIC TANK CONSTRUC71ON DESIGNED FOR H-20 WHEEL LOADING. ALL JOINTS MUST BE SEALED WITH BUTYL SEALANT. JOINTS BELOW THE LIQUID LEVEL. MUST BE TESTED BEFORE SACKFILLING 4" TOPSOIL COVER ABOVE TOP OF STONE BED, SEED & ESTABLISH TURF J/4 —7-7/Y WAJHtU CRUSHED STONE LIMI T OF '—' ST( 15' )' 30' 1L SEPTIC TANK DETAIL NTS ABSORPTION BED PROFILE NTS rrM r I �/ , w r A r ABSORPTION BED PLAN NIS WASTEWATER SYSTEM DESIGN 3—BEDROOM DESIGN WATER SAVING FIXTURES (1.6 GPF MAX. FLUSH, 3.0 GPM MAX. FAUCETS) DESIGN FLOW — 110 GPD/BEDROOM SYSTEM DESIGN FLOW — 330 GPD SEPTIC TANK EXISTING 1000 GAL PRECAST CONCRETE TANK LEACH FIELD —STANDARD PIPE —IN —STONE ABSORPTION BED DESIGN PERCOLATION RATE = 1-3 MIN/IN APPLICATION RATE = 0.90 GPD/SF ABSORPTION BED AREA REQUIRED = 367 SF 450 SF TOTAL TO BE PROVIDED 15 FT WIDE BY 30 FT LONG ABSORPTION BED PROPOSED POTABLE WATER FROM MUNICIPAL WATER SYSTEM FILTER FABRIC MIRAFI 14ON OR EQUAL 2.5' TO EDGE OF BED )POSED TRIBUTION BOX TRANSITION FORCE MAIN TO 4" PVC OUTSIDE OF D—BOX DiINS gSafety. Nevowork ■ Coll Befers You No ■ Walt The Ro*dnW Tin* ■ Confirm Ud t,1 Rsspmee ■ Respect The Marks ■ Dig WHh Caro 800.962.7962 www.digenfelynewyark.own MAP REFERENCE: BASE MAP INFORMATION FROM WARREN COUNTY GIS MAPPING AND FIELD MEASUREMENTS BY CENTER PROJECT SERVICES SITE SOILS DATA TEST PIT TP-1 — 717123 BY TOM CENTER, P.E. 0-7" — TOPSOIL 7-18" — LOAMY MEDIUM FINE SAND 18-74" — MEDIUM FINE SAND NO MOTTLING OR GROUNDWATER OBSERVED ROOTS TO 58" PERCOLATION TEST PT-1 — 717123 BY TOM CENTER, P.E. —TEST AT 24 INCHES BELOW GRADE IN A 30 INCH DEEP HOLE STABILIZED PERCOLATION RATE: 3 MINUTES 10 SECONDS W/W. 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 BED TO THE DEPTH REQUIRED, THE WALLS AND FLOOR OF THE BED SHALL BE CLEANED AND RAKED IN ORDER TO LOOSEN SMEARED SECTIONS OF EXCAVATION. • PLACEMENT OF AGGREGATE SHALL BE AS SHOWN, AND CARE SHALL BE EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND WASTE MATERIAL IN THE ABSORPTION TRENCHES • THE PIPE AND STONE SHALL BE LAID AT THE GRADES INDICATED, MAINTAINING STRAIGHT CONTINUOUS GRADES WITHOUT SAGS, HUMPS, SEPARATED JOINTS, OR OTHER UNSUITABLE CONDITIONS. • 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 BED HAS BEEN INSTALLED. • THIS SYSTEM IS DESIGNED FOR WATER CONSERVING FIXTURES AND IS NOT DESIGNED TO ACCOMMODATE EXTREME WATER USE OR EXTREME ORGANIC LOADING DEVICES SUCH AS JACUZZI TYPE SPAS OR GARBAGE GRINDERS • ROOF, FOOTING, GARAGE, CELLAR AND SURFACE WATER DRAINAGE MUST BE EXCLUDED FROM THE WASTEWATER SYSTEM. SYSTEM MATERIAL SPECIFICATIONS ABSORPTION BED AGGREGATE STONE IS TO BE 3/4" TO 1-1/2" WASHED CRUSHED STONE. EFFLUBYT SEWER PIPE PIPING TO BE 4" SDR-35 OR SCH-40 PVC. INSTALL WITH 1/8" PER FOOT MINIMUM SLOPE. FLL7>9R FABRrC FILTER FABRIC TO BE 4.8 OZ/SY NON —WOVEN SEPARATION FABRIC, TENCATE MIRAFI 140N OR EQUIVALENT. HOUSE SEWER PIPE PIPING TO BE 4" SDR-35 OR SCHEDULE 40 PVC INSTALL WITH 1 /4" PER FOOT MINIMUM SLOPE. TOPSOIL PLACE 4" MINIMUM TOPSOIL OVER ENTIRE BACKFILL AREA. SEED, MULCH, AND ESTABLISH TURF. 