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SEP-0402-2023 SEPTIC DISPOSAL PERMIT Office Use Only APPLICATION Permit#: —P— 92+02 '202.� Town ofQucensbury Permit Fee:$ 65 Invoice#: 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.queensburv.net 0 IE c E -. • Variance ll �J r ie1d:? ti)V Reviewed By: Project Location: 180 Lake Pkwy TOWN n`�UC�NSB �-_ �1�.�- — Z©� �UILp1NG& CODE5R ' Tax Map #: 226.19 - 1 -92 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) ❑ El 1981-1991 130 Spa or Hot Tub Yes No 1992-Present 110 5 110 550 Installed? (choose one) ❑ PARCEL INFORMATION: Topography ❑ Flat Rolling ❑ Steep Slope 3 - 5 % Slope Soil Nature * Sand ❑ Loam ❑ Clay ❑ Other, explain: Groundwater At what depth? 32" Bedrock/Impervious material At what depth? no bedrock Domestic Water Supply ❑ Municipal ❑ Well ['Lake (if well or lake, water supply from any septic system absorption is ft.) Percolation Test Rate: 15 per minute per inch (test to be completed by a licensed engineer/architect) See attached plan with details PROPOSED SYSTEM INFORMATION: Tank size 1500 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 46 ft.; Each Trench 15 ft. Seepage Pit w/#3 stone How many: ; Size: Alternative System Bed or other type: Holding Tank System Total required capacity? 1500 ; tank size 1500 ; septic Tank and Dosing Tank # of tanks 2 Septic Application Revised July 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): Kevin Cioffi Mailing Address, C/S/Z: East Greenbush NY 12061 Cell Phone: 5185264529 Land Line: Email: Kevin@Reliable518.com • Primary Owner(s): Name(s): 180 Lake Pkwy LLC Mailing Address, C/S/Z: East Greenbush NY 12061 Cell Phone: 5185264529 Land Line: Email: Kevin@Reliable518.com ❑ Check if all work will be performed by property owner only • Contractor: Contact Name(s): TBD - waiting for quotes Contractor Trade: Mailing Address, C/S/Z: Cell Phone: Land Line: Email: **Workers' Comp documentation must be submitted with this application** • Engineer(s): Name(s): Brett L. Steenburgh, PE 2832 Rosendale Rd Niskyayuna,NY 12309 Mailing Address, C/S/Z: Cell Phone: 518-365-0675 Land Line: Email: bsteenburghpe@gmail.comm Contact Person for Compliance in regards to this project: Brett Steenburgh Cell Phone: 518-365-0675 Land Line: Email: bsteenburghpe@gmail.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: Kevin Cioffi SIGNATURE: l DATE: 7//3 Septic Application Revised July 2022 • • • • 41) F. • TOWN Gict Q1IEENSBLIRY j.1�' 742 Bay Road, Queensbuyy, NY. 12804-5902 • • • • Septic System Checklist • ,Plan to scale/ lak-T) jReceived Deep hole perc test results from engineer/Architect if applicable Architects;June 30 to April 15 Town Engineer for unapproved Engineers and Architects)Mproved Engineers and All wells on property and adjacent properties shown /LA-kg- /14.V. ater line shown Municipal or well 10'separation to any part of system • �" 171f Setback to property lines show 10'or more for any part of system • qr5Septic tank and pump stations 10'from foundation 50'from any well/lake/wetland 