1986-593 BUILDING PERMIT
_ TOWN OF QUEENSBURY No. 86-593
,Le WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Barbara Melville
OWNER of property located at / Li Stevens Road Street, Road or Ave.
ed
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in the Town of Queensbury,To Construct or place a Sewage Alteration
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is RD #2 Stevens Road
1-6
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Frank Shaw
Morningside Excavation
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications cn
No. 1000 gallon tank, dist. box and 2 — 5'x8' drywells per plot and P
septic application submitted. co
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8. Proposed Use
Sewage system for dwelling
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES sept. 18 19 88
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 18th Day of Sept. 19 86
L61 SIGNED BY 7)1 & , /�-}/ for the Town of Queensbury
Building and Zoning Inspector g
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.'wn °! Qun.itury APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Oueensbury, Nay, York 12801 ,DATE ? I.'
. TOWN OF OUEENSBUt,I'
LOCA11ON OF PROPERTY FOR INSTALLATION fd (� E ii W/. r
11 1 I� 11 .�
OWNER'S NAME Ed To t(itii, '. SbP J jq.81_,c, �9,
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P.M.
ADDRESS ((�� J /n.� /� .PJa. g 9,V11213141516a4T
INSTALLER' S NAME . c vi_r_cs , 6Mb-, lafti oo �b_, `�_• TEL 79 ,-229O
•Number of bedrooms (residential only) '�
Total daily flow(compute @ 150 gal per bedroom) '366
Topography:40- Rolling - Steep slope -(circle one) % of slope
Soil nature: Sand Loam - Clay - Other Depth ft.
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Ground water -At what depth? I -4- - ft- • .
l 'Bed-rock or impervious material - At what depth? ' hI ft.
Percolation test - Not required - Required - -Rate _ ® min-inch.
Domestic water suppl - Municipal dell —Other
Separation - Watersupply(if well) from Septic absorption . ft.
Proposed. System: Septic tank I c- o gal. ( Ninimun size, 1000 gal. )
Ti?e Field Each trench . ft. Total 'system legnth ft.
Seepage pit (s) Number of ' 2--. Size each 5c ft X E ft
Size of stone to be used * . .3 Depth or thickness / ft.
I*MPOR* *TANT* -* ! !* * * * * * * * * * * * * * * * " * * * * * * * * * * * x * * * *
' On .a separate piece of paper, submit a diagram of the proposed system
• with all dimensions 'shown ; including distance from any structure,
distance from property lines and from ANY DOMESTIC WATER SUPPLY or
shore-line of lake, stream,pond or wet-lands ' Include all dimensions of
the system, itself.
. * * * * * . * it .* * * * * * * * * •* * * * * * * * * * * * * *• * * * * * * *
J j:avc— 2'ca,: t ;:r 2'6 i . .. : o :. on t!':c rr12cree £iaE of t'I.is s1:'cC 1. cn2 aai ce
. to abide by there .and 077 recuiren:ents cf The Town of Queensbury
Sanitary SeL,acc Dispcsc"l Or•d-rancc.
Sior,ct' rc of r•r pTonrii,le rrre o': ‘_____ Al •
05/86 and/vl
Section II Septic System Inspections:
• A. All applications for septid system installation,
alteration or repair, as reauired. by the Town of
Oueensbury Sanitary Sewage Ordinance, shall be
submitted to the Buildina Department at least .
24, hours before start of construction and shall
include .a plot plan showing:
• 1) the proposed location of the system
2) location_ and distance to lot lines
3) location and distance to structures
4) location and distance to any water. supply
5) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and
approval by the Building Inspector. Failure to
comply with this requirement may result in the
uncovering of the system by the ,installer and a -
fine of up to $250.00. .
C. An approved copy of the plot plan shall be
available on the construction site.. Failure
to produce said plot plan at time of inspection
may result in an immediate work stoppage.
D. Should unforeseen problems during construction
prevent proper installation, alteration or
repair of an approved system, a new proposal
• must be submitted to the Oueensbury Building
Department before further construction.
o U e_c ° /I, TLL> 91C-
Jown of Queenitury 1)frtz
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME \--Y-Rstlit IS h .J
LOCATION i/LA - L A-1 u f
_ . aG -s
DATE 7 /� PERMIT NO. Oe.v.0 )u1
SOIL TYPE - and Loam - Clay -
Percolation Test Required? YES
Percolation rate - Min/Inch 6 --�
TYPE of SYSTEM:
Absorption field, total length
Length of each trench .
Depth of trenches '
ize of gravel
\RAGE PITS-fNumber of) E--
- Size- ;Sft. X 'ft.
Gravel size
PIPING: Size Type
Bldg. to tank 4 f' C' e(`%.'
Tank to dist. box ��z/ ?/• 'r'
Dist. box to field •.._,_ y. ; f �-.,
Openings sealed? NO Parttal
LOCATION/SEPARATIONS:
Foundation to tank 2.744.
Foundation to absorption 5 5i 4t.
Absorption to lot line ft.
Separation of pits ft.
LOCATI STEM ON PROPERTY(circle one)
Front ,- Rear - Left side - Right side -
COMME .
SYSTEM USE APPROVE YES, NO
Buildi g In4 ector
01/86 and vl
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