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. TOWN OF QUEENSBURY BUILDING & CODES DEPT. Reviewed B FILE COPY f� t JR. TAX MAP # 309.18-1-46 ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL ENGINEER IS A VIOLATION OF NYS EDUCATION LAW. \ ,-PIP&RSID 114" PER FOOT MN, SLOPE 4" HOUSE SEWER PVC SOR-35 OR SLF1-O WATERTIGHT SLEEVE-1 SEAL (nP) t t EX57M 1,000 GALLON CONC>iE7E SEPTIC t t t TANK 1000 GALLON \ \ SEPTIC TANK � t t � t \ t \ W � 1 WASTEWATER SYSTEM PLAN SCALE: 1 "=30'f GRAPHIC SCALE 15 0 7.515 30 60 IN FEET CONTRACTOR TO FIELD VERIFY LOCATIONS AND DISTANCES THIS IS NOT A FIELD SURVEY. RECORD DRAWING INSTALLATION DATE: 8110123 INSTALLED BY - SANITARY SEWER SERVICES 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 REMAINS TO BE COMPLETED. THOMAS CENTER JR., P.E. 8113123 A TO GRADE WIN TAAM RESISTANT ACCESS COVER E TANK 6 GREATER THAN 12" BELOW GRADE (NON-T RMFTC AREAS) 'TEE BAFFLE 12" W!L COVER e, : • ' i :• ' w 1/g" PER FOOT 12" ON. COVER MI!L SLOPE AIS7!l7ION BOX Lmm LEVEL 4" EFFLUENT SENER •.' PVC MR-35 OR SO4-40 BAFFLE M7N USE SPEED LEVELERS TO . ASSLW ALL OUTLETS ARE AT EXACTLY THE SAME' ELEVATION 2, AM DROP ' 4" PVC SOR-35 SOLED HEADER BETNEEM INVERT TO AMW710N FIELD, 1/$" PER FOOT MIN SLOPE SEPTIC TANK NOTES s ALL UNITS SHALL COMPLY W►774 THE REQUIREMENTS OF THE NEW YORK STATE DEPARTMENT OF HEALTH AND SHALL BE OF PRECAST CONCRETE AS MANUFACTURED BY UTOPIA ENTERPRISES OR EQUIVALENT. ,. ALL STRUCTURES SHALL BE PLACED ON FIRM, COMPACT SAND OR GRAVEL BASE WHERE EXISTiNO SOIL CONDITIONS ARE UNSUITABLE CRUSHED STONE SHALL BE PLACED AS NECESSARY 70 ACHIEVE A STABLE BASE ::•' :: , ' : ,•• .: y e '� ' SEPTIC TANKS INSTALLED IN TRAFFIC AREAS SHALL BE OF EXTRA HEAVY NEW 1,000 GAL.. PRECAST CONCRETE SEP77C TANK CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADING ALL JOINTS MUST BE SEALED WITH BUM SEALANT. JOINTS BELOW THE LIQUID LEVEL MUST BE TESTED BEFORE BACKh7WNG SEPTIC TANK DETAIL NTS 4" PVC PERFORATED LATERAL INSTALLED LEVEL, IN BED CONFIGURATION WITH MAN/FOLDEO WASTEWATER SYSTEM DESIGN 3—BEDROOM DESIGN WATER SAVING FIXTURES (1.6 GPF MAX. FLUSH, 3.0 GPM MAX. FAUCETS) DESIGN FLOW — 110 GPD/BEDROOM SYSTEM DESIGN FLOW — 330 GPD SEPTIC TANK EXISTING 1000 GAL PRECAST CONCRETE TANK LEACH FIELD —STANDARD PIPE —IN —STONE ABSORPTION BED DESIGN PERCOLA7ON RATE = 1-3 MIN/IN APPLICATION RATE = 0.90 GPD/SF ABSORPTION BED AREA REQUIRED = 367 SF 500 SF TOTAL TO BE PROVIDED 20 FT WIDE BY 25 FT LONG ABSORPTION BED PROPOSED POTABLE WATER FROM MUNICIPAL WATER SYSTEM 4" TOPSOIL COVER 5 FT CENTER TO CENTER {TYP.) ENDS FILTER FABRIC ABOVE TOP OF STONE MIRAFI 14ON OR EQUAL BED; 2.5' TO EDG 6- SEED & ESTABLISH OF BED 2' TYP• TUR 8—I >.. c I tr., '•A � t ti. . i• } COVER is ,): :t.. ••i. >P> ia'. ' t,` :'{-• '.y.'