10'from any waterline • . Septic tank to foundation crawl space/slab on grade,grade in crawls a VISeptic .for 0',Separation required(field verification required)• P ce must be above top of septic tank tank sized for number of bedrooms and add 250 gals for Jacuzzi tubs arba e/g g grinder each Leech Field 20'from foundation 100'from any well 10.from water line grtSeepage pit 150'from well 50'from septic tank PlIASeepage Pits 3-times diameter.apart � • eptic tank and pump stations over 30 gallons 50'from watercourse or-weti . Y6distance from bottom of trench or system 24"to bedrock or mo tling 36"within 1000'of Lake Geor ge keechfield 100'from watercourse or wetland 14Toe of mound or bottom of retaining wall 10'from property line 100'from well 20' • p • Foundation from • /'Provide Engineer/Architect stamp for bed or design.n systems • N-F)" Department of Health Approval for all mobile home park new systems Flood Plain requirements • • ND 2'above established flood elevation to bottom of system AIDAll tanks anchored or 2'above flood elevation • • • • nay , Tl' �d0thmt SYSTEM NOTES SYSTEM DATA SITE PREPARATION nICTCiuU710N evcTrM 41'-0" X 74'-0" 1) ROPE OFF THE SITE TO PREVENT DAMAGE TO THE AREA DURING PROPOSED BEDS 01NaT7 CONSTRUCTION acnvin ON THE Lot w6cuLaR (1) 15' x +6' BEDS TRAFFIC OVER THE AREA SHOULD BE PROHIBITED TO AVOID TOTAL NEW ABSORPTION AREA - 690 S.F. SOIL COMPACTION. 2) STAR OUT 714E SYSTEM PERIMETER AND BED IN THE PROPER PUMP DESIGN ORIENTATION. 3) CUT AND REMOVE ANY EXCESS VEGETATION. TREES SHOULD BE ELEVATION HEAD = P CUT AT THE GROUND SURFACE AND STUMPS LEFT IN PLACE. HEAD LOSS IN PIPE = 2 TOTAL HEAD : 9• USE LITTLE GIANT PUMP OR EQUIVALENT PUMP 1. CAREFULLY PLACE THE COARSE AGGREGATE IN THE BED. DO (SEE OURS) 6'-0" 91-O"— 14'-0" NOT CREATE RUTS IN THE BOTTOM OF THE SYSTEM. LEVEL THE AGGREGATE TO A MINIMUM DEPTH OF 6 IN. REOUIRED INSPECTIONS 1'-6" CAP 1'-0" CAP 2 ASSEMBLE THE DISTRIBUTION NETWORK ON THE AGGREGATE, ENGINEER SHALL INSPECT SYSTEM CONSTRUCTION AT THE FOLLOWING ORIGINAL THE MANIFOLD SHOULD BE PLACED LEVEL STAGES OF CONSTRUCTION. , AT CENTER AT EDGE 3. PLACE AGGREGATE TO A DEPTH OF AT LEAST 2 IN. OVER THE INSPECTION {7: UPON COMPLETION OF INSTALLING BED, PIPING AND GROUND SURFACE CROWN OF THE PIPE. TANKS PRIOR TO BACKFILONG. TOP OF MOUND INSPECTION & UPON COMPLETION OF FINAL GRADING INCLUDING 334.5 4. PLACE A SUITABLE BACICFlLL BARPoER OVER tiff AGGREGATE, PLACEMENT OFON AND FINAL SEEDING. 4 GEOTEXTLE FABRIC OR UNTREATED BUILDING PAPER. 1 I • . • ... NOTE OWNER IS RESPONSIBLE FOR NOTIFYING THE ENGINEER AND TOWN .... � ......... SYSTEM DATA A MINIMUM OF 24 HRS. IN ADVANCE OF EACH REQUIRED ••......:. "•-. :1 �::fl•:, .•..... 4 DESIGN CRITERIA INWECTION. F WORK CpBIENCES WniOUT 714E NOTm INSPECTIONS, THE - ENC DILL NOT BE ABLE TO CERTIFY INE SYSTEM AS -BUILT PER PLAN Q_ O --..MEDIUM.•.•:::.... L 5 BEDROOM HOUSE AT 110 GALLONS PER BEDROOM PER DAY AND THE TOVM WILL NOT BE ABLE TO GRANT A CERTIFICATE OF OCCUPANCY — 6"'..'..::• ............''