SEP-0448-2023 r SEPTIC DISPOSAL PERMIT Office Use Only
14.1
4 -1) A.IPPLICATJON Permit#: "OI 12) - 202,3
Town of( eensbur i.
r
L � �J �,r------- -
•,; ► �,.. Permit Fee: C�y��
i JUL 9 �, �� I Invoice#: l ` L �` '
742 Bay Road,Queensbury,NT 2 04 ✓� �� cw� J"'
P:5181761-8256 www. ueen b r .n t Septic Variance. No (),�< mp,
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TOWN OF OUEENSBURY ��7 �-4-. ��
EUII-DING &CODES._ Flood Zone?
Wetlands? No Reviewed By: i '
Project Location: 53 Birch Rd -Glen Lake -—0} o - 2-Q 3
Tax Map #: 289.13-1-31 -:
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) I I IX
1981-1991 130 Spa or Hot Tub Yes No
1992-Present 110 3 110 330 Installed? (choose one) III 0
— ",T/G rifiv0 /Off/i , F� '®��r'
PARCEL INFORMATION:
Topography ■❑ Flat Rolling ❑ Steep Slope % Slope
Soil Nature I•I Sand ❑ Loam ❑ Clay Other, explain:
Groundwater At what depth?
Bedrock/Impervious material At what depth?
Domestic Water Supply Municipal ❑■ Well Lake
(if well or lake, water supply from any septic system absorption is
100+ ft.)
Percolation Test Rate: per minute per inch (test to be completed by a
licensed engineer/architect)
PROPOSED SYSTEM INFORMATION:Replacement septic tank at guest cottage above the garage
Tank size -woo gallons (min. size 1,000 gallons, add 250 gallons for each garbage cylinder or
spa/hot tub
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:
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): Daphne Sanborn
Mailing Address, C/S/Z: 3106 Riverside Dr,Wantagh, NY 11793
Cell.Phone: (518)993-7008 Land Line: •
Email: DDSBUG@AOL.com
• Primary Owner(s):
Name(s): Daphne Sanborn
Mailing Address, C/S/Z: 3106 Riverside Dr,Wantagh, NY 11793
Cell Phone: (518)993-7008 Land Line: •
Email: DDSBUG@AOL.com
❑ Check if all work will be performed by property owner only
• Contractor:
Contact Name(s): IBS Septic&Drain
Contractor Trade: Installation
Mailing Address;C/S/Z: 2 Lower Warren St, Queensbury, NY 12804
Cell Phone: Land Line: (518)798-8194
Email: info@ibsseptic.com
**Workers' Comp documentation must be submitted with this application**
• Engineer(s):
Name(s): Huthins Engineering PLLC
Mailing Address, C/S/Z: 169 Haviland Rd, Queensbury, NY 12804
Cell Phone: Land Line: (518)745-0307
Email:
Contact Person for Compliance in regards to this project: Lucas W. Dobie, P.E.
•
Cell Phone: Land Line: (518)745-0307
Email: Iwdobie@hutchinsengineering.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: Daphne Sanborn
Digitally signed by Daphne Sanborn 7/19/2023
SIGNATURE: Daphne Sanborn Date:2023.07.19 12:17:1B-04'00' - DATE:
Septic Application • Revised July 2022
1 )
169 Haviland Road
Queensbury, NY 12804
Hutchins Engineering PLLC Phone: (518)745-0307
Fax: (518)745-0308
July 24, 2023
Town of Queensbury Building Department
Mr. Mark Smith 23
742 Bay Road JUL 25 mLi
Queensbury, NY 12804l�E l' BLIRY
TOWN OF
Re: Daphne Sanborn BUILDING &CO _
Septic Tank Replacement
53 Birch.Road —Glen Lake -8/\qb-
Tax Map#289.13-1-31
Dear Mr. Smith:
As you will recall, we spoke last week regarding the septic tank replacement for the guest cottage at the
referenced property and discussed the flood zone of Glen Lake with respect to the new tank placement. The
new 1000-gal tank will be installed near Birch Road, southwest of the guest cottage/garage, in the yard area.
Subsequently, we have researched the FEMA flood maps and Warren County GIS. The 100-year flood zone
AE is delineated on GIS, at approximately 100-110-ft from the shoreline, without consideration of the site
elevations. The FEMA flood map prescribes zone AE as elevation 404, which is attached for your reference.
Based upon field investigations, USGS Topo mapping and Google Earth, the yard area elevation of where the
new tank will be installed is approximately elevation 425. Assuming a 6-ft excavation depth for the tank, the
bottom of the tank will be installed approximately 15-feet above the FEMA zone AE flood elevation, which is
clearly above the zone AE flood elevation.
