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1987-205 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-2©s 5 , 1( WARREN COUNTY, NEW YORK 2 � ~ 4� Michael Crotty* PERMISSION is hereby granted to 1 Moorwood Drive Street, Road or Ave. n OWNER of property located at m Sewage Alteration `D 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 H approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. o rr rt `C F2. WNER'S Address is 1 Moorwood Drive Queensbury , New York CONTRACTOR or BUI LDER"S Name Condon + s Septic Service r- 0 a 3. CONTRACTOR or BUILDER 'S Address 30 Grant Ave . o Glens falls , New York 'A' t7 w rARCHITECT'S Name (o ARCHITECT'S Address B. TYPE of Construction — (Please indicate by X) En I ) Wood Frame i I Masonry I ) Steel I ] ro E w ao m 7. PLANS and Specifications No. 2 91x8 " seepage pits per plot and application � m saa r-r B. Proposed Use q' Sewage system for dwelling S April 27 19 89 10 . 00 PERMIT FEE PAID — THIS PERMIT E.KPiRES (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 behave the expiration date.) Dated at the Town of Queensbury this 27th pay of April 1987 )2!SIGNED BY for the Town of Queensbury Building and Zoning Inspector APPLICATION FOR SEPTIC DISPOSAL PERMITM ` APR '71987 � J . rr� , BUILDING & CODE DEPT. DATE �Z *;t' S- I 010�� LOCATION OF PROPERTY ,�FOR INSTALLATION +� /�G�OR.w�+C►� *�+� � �s'��w *� ��'�J`r �. Owner's Name: C Hai I tr IQ OIL—1 Telephone: 91 g - Iri Address: j ri/ Aeb ozw ['! 2� �� ��5++ 1j Ova g rt.1� IQ y +MCli e�: 12W Installer's Name: lcpevz a " s �5' v-fit iC cS�'� Telephone: c .J. Number of bedrooms (residential only) 3L4 Total daily flow (compute @ 150 gal per bedroom) Tapograpby: circle one: lat Rolling Steep Slope % of slope Soil Nature: circle one: and Loam Clay Other / Depth: M feet Ground Water: At what depth? © feet Bedrock or Impervious Material: At what depth? � C3 feet Percolation test: circle one: not required required / rate min. inch. Domestic water sutpply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank fx�� fgal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench feet / Total system length feet r SEEPAGE PIT(S) : Number of 7Z / Size each ,q feet by 45 feet [� Size of stone to be used # _„ '�i� / Depth or Thickness feet IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED (over) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building 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 Queensbury Building Department before further construction. 1 have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: Date; Town of Queensbury Building and Code Department Bay at Raviiand Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF !NATURAL BEAUTY . . . A GOOD. PLACE TO LIVE K L [ff'Lr1lS� lA[I'!� foA ou NG and ZflIJ{T3G L7EPARTBox 98 Bay and Haviland Road. R C3. Queensbury, Newe York 12BOI SEPTIC pISPOSAfl/ SYSTEM IMSPECTION �E LpCAT I Ohl 17ATEPE}2l�tT NO . Loam CI SO-IL YES L TYPE - Sand - - ^3O Percolation Test Required? Percolation rate ^ 14in/Inch _ TYPE of SYST>✓R: total length Absorption r trend+ Length of each Depth of trenches Size of gravel a SEEPAGE PITS�rUZu►nt'�ft. -� J ~� 532e^ ft. X Gravel 'size Size +P� 'c PIP:ENG = , Bldg - to tank Tank to disc . box Dist . box to f ield NO Partial openings sealed? YES LCC7,,TI0N/SEPARA' '00S = f•t. Foundation to tank to Foundation to absorption ----eft . Absorption to lot line ft. Sep ion f pits rc YSTEM ON PROPERTY side one) side LOCATI ^ Left side Front Rear CCHME ^SYSTEM 135E APPRO57EDI N B,a i ld ing Inspector 01/85 and vl "mf7lfv Pu ADD GAP V C.d (vc Ravi i I t MOO .