SEP-0450-2023 SEPTIC DISPOSAL PERMIT Office use Only
;! APPLICATION Permit#:
Town ofQucensbury Permit Fee:$ g'�—)
Invoice#: (o brD Z
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.aueensburV.net Flood Zone? Y /Reviewed B .
lui Jz�`'
Project Location: 15 SEWARD STREET ----_I�J
Tax Map #: 302.18-2-13 JUL 2
TOLOr"C�!,J;;
�� 1f_l�INC-, 3lj
RESIDENCE INFORMATION: �LI INCc�,��R,
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 3 110 330 L Installed? (choose one) X
PARCEL INFORMATION:
Topography ✓ Flat Rolling Steep Slope % Slope
Soil Nature V Sand 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 l000 gallons (min. size 1,000 gallons, add 250 gallons for each garbage cylinder or
spa/hot tub NEW 1000 GAL PRECAST CONCRETE TANK
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: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): LINDA SKELLIE
Mailing Address, C/S/Z: 15 SEWARD STREET, QUEENSBURY,NY 12804
Cell Phone: Land Line: fi (� �` ` 1�
4 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):EMMANUEL J. MAILLE
Contractor Trade: SEPTIC INSTALLER
Mailing Address, C/S/Z:1322 MAHAFFY ROAD, FORT EDWARD NY
Cell Phone: Land Line:518-791-1549
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: EMMANUEL MALLIE
Cell Phone: Land Line: 518-791-1549
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 and agree to abide by these and all requirements of the Town of Queensbury
Sanitary Sewage Disposal Ordinance.
PRINT NAME:EMMANU . MAILLE
SIGNATURE: �' U/ DATE:
Septic Application Revised January 2021
i
1
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17.75' MIN.
FROM-
FOUNDA TION - - —�
t NEW _•,_ _ - �
' 1000 GALLON
SEPTIC TANK
, TRACK EX 15T I N G I
---� 3 BEDRM '
_� 1 O O HOU5E
TP PORCH
D-BOX
1 I
30.0 t
MIN.
I� 20'(VI) X 25 (L) �
ABSORPTION
BED, 500 SF DRIVEWAY '
GARAGE
SHED _ -
LIMIT OF 20'x25'
STONE BED
20'
WASTEWATER SYSTEM PLAN
SCALE: 1 "=20't
GRAPHIC SCALE
• • • 20 410
IN FEET
CONTRACTOR TO FIELD VERIFY LOCATIONS AND DISTANCES
THIS IS NOT A FIELD SURVEY.
25•
4" PERFORATED PVC
LATERALS INSTALLED NEAR
LEVEL IN BED CONFIGURATION
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
NEW 1000 GAL PRECAST CONCRETE TANK
LEACH FIELD —STANDARD PIPE —IN —STONE ABSORPTION BED
DESIGN PERCOLATION RATE = 1-5 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
� 1 f
��� EXTEtrSmN
TO GROW NITR TAMPER
RESISTANT ACCESS COVER
IF TANK IS GREATER THAN
Ir BMW GRADE
(Mar-7RMM AREAS)
TEE BARU
t A4M PTZ T
cfa
4' HOUSE SEVER
PVc Sd?-35 OR SCiH-40
NVI7ERTIWA VE SLEE-�
1
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NEW COED GALLON-/
CarpPE1E SEPAL
Howe
1
1
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4" TOPSOIL COVER
ABOVE TOP OF STONE
BED,
SEED do ESTABLISH
Nq RF
8-16"
COVER
2" STONE
COVER OVER
PIPE
6" MIN STONE
BELOW PIPE
3/4--1-1/2- WASHED
CRUSHED STONE
tr WV. 00%"
t/8' PER F00r Ir MIN. COWN
AMV s C vaywnioN Box
U LW LE'VU � 4• EFFLUENT SENER '
PVC SCR-35 at SCH-40
4 • BAFFLE
ta'
AArr . ASSI� ALL OUTLE LEVEIMIS ARE AT
L7CACRY THE SAME ELEVATION
1 4' PVC SOR-35 SOW FADER
TO ABSOV"M FIELD, t/r
y PER FOOT AAN SLOPE
5 FT CENTER TO CENTER (TYP.)
r AN. DROP
BETWEEN ANVERI
SEPTIC TANK NOTES
ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF TEA£ NEW YORK STATE
DEPARTMENT OF HEALTH AND SHALL BE OF PRECAST CONCRETE AS
• MANUFACTURED BY UTOPIA ENTERPRISES OR EQWVALENT.