Attached please find select site photos, the FEMA map and Google Streetview and Earth images. Please
contact me with any questions that you may have, otherwise please contact me when the permit is available,
thank you for your assistance with the project.
FILE COPY
Best regards, �pF NEW
/
J /+ yam.. . ®7. i1
Lucas W. Dobie, P.E. / y =$� rn
Associate/Partner—Design Engineer 2, `� _� �'
FO 096626 <<°�
Cc: Daphne Sanborn �R°FESSl0ON-
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Photo 1 —South of Guest Cottage/Garage at Birch Rd w/Glen Lake in background
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Photo 3-looking east to Glen'Lake from Guest Cottage/Garage at Birch Rd elevation
Parameter List.
------------
Copy tab:
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Color/B&W:
Type of original:
Method:
Lightness:
Saturation:
Red.
Green:
Blue:
Black level:
White level:
Sharpen:
Blur:
Input size:
Width:
Height:
Auto Width:
Auto Length
Output size:
Width:
Height:
Auto Width:
Auto Length
Scale-
Ualue:
WM�� i'v
NEW SEPTIC TANK TO BE
CONNECTED TO VUSTING
DRYWELL IN PARKING AREA
PROPOSED IV PVC SDR-3S
EFFLUENT SEWER, r PER
FOOT MINIMUM SLOPE
MaMNG METAL SEPTIC TANK Lands IF of
TO BE REMOVED & REPLACED McPhillips Family Trust
289.13-1-25
Lands NIF of wo—posati'low GAL SINGLE PROPOSED 4w PVC SDR-35
David McGowan COMPARTMENT PRECAST GMAGE SEM& to PER
289-13-1-34 CONCRETE SEPTICTANK FOOT MINIMUM SLOPE
NOTE-. NO WELLS ARE
VISIBLE WrMIN 50-FT OF
PROPOSED SEPTIC TANK
FOR GUM COTTAGE
G D
Lands NIF of CA 100,Z Kenneth Searles
GARAGE j 289.13-1-29
GUEST
rajids of Daphne D. Sanborn COTTAGE WASTEWATER Lands NIF of
'NFO FROM
Daviowan d McG
289.13-1-31 PLAN REFERENCE i.
0.27 Acres 289.13-1-30
< I
Ir—
I SHED
44�Nc I ' /
1
0 fif -1 Z / / �i DECK 00TIM
_01' NEIGHBORING
RESIDENCE SM4 CK
3-BEDROOM
HOUSE
pasr.(NG
WELL*
uas,nnG i"TAN'K
Lands NIF of AND "FLUIENT PUMP
AA^o%,4^# ne
OU-410"
289,13-1-32
DISTING GRINDER DECK
PUMP TO REMAIN
�V
Lands IF of
Gerald Dineen 14/
289.13-1-33
Lands NIF of
Peter Dineen
.289.13-1-57
PLAN REFERENCE.
1. WASTEWATER LOCATION FOR LANDS NIF OF
KENNETH SEARLES FROM "WASTEWATER
REPLACEMENT SYSTEM PLAN PREPARED FOR
KENNETH AND LEIGH SEARLES," DATED NOVEMBER
6, 2018. LAST REWSED DECEMBER 17, 2018.
PREPARED By HUTCHINS ENGINEERING. PERMIT
NUMBER. SEP07202018.
MAP REFERENCE:
BASE MAP INFORMATION FROM WARREN COUNTY GIS,
AERIAL, PHOTOGRAPHY, AND FIELD MEASUREMENTS.
THIS IS NOT A FED SURVEY. ALL LOCATIONS ARE
APPROMATE CONTRACTOR TO FIELD VERIFY ALL
SETBACKS PRIOR TO BEGWMWG INSTALLATION.
CONTRACTOR To nELo VMFY LOCATIONS AND &STANCES
W IS 991 A FELD SURVEY.
WASTEWATER SYSTEM SETBACK REQUIREMENTS
PROPFJ?