♦ � v " 12 TOoE DPIPE MIN S20 FT �WfDE BED LOW PIPE BE SEPARATION i♦ S \ ♦ C .♦ PTO BOUNDARY..: S 3/4"-1-1/2" WASHED CRUSHED STONE LIMIT OF 20'x25' STONE BED 20' ABSORPTION BED PROFILE NTS ABSORPTION BED PLAN NTS AMENDED SOILS WITH A PERC RATE OF 1-3 MIN/IN. SEE AMENDED SOILS NOTES . " t1 r-,1 r-A r1 • Tr•I1 - 1 - Dig Safely. New.York ■ Cali Before You Dig ■ Wait The Required Time ■ Confirm Utility Response ■ Respect The Marks ■ Dig With Care 800-962.7962 www.digsafolynowy—k coin MAP REFERENCE: BASE MAP INFORMATION FROM WARREN COUNTY GIS MAPPING AND FIELD MEASUREMENTS BY CENTER PROJECT SERVICES SITE SOILS DATA TEST PIT TR1 717123 BY TOM CENTER, P.E. 0-7" — TOPSOIL 7-18" — LOAMY MEDIUM FINE SAND 18-74" — MEDIUM FINE SAND NO MOTTLING OR GROUNDWATER OBSERVED ROOTS TO 58" PERCOLATION TEST PT-1 — 717123 BY TOM CENTER, P.E. —TEST AT 24 INCHES BELOW GRADE IN A 30 INCH DEEP HOLE STABILIZED PERCOLATION RATE: 3 MINUTES 10 SECONDS W/W 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 BED TO THE DEPTH REQUIRED, THE WALLS AND FLOOR OF THE BED SHALL BE CLEANED AND RAKED IN ORDER TO LOOSEN SMEARED SECTIONS OF EXCAVATION. • PLACEMENT OF AGGREGATE SHALL BE AS SHOWN, AND CARE SHALL BE EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND WASTE MATERIAL IN THE ABSORPTION TRENCHES. • THE PIPE AND STONE SHALL BE LAID AT THE GRADES INDICATED, MAINTAINING STRAIGHT CONTINUOUS GRADES WITHOUT SAGS, HUMPS, SEPARATED JOINTS, OR OTHER UNSUITABLE CONDITIONS • ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND AWAY FROM THE DISPOSAL FIELD. DIVERT SURFACE RUNOFF WA • DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORP77ON AREA AFTER BED HAS BEEN INSTALLED. • THIS SYSTEM IS DESIGNED FOR WATER CONSERVING FIXTURES AND OM IS NOT DESIGNED TO ACCOMMODATE EXTREME WATER USE OR EXTREME ORGANIC LOADING DEVICES SUCH AS JACUZZI TYPE SPAS 0R GARBAGE GRINDERS. • F WA AND SURFACE TER DRAINAGE NG GARAGE CELLAR A ROOF F001T , MUST BE EXCLUDED FROM THE WASTEWATER SYSTEM. SYSTEM MATERIAL SPECIFICATIONS ABSORPTION BED AGGREGATE STONE IS TO BE 3/4" TO 1-1/2" WASHED CRUSHED STONE. EFFLUENT SEWER PIPE PIPING TO BE 4" SDR-35 OR SCH-40 PVC. INSTALL WITH 1/8" PER FOOT MINIMUM SLOPE. FILTER FABRIC FILTER FABRIC TO BE 4.8 OZ/SY NON—WMOVEN SEPARATION FABRIC; TENCATE MIRAFI 14ON OR EQUIVALENT. HOUSE SEWER PIPE PIPING TO BE 4" SDR-35 OR SCHEDULE 40 PVC. INSTALL WITH 1/4" PER FOOT MINIMUM SLOPE. TOPSOIL PLACE 4" MINIMUM TOPSOIL OVER ENTIRE BACKFILL AREA. SEED, MULCH, AND ESTABLISH TURF. �P- Oe\-&�) - 202,3 TAX MAP # 309.18-1-46 ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL ENGINEER IS A VIOLATION OF WS EDUCATION LAW.