ALL STRUCTURES SHALL BE PLACED ON FIRM, COMPACT SAND OR GRAVEL BASE
WIM EXLSTMG SOIL CONDITIONS ARE UNSUITASE& CRUSHED STONE SHALL BE
PLACED AS NECESSARY TO ACHIEVE A STABLE BASE
SEPTIC TANKS MSTALLED M 1RAFRC AREAS SHALL BE OF EXTRA HEAVY
RPAC TAWCONSTRUCTION DESIGNED FOR H-20 WIEEEL LOADMO.
ALL "CIS MUST BE SEALED WITH BUTYL SEALANT. "OS BELOW THE LIQUID
LEVEL MUST BE TESTED BEFORE BACCFXUNC%
SEPTIC TANK DETAIL
NTS
— 4" PVC PERFORATED LATERAL
INSTALLED LEVEL, IN BED
CONFIGURATION WTH MANIFOLDED
ENDS
FILTER FABRIC
2.5' TO ED MIRAFl 14ON OR EQUAL
OF BED TYP. >}'
AST//
v�. �- � �.. ,�.f ,N �c3✓ ��,��7,� ..� +�J .,� � � � �-'- � 120 TOTAL
�;'`� / ; : '� l ✓ / r .t N ✓ )� i �,wf '� ; `r �/ STONE DEPTH
20 FT WIDE BED �'
2' MINIMUM
SEPARATION
TO BOUNDARY
CONDITION
ABSORPTION BED PROFILE
NIS
SITE SOILS DATA
TEST PIT
TP-1 — 61-30123 BY TOM CENTER, P.E.
0-6" — TOPSOIL
6-28" — LOAMY MEDIUM FINE SAND
28-60- — MEDIUM FINE SAND
NO MOTTLING OR GROUNDWATER OBSERVED
PERCOLATION TEST
PT-1 — 6130123 BY TOM CENTER, P.E.
—TEST AT 24 INCHES BELOW GRADE IN A 30 INCH DEEP HOLE
STABILIZED PERCOLATION RATE: 1 MINUTES 05 SECONDS
pIECE0 EE
JUL 2 0 2023
TOWN OF QUEENSBURY
BUILDING & CODES
TOWN OF QUE
BUILDING &
Reviewed By • -
Date:-----�j
PROPOSED
DISTRIBUTION BOX �+
Dig
,
����NewYork
ISafelyn
CENrv-R, JR.
E Cali Before You Dig
y
®Wait The Required Time
E Confirm Utility Response
■ Reaped The Marks
■ Dig With Care
�4..•,
800-962-7962
r�;
MAP REFERENCE:
BASE MAP INFORMATION FROM WARREN COUNTY GIS
MAPPING AND FIELD MEASUREMENTS BY CENTER
PROJECT SERVICES
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 INSTALLA71ON 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 SEC71ONS 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 CON71N000S 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 FILE rQPY
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 —WOVEN 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,
302.18-2-13 SEP-0450-2023
Skellie, Linda
15 Seward St
Residential Septic Alteration
e:7 TAX MAP # 302.18-2-13
ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL
BONER IS A VIOLATION OF NYS EDUCATION LAW.
ABSORPTION BED PLAN
NTS
NEW
' 1000 GALLON-
' SEPTIC TANK
3.75'
D-BOX 10, gET p,CK
--- 20.5(
' r-
1 1 O
I 1
I 1 1
1 TP-1
1 1 23.5
I 1
1 _-J 25.5
U
I �
0 20' (W) X 25' (L)
— ABSORPTION
IBED, 500 SF
SHED
I
- -
LIMIT OF 20'x25' -
STONE BED
20'
WASTEWATER SYSTEM PLAN
SCALE: 1 "--20'f
GRAPHIC SCALE
10 0 5 10 20 40
( IN FEET )
CONTRACTOR TO FIELD VERIFY LOCATIONS AND DISTANCES
THIS IS NOT A FIELD SURVEY.
np i \ /FkAioY
4" PERFORATED PVC
LATERALS INSTALLED NEAR
LEVEL IN BED CONFIGURATION
25• "
ABSORPTION BED PLAN
NTS
PROPOSED
DISTRIBUTION BOX
4" TOPSOIL COVER
ABOVE TOP OF STONE
BED,
SEED & ESTABLISH
8-16"
COVER
2" STONE II
COVER OVER J
PIPE
6" MIN STONE
BELOW PIPE
3/4"-1-1/2" WASHED
CRUSHED STONE
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
NEW 1000 GAL PRECAST CONCRETE TANK
LEACH FIELD -STANDARD PIPE -IN -STONE ABSORPTION BED
DESIGN PERCOLATION RATE = 1-5 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
PMVE`MVLEWE EXTENSION
TO GRADE MTN TAMPER
RESISTANT ACCESS COVER
IF TANK IS GREATER THAN
12' BELOW GRADE
(KON-TRAFFIC AREAS)
1r MN. COVER
114' PER FOOT • ; • �• ' A :..
