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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 t t 1 1 t t` l 1 t 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 t NEW COED GALLON-/ CarpPE1E SEPAL Howe 1 1 I t t 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