•' ......................: .......................... . ................................ EQUALS 55D GALLONS PER DAY DAILY FLOW. tC.O.) . - •-- • •— . . • • •: ' :'::.EI.s332.0 '.:'.:•.:.:'.':.::: '::::.... ... ............ .................... ................. 2 SAND. - EXISTING TERRAIN APPROXIMATELY 3-5 PERCENT SLOPE 3. PERCOLATION RATE: 15 MINANCH EXISTING SOIL 4. SOIL SANDY SLT 5. GROUNDWATER AT 32• MOTTEUNG AT 30• 6. NO BEDROCK ENCOUTERED SOIL TESTS PERFORMED 2/22/2023 CALCULATIONS / 1. REOUIRED BED SIZE: APPENDIX 75A RECOMMENDED APPLICATION RATE - Moo GAL/OAY/S.F. = 550 GPD/0.80. GPO/S.F. = 688 S.F. (TABLE 48) USE A 15• x 49' BASIL AREA a 690 S.F. BASIL AREA SHALL INCLUDE THE AREA LOOM THE DISTRIBUTION LATERALS AND THE DOWN SLOPE FILL AREA ONLY THE UPS LOPE FILL SHALL NOT BE IMMUDED USE FOUR (4) 17-W 1 1/2• LATERALS WITH A 1 1/2' CENTER MANIFOLD LATERALS SHALL HAVE 5/16• DIA HOLES 48. ON CENTER LATERALS SHALL BE PROPERLY CAPPED ALL PIPING SHALL BE SOLVENT WELDED CLAY SILT CAP 30" PERMEABLE GEOTEXTiLE FILTER FABRIC USABLE PRESSURE DISTRIBUTION LATERAL, 1 1/2" DIA, PVC ABSORPTION BED EXISTING SOIL MOUND SECTION NOT TO SCALE BED AND LATERALS MUST BE SET LEVEL PERCOLATION TESTS PERFORMED 2/22/2023 DOSING VOLUME SHALL BE 550 GPD/3 DPD - 183. GALLONS PERC STABILIZED TEST# DEPTH (IN) PERCOLATION RATEAN. 1 12" 15 MIN. 0 SEC. 2 19" 10 MIN. 30 SEC. 1 DIA. CENTRAL MANIFOLD PUMP PERFORMANCE CURVE 1 N � "LITTLE GIANT" PUMP - MODEL WS52 I 39' — N II w 40 w Z Y — —I O_ a 30 �6... COPY FILE 5' I 2 , , —►{I Ltd p En w 1 a 20 1 7,-6„ 25 W X TOTAL HEAD APPROX. 9' 1D 2" DELIVERY PIPE Li1 FROM DOSING TANK BASAL AREA 15'X46' DOWNSL PE FILL ONLY 0 H.o EXISTING SLOPE z% 46' 0 20 40 60 80 100 120 140 _ DISCHARGE RATE ( GALLONS PER MIN. ) PLAN VIEW 6 MOUND SYSTEM TOPSOIL PLOWED NOT NOT TO SCALE SUBMERSIBLE SEWAGE PUMP DATA 15 C E 0 W I� D LITTLE GIANT OR EQUAL PUMP MODEL GALLONS PER MINUTE SHUTOFF P.S.H. 10' 20' WSS 90 14 23 ' �,) [ JUL O 0. MIN. DIA. BRISTLE FILTE— PLUG SIM/TECH 4- SEPTIC RATED TANK TO 2W , fff 1200 GPD TOWN OF QUEENTOWN Oi: QUEENSBURY —► BUILDING & CODES INLET -�► BUILDING & CO �SBUR "` OUTLET ReV1ewe By: TOWN OF QUEENSBURY �c ��v BUILDING DEPARTMENT G '! 6'-3" Date; Based on our limited examination c CRETE TANK COPY with our comments shall not be (' CURED BY HIGH DENSITY Lands N/F Of indicating the plans and ecificatioI" V#PT POLYETHYLENE p PIPE SEALS 3" MIN CLEAN Michael S. Mann full compliance with the Building Codes of SAND OR PEA ew York State. GRAVEL. o N � `�,, Book 4801 Of Deeds A t Page 35 0 S77° 12' 10 "E 75' Tie -Course tT-0" Bent Iron Pipe Found L ` N77` 12' 10"W S77• 12' 10 "E d T 1.0' North Of Line \ H Propane \� 33 16.50 HORIZONTAL SLOT MIN 4" HIGH 1 N o Tank(2) Bent Iron AND so S0. M. IN AREA 1 GALLON DUAL COMPARTMENT AT MID DEPTH II �� � Pipe Found ^ \\ TIC TANK (SEaM1 FSS) l0 In \ I - -- '' ^^ I 178, V J NOT TO SCALE Concrete- - - - +' F — — i 1 C�j nl i / Stone �°' BASAL AREA 1 Chimney o o DOWI :'E I � I / �5.9' F ONL Y.