HOUSE
2.a
LAKE
IV WATER
SUPPLY UK
U-NE
SEPTIC TAW
10'
10,
50'
50' 10'
ABsoRP77oN FIELD
lot
20'
I 100'
100' i 10,
2023-09-29 13:04:00
------------------------
_-------- tab: Setup tab:
B&W
Margins
Printer:
HP DesignJet T1790
Scanner:
HP SD Pro 44-in Scanner (IP)
CAD B&&W
Top:
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Windows driver:
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Centimeters
A &&W Threshold
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0-0cm
HP DesignJet
T1700dr PostScript
Load:
Center
.1
Left:
O.Ocn
Printer profile:
HP DesignJet T1700
About
Right:
0.0cm
Unprintable Area
Product name:
HP Scanner System
Use Unprn. Area:
Yes
Top:
0.5cn
Product version:
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Print paper border:
No
Bottom:
@.Scn
Build:
Build 95395
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Print Quality:
Left:
U.Scn
Component build:
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300 dpi
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Off
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Scanner firmware
date: Nov 08 201712:35:45
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Auto
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mot -Mal
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Print area:
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Print area:
9.8740 sq.n
----------------------------
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Paper area:
12.0584 sq.n
--------------------------------------------
LLAKE i�ATER SUPPLY
Septic Tank Reviacenvent Plan
lot -- 20'
Is
qr@ghic Scale
20 0 10 20 40 80
114" PER FOOT
MIN. SLOPE
_4��PVC SCH-4-0
p) JUL
W&I OF
E3UILDIN1 UeE[VS[3'1a'1'
SUGGESTM., POLYETHYLENE
EXTENSION TO GRADE WTH
TAMPER RESISTANT ACCESS
COVER (NON-7RAFFIC AREAS)
12" MIN. COVER
1180 PER FOOT MIN.
I SLOPE
4' PVC SCH-40 EFFLUENT SEWER TO EXIST DR"ELL
WATERTIGHT SLEEVE 160
& SEAL (TYR)
40 PVC TEE
INLET BAFFLE
LIQUID DEPTH
JO* MIN.
60" MAX
MINIMUM 2X MDTH
MAXIMUM 4X MD774
0
PROPOSED 1OOC GALLON PRECAST CONCRETE SEPTIC TANK
�qtic Tank Detail
NTS
T OWN OF QUEEINSBURY
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.
289.13-1-31 SEP-0448-2023
Sanborn, Daphne
53 Birch Rd
Septic Alteration -- tank only
rN
D19 IFISafely.
NeWPAYork
iii Call Before You Dig
H WAR The Required Time
E Confirm Utility Response
N Respect Tim Marks
0 Dig Wift Care
800-962-7962
ISSUED FOR PERMIT 71191202J
vnimt.diventolynetwyork.com
lam'
Date
SEPTIC TANK REPLACEMENT PLAN
prepared for.
Daphne D. Sanbom
53 Birch Road
Town of Queensbury, County of WarTen, State of New York
• Drawn: HK8 Checked: LKV--. Scale: NOTED, Date: 6 1212023
169 HaWitand Road
IF Queensbury, NY 12804
11 292169-01
(518) 745-0307 Phone
Hutchins En ineering PLLC (518)
9 745— 0308 Fox
FE-
TO EXISTING DRYWEL
IN PARKING AREA,
NEW CAST IRON FRAME & COVER
TO GRADE WAS INSTALLED
EW 4' PVC SCH-401
EFFLUENT SEWER
EXISTING M Lands Of
SEPTIC TANK & SEEP AGE N
PIT WERE REMOVED McPhillips Famil Trust
289.13-1-25
Lands NIF of NEW 1000 GAL SINGLE
COMPARTMENT PRECAST
David McGowan CONCRETE SEPTIC TANK
289.13-1-34 W 1(2) RISERS TO GRADE PARAGE SEWER
NOTE: NO WELLS ARE owl
VISIBLE WITHIN 50-FT
OF SEPTIC TANK FOR -
GUEST COTTAGE s --
I--- ------
A
RC��o s. I Lands NIF of - roo_tA
�� ' p - Kenneth Searles KESETBgCK _ 51 1 289.13-1-29 ------
> % o� GARAGE
WITH
Cands of Daphne D. Sanborn,' COTTAGE I WASTEWATER INFO FROM Lands NIF of
289.13-1-31 •' I ' PLAN REFERENCE 1.
