1986-197 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-197
39 f II _WARREN COUNTY, NEW YORK
PERMISSION is hereby grdntedtb 1 Betty Gower
OWNER of property located at Knox Road, Assembly Point Street,Road or Ave. m
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Sewage Alteration ,et
in the Town of Queensbury,To Construct or place a
at the above location in accordance to application together with plot plans and other information hereto filed and 0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. o
1. OWNERS Address is 709 Charles St.
Scotia, New York 12302
2. CONTRACTOR or BUILDERS Name
Sunsoval, Inc. (John A. Mason)
3. CONTRACTOR or BUILDERS Address Cleverdale, NY
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4. ARCHITECT'S Name reg
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5. ARCHITECTS Address p
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6. TYPE of Construction—(Please indicate by X)
I I Wood Frame 1 )Masonry I I Steel I I
7. PLANS and Specifications
No. 1000 gallon tank, dist. box and 2 drywells per plot p,
and application submitted.
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8. Proposed Use ro
Sewage system for dwelling
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10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 5 Ig 88
$ Of a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of oueensbury before the expiration date.)
Dated at the Town of Queensbury this 5 t'h. '//n Day of May 19 86
SIGNED BY C/.�,11104I anij for the Town of Queensbury
Building and Zoning Inspector q
-own o/ Queenabur y MOWN OF OLIEENSE:n
BUILDING and ZONING DEPARTMENT LEG
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Bay and Haviland Road, R.D. 1 Box 98 t� II U
Oueensbury, New York 12801 APR 3 039986 n q
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a-d 718191J121112I191516
SEPTIC DISPOSAL PERMIT APPLICATION
Owner' s Name Mrs. Betty Gower /`4- ,C 24 Tel. 172_7754
Address 709 Charles Street Scotia, N.Y. 12302
Person/Firm installing system Sunsoval, Inc. ( John A. Mason )
Number of bedrooms(residential only) one bedroom
Total daily flow: (compute @ 150 oal.per bedroom per day) 150
Topography: 461013, - rolling - steep - (circle one) Decree of slope 0 %
Nature of soils: sand loam clay- other- Depth 5 ft.
Ground water-- at what depth? over 5 ft.
Bedrock or impervious material--at what depth?over 5ft.
Percolation Test - Not required / Required -Rate 8 or less min/inch.
Domestic Water Supply - Municipal - Well - Other Lake George
IMPORTANT!
On a separate piece of paper, submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances from any domestic water
supply or shore-line of lake , stream, pond or. wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size 1000 gal.
Tile field- Length of each trench - ft. Total field _ ft.
Size of stone # -
Seepage Pit (s) Number 2 / Size A ftX6/ ft. Size of stone#
Any contractor, corporation, individual,Etc. , engaged in the
construction of a Sanitary Sewage Disposal System, who covers the
same before inspection, does not have an approved Permit, or varies
from the approved application, will be subject to a Penalty of $250
as provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
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Sigrature of Applicant 'Date
01/86 and/vl
for61.-Cc 7Kbfr ,OX go A-P
_clown of Queenaturf/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME_in wfrie
LOCATION .45
5x. A,Aft'
DATE Sf 9 A F6 PERMIT NO. 6L0-- 1 97
SOIL TYPE -wand - Loam Clay
Percolation Test Required? YES
Percolation rate - Min/Inch 7
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS{Number of) _
Size- / ft. X ALft.
Gravel size Coggee
PIPING: Size Type
Bldg. to tank G'.457-
Dist to xito. box / J /45
Dist. box to field/ e 7[/PS�-
Openings sealed? E NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorption _ft.
Absorption to lot line ft.
Separation of pits _ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front OD - Left side - Right side -
CCSIMENTS: frek,r7o g,0, 4..)•
.1 A/1 c
2 _ rfvt,yf(/Vat5
SYSTEM USE APPROVED NO
Buil�pecto
01/86 and vl
LOCATION SKETCH I
176' (To LRKE GEORGE)
nal
4+0VC - OW
oisregelonoAl sow
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oRYUEu.(40 A 414r)
le : O k
Imo- 50' 35' 14-40...1 I Y
ASSEMBLY LbM/T i(O D
DESIGN BASIS
1 . No. of bedrooms one
-27 Daily flow 150 gpd
3. Septic tank capacity 1000 gals .
4 . Percolation rate > 8 min/in .
5. Length of absorption field - ft .
NAME: Mrs . Betty Gower
DATE: Arpil 30, 1986
The above sketch shows the locations of the units comprising
your sewage disposal system for future reference , in case of
difficulty. It shows measured distances from buildings ,
trees , garage , fence posts , etc. , to septic tank, sewers ,
distribution box and absorption field or seepage pits .
SAVE POST IN BASEMENT SAVE