� T) I I I Grass / FF 327.0 N I I Parking Cl-Crushed Stone 31.2' I I I QUICK DISCONNECT / tl o 17.5' DIST. I I Area v Parking SLIP Low � / N 1 a LATERALS I ) _ Lz I (Under Construction 123. l' PER DETAIL I �,I I N B• cOHcRETE BLOpL YKVE "ATERLIQHT I I. � I I I N RAIL srs7En- HATCH �tSEE B101A� . ` - 111111 �IVE PVC DUAL AL7ERNAmWATERTIGHT Wood Frame House ne sEaLSto&6 L.F. 2' I i PW Dock 1 I 1500 GAL SCH40 SOLID /S I I I • Pvc PW WIH 4EN327.9 FF nI I 1 VALVESEP77C TANK 1000 GAL Ret inr I I I curoERai——QUKx DISCONNECTj Steps ` — — — - DOSING TANK /g 1 I I GUILLOTINESLIP ETTYYPE SEAL PRECAST CONCRETE TANK, SEAMLESS, Deck I Steps \ \ 32..i' - - — — J _ L — — — J PUMPS AND vAVLEs SHALL BE UNDER MANHOLES INC. OR EQOAL. ED B GALLON CAPACITY. Ste / -s' AS MANUFACTURED BY GUARDIAN CONCRETE I I 1 Steps v j PUMP STATION 1 1000 GAL DOSING TANK PLAN VIEW Concrete \\ 16 L.F. 4" TP I i 7 �+ NOT 70 SCALE I SCH40 ® 2.09 5 L.F. 4" 3 64' I Dock Ii SCH40 @ 2.09 1 �' � 1 i � � i FILE r JhY I! I 32 ` li � U7 i 4• PAC I al I ` �� + - INDOOR/OUTDOOR SIMPLEX ALARM PgE HNI �F � Z. I SYSTEM. AS MANUFACTURED . \ I O BY LITTLE GIANT I V EQUAL MOUNTED BW . 326 Area = 79, 354 + Sq. Ft. i II N o MAINTENANCE BDG. (Deed Property 7) pII TELESCOPIC EXTENSION 3woA H � �seREE" V M ���. ` I 4 ' W/ COVER NEENAH R-6665-OMP 0--�� _ 111I O " i9 Q [� HPE L0. MANHOLE SECTION Ivy Ln I , I VALVE WTH T-Ex1EN50N�// IF REQUIRED L_LjC�. / /�' G&DE RAIL—�— � c \ II B• MIN. TEE CONNECTION Y£ WTIH T-E — — — — =?- 41 Z Z ^ [['' �� i o LL \ z• SHED. 40 PVC ✓�� - O I H'i \\\ 6• sHED. 4o PVOSWO CMACIOUTYRE R 1/4-WEEP HOLE wATERnGHT I1� p \\ 5'-11- 1.75' ALARM RM SIM GUILLOTINE TYPE Fouow QUICKDISCONNECTCONNECTOR SEAL I 326 Cp N �\ ON SESETTINOUG CLAW C 1 T.� 8 ON LINE OFF FLOAT PVC SCH.40 l Capped Iron Rod C�j ) �M� \ 7.s 1> WORKING VOLUME ON FLOAT LENEL M CONTROL f I Found On Line i Fence Comer is p� N ( 1 S TCH / 0.5' North Of Line In��32 e' OFF UHE 6' caNc 173' s, ,8.� z ~' m i %OCIC Bent Iron Pipe Found N77" 12' 10"W Chainlink Fence Capped Iron Rond 0.2't South Of Line Found 0.28' North Co ed Iron �,' PRECAST CONCRETE TANK, SEAMLESS, LITTLE GIANT WS52 �� 1. 5'f F�P 1 N77• 12' 1 D AS MANUFACTURED BY GUARDIAN CONCRETE PUMPS AND VAVLES SHALL BE UNDER MANHOLES Of Line (In Fence) 'Ij RO Found INC. OR EQUAL 1,GOo GALLON CAPACITY. On Line\S' \ PUMP STATION 1000 GAL DOSING TANK SECTION t \ In v= 327.9 \ I TO _ I 3n V \\ NOTE: TAM( SIZES ARE FOR GUARDIAN TCONCRETE• ALTERNATE MFG. MAY ALTER DOSING Garage ,r 226.19-1-92 SEP-0402-2023 180 Lake Parkway LLC 180 Lake Pkwy Residential Septic Alteration Book 4801 Of Deeds A It P a e 35 _sir OAK •,.,..� �� ������ ZH7 ,. -/ %/ 175 "W mo +� Propane 337 Ben t Iron p o Tonk(2) Pipe Found wW � oup Con cre to 38.5' c I ^ O Z y 1,'.. I y - o ( ..� y rass 0 I 5.9 T G �, o Parkin q FF . Ln rii c ac c U+o1.2' Area - yN wt CO v aocoa c_aoa�o �� 23. 1' (14 r a I M w w IM I � , ame I House n mm Flog 327. 9CN FF l SE Retiniq 2 1 J L - - -W (14 Joe I . 1 00 OTP .RnA SC 3 H �4 � �"� °". T-1 II a 328 �i I II I Area = 19 .354+ h r p I z J . (Deed Property I) h II I m 4 II KU e= 1 /I o a s oo z w I