David McGowan
0.27 Acres 289.13-1-30
< AXIS I SHED ' ----
I
�gRs�tic \ \ G�RIV /� \\ _---------- ------ - \
R�NcOUNTyOM \ \ ��� ?� F , i DECK \w: EXISTING `
♦ S D
GTS ♦ (T ��BqO,� ' �� I NEIGHBORING _ - ` SO
RESIDENCE - t�ANKKE CK--
i 3-BEDROOM /
♦ ♦ HOUSE
EXISTING
® WELL-+
EXISTING SEPTIC TAN
Lands NIF of AND EFFLUENT PUMP ♦ /
Susan Mondoux STATION TO REMAIN f ;�` \ �� I�l LAKE WATER SUPPLY
289.13-1-32 ,(
PUMP TO REMAIN \�� ` ♦ i DECK /
�� �y aye � � ♦ �� ��
' LAKE SHOIELINE
i
i
8
r
Lands NIF of
i
i
C
Gerald Dineen
W
289.13-1-33
'
Glen Lake
,
Lands NIF of
,
®avid Doster Lands NIF of
,
'
'
Se p tic Tank Replacement Plan
p
289.13-1-51 Peter Dineen
,
��
i f = 20'
289.13-1-57
Graphic Scale
,
20 0 10 20 40 80
'
,
ee0
PLAN REFERENCE:
1. W4S7EWATER LOCA71ON FOR LANDS NIF OF
KENNETH SEARLES FROM "WASTEWATER
REPLACEMENT SYSTEM PLAN PREPARED FOR
KENNE7H AND LEIGH SEARLES," DATED NOVEMBER
6, 2018. LAST REVISED DECEMBER 17, 201&
PREPARED BY HUTCHINS ENGINEERING. PERMIT
NUMBER: SEP0720201 &
MAP REFERENCE:
BASE MAP INFORMATION FROM WARREN COUNTY GIS,
AERIAL PHOTOGRAPHY, AND FIELD MEASUREMENTS.
THIS IS NOT A FIELD SURVEY. ALL LOCA71ONS ARE
APPROXIMATE CONTRACTOR TO FIELD VERIFY ALL
SETBACKS PRIOR TO BEGINNING INSTALLATION.
CONTRACTOR TO FIELD VERIFY LOCATIONS AND DISTANCES
THIS IS NOT A FIELD SURVEY.
WASTEWATER SYSTEM SETBACK REQUIREMENTS
PROPERTY
HOUSE
GLEN
LAKE
WELL
WA TER
SUPPLY LINE
LINE
SEP71C TANK
10'
10'
50'
50'
10'
ABSORPTION FIELD
10'
20'
1 100' 1
100'
10'
22
Site
SUGGESTED: POLYETHYLENE
EXTENSION TO GRADE WITH
TAMPER RESISTANT ACCESS
COVER (NON -TRAFFIC AREAS)
12" MIN. COVER
114" PER FOOT d.
MIN. SLOPE
3"
4" PVC SCH-40
HOUSE SEWER LIQUID LEVEL
WATERTIGHT SLEEVE 16" 18"
& SEAL (TYP.) MIN.
4" PVC TEE
INLET BAFFLE
LIQUID DEPTH
30" MIN.
60" MAX.
MINIMUM 2X WIDTH
MAXIMUM 4X WIDTH
° d
PROPOSED 1000 GALLON PRECAST CONCRETE SEPTIC TANK
Septic Tank Detail
wwwi.iwr w�wr
16%P%,U1LIV/■ ■-RUE
4" PVC TEE
OUTLET BAFFLE
118" PER FOOT MIN.
SLOPE
4" PVC SCH-40 EFFLUENT SEWER TO EXIST. DRYWELL
a
° .
°
imnn
C E o d E ECORD DRAWING
ALLATIDN DATE: 9126-2812023
SEP 2 9'T E BY - IBS SEPTIC & DRAIN SERVICE
TOWN OF QUEE Y
BUILDING & E D DRAWING NOTE:
A REPRESENTATIVE OF OUR OFFICE WSI7ED THE SI7E
DURING CONSTRUCTION AND IT IS MY OPINION THAT
THE SYSTEM IS INSTALLED IN GENERAL CONFORMANCE
WI7H THE APPROVED PLAN AND 7NIS RECORD
DRAWING. FINAL SURFACE FINISHING AND TURF
ESTABLISHMENT IS ONGOING.
LUCAS W. DOBIE, P.E.
912912023
TAX MAP # 289. 1 3-1-31
Dig PSafely
NewpYork
19 Call Before You Dig
EM Wait The Required Time
19 Confirm Utility Response
EI Respect The Marks
M Dig With Care 1 RECORD DRAWING 9/29/2023
800.962-7962 0 ISSUED FOR PERMIT 711912023
www.digisafelynewyork.com
No. Revisions Date
NEW SEPTIC TANK REPLACEMENT PLAN
prepared for:
Daphne D. Sanborn
53 Birch Road
Town of Queensbury, County of Warren, State of New York
09662� k�c�
.00. 5Si 0 Drawn: HKB Checked. LIND Scale: NOTED Date: 611212023
169 Haviland Road
ALTERATION OF THIS DOCUME XCE i Queensbury, NY 12804 292169-01
A LICENSED PROFESSIONAL ENGINEER IS A (518) 745-0307 Phone
VIOLATION OF NYS EDUCATION LAW. Hutchins Engineering PLLC (518) 745-0308 Fax