Am SLOPE - • � %
LIQUID LEA'
4' HOUSE SEER
PVC SDR-35 OR SCH-40
WATERTIGHT SLEEVE
18'
& SEAL (TYR)
WIL
s•
NEW LOW GALLON
s
CONCRETE SEPTIC
TANK
• • •! , • �• ••.• • • ...; •
f NEW 1,000 GAL. PRECAST CWCRETE SEPTIC TAW
5 FT CENTER TO CENTER (TYP.)
i%B' PER FOOT 12' Aft COVER
ANAL SLOPE Aft BOX
4' EFFLUENT SEVER
�.' PVC SDR-35 OR SCH-40 BAFFLE
• 2" M.
USE SPEED LEVELERS TO
• ASSURE ALL CUTLETS ARE AT
EXACTLY THE SAM ELEVATION
2' ANN. DROP _
4' PVC SDR-35 SOLID HEADER7 BET KE II INVERTS
TO ABSORPTION FIELD. Ili'
PER FOOT ANN SLOPE
SEPTIC TANK NOTES
ALL UNITS SHALL COMPLY WTH THE REQUIREMENTS OF THE NEW PARK 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
*HERE EVS71NG SOIL CONDITIONS ARE UNSUITABLE CRUSHED STONE SHALL BE
PLACED AS NECESSARY TO ACHIEVE A STABLE BASE
SEPTIC TANKS INSTALLED NV TRAFFIC AREAS SHALL BE OF EXTRA HEAVY
CONSTRUCTION DESIGNED FOR H-20 WNEEL LOAOANA
ALL JOINTS MUST BE SEALED WITH BUTYL SEALANT. JOINTS BELOW THE LIQUID
LEVEL MUST BE TESTED BEFORE BACKFILLINa
SEPTIC TANK DETAIL
NTS
- 4" PVC PERFORATED LATERAL
INSTALLED LEVEL, IN BED
CONFIGURATION WITH MANIFOLDED
ENDS
2.5' TO EL
OF BED
- FILTER FABRIC
MIRAFI 140N OR EQUAL
— 2' TYP.
12" TOTAL
. u ,` STONE DEPTH
,r
20 FT WIDE BED
2' MINIMUM
SEPARATION
TO BOUNDARY
CONDITION
ABSORPTION BED PROFILE
NTS
RECORD DRAWING
INSTALLATION DATE: 819123
INSTALLED BY - MAILLE EXCAVATING
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
Dig Safely.
New/.York
■ Call Before You Dig
Walt The Required Time
■ Confirm utility Response
■ Respect The Marks
■ Dig With Caro
800-962-7962
www.dlgsafelynowyork.00m
MAP REFERENCE:
BASE MAP INFORMATION FROM WARREN COUNTY GIS
MAPPING AND FIELD MEASUREMENTS BY CENTER
PROJECT SERVICES
SITE SOILS DATA
TEST PIT
TP-1 - 6130123 BY TOM CENTER, P.E.
0-6" - TOPSOIL
6-28" - LOAMY MEDIUM FINE SAND
28-60" - MEDIUM FINE SAND
NO MOTTLING OR GROUNDWATER OBSERVED
PERCOLATION TEST
PT-1 - 6130123 BY TOM CENTER, P.E.
-TEST AT 24 INCHES BELOW GRADE IN A 30 INCH DEEP HOLE
STABILIZED PERCOLATION RATE: 1 MINUTES 05 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
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 -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.
C E U V E
D
AUG 14 2i�
TO WRI OF QUEENSBURY
BUILDING & CODES �� - 04�=vO - -2-02.-2,
TAX MAP # 302.18-2-13
ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL
ENGINEER IS A VIOLATION OF NYS EDUCATION LAW.
1 RECORD DRAWING 08113123
0 ISSUED FOR SEPTIC PERMIT 07/13/23
No. Revisions Date
WASTEWATER SYSTEM PLAN & DETAILS
prepared for.
SKELLIE RESIDENCE
15 SEWARD STREET
Town of Queensbury, Warren County, NY
Drawn: TRC Checked: TRC Scale: NOTED Date: 7/3/2023
CENTER 73 Sheridan Street
Glens Falls, NY 12801 399
PROJECT SERVICES (518) 796-2515 Phone