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1987-560 BUILDING PERMIT TOWN OF QUEENSBURY � No. 87-560 z aN�+� � � ��� WARREN COUNTY, NEW YC?R K tin PERMISSION is hereby granted to Nancy Marquis ry l n OWN ER of property located at 24 Oakwood Dr . Street, Road or Ave. 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. w 1 . OWNER'S Address is ley 24 Oakwood Dr . Queensbury , N . Y . 12801 �t ,n sr 2. CONTRACTOR or BUI LDE R"5 Name N. Cpndon ' s Septic Ca 3. CONTRACTOR or BUILDER'S Address N C7 4_ ARCHITECT'S Name a 0 f� t7 6. ARCHITECT'S Address , 6. TYPE of Construction — (Please indicate by X) [ ) Wood Frame l l Masonry l ) Steel ( I cry M E 7_ PLANS and Specifications was M No. 1000 existing septic tank. — the field 50 ' total system length 200 feet . ro n S. Proposed Use � Sewage Alteration o $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES August 24 19 89 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of ausensbury before the expiration date.] Dated at the Town of Queensbury this r 24th Day of August 19 87 SIGNED BY 7 / � for the Town of Queensbury Building and Zoning inspector %nown of �l S 4 .t l� �I �']+'^ APPLICATIC]N FOR SEPTIC DISPOSAL 12MI'I' u iL_f 11 1 � � (r AUG 17 felt E"LDING CODE DEPT f DATE LOCATION OF PROPERTY FOR INSTALLATION ...- Owner's Name: f' ,�/� C �y 2VA S Telephone: ?y C9 �► s� Address: , ' ( ) 60 :D �f�, I"C s L 1 � LI� �! fah 1 Xscf % -- Installer's Name: �r](�! �Lr C. Telephone: . 796 a5 7 Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: Flat Rolling Steep Slope % of slope Soil Nature: circle one: San Loam Clay Other Depth: .f Jam- feet Ground Water: At what depth? 0 feet Bedrock or Impervious Material: At what depth? _ C7 feet Percolation test: circle one: E t required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply* from Septic absorption _ feet � x� -S-f /xohrr PROPOSED SYSTEM; Septic Tank 1104 gal. (minimufmn size: 1 ,000 gal.) TILE FIELD: Each "french '1�0 feet / Total system length .>,O 0 feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # f,A?. / 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 :wilding 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 drywelis 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. Co 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 C*rdinauce. Signature of responsible person: c i k _ ry Date: a - k-7 Town. of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12$01 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL. BEAUTY . . . A GOOD PLACE TO LIVE -./©tun o� '4k'ut'pn .l6ter BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. b, 7 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME AVf 000 Cl LOC,ATICIM1I BATE / PERMIT NO.��/_- C,I p SLIT, TYPE - i Sari Percolation T ��' clay Re Percolation rate Required ? YES Min/Inch ~`-• TYPE of SYSTEM : Absorption field, total length Length of each trench zoo DeP'th of trenches S Size of gravel SEEPAGE Size P2TS{N�+iber of?�� Size- ft. 1 Grave to PIPING : Bldg * to tank Size Type Tank to list , box Dist. box to field/ a � 0Isenings sealed? ES 'O Partial L0CATX0N/SEPARA"T'I0NS : Foundation to tank Foundation to absorption Z Absorption to lot line 2 t . Se par p 'pa-ration of r -ft . "'"LOCATION its ft. Front STEM ON PROPERTY (circle one) ar'COMMEN Left side - Right side - bl 2.OoL_ T-+ � SYSTEM USE APPROVED ,� yr Bu I ; Inspector 01/86 and v1 rV N C y r17�4 �u 13 Corn E dna r � ;.y OAK LV064 3k IL, (sk�arj f r9lJ � GOP rusaory royWfir f � � i {a � yn �* �� 6aDA �t�! t FEtv a c � r i