1988-260 BUILDING PERMIT
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TOWN OF QUEENSBURY No. 88-260
WARREN COUNTY, NEW YORK
OR t/OlAe
PERMISSION is hereby granted to Robert & Joyce Eggleston
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OWNER of property located at 22 Richardson St. Street, Road or Ave. rn
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.
1. OWNER'S Address is ti
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Twin Channels Rd.
Glens Falls, New York 12801
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2. CONTRACTOR or BUILDER'S Name n
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Charles Wood tzi
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address phi
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6. TYPE of Construction— (Please indicate by X) ry
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
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No. 1000 gal. tank, 187' tile field.
as per application and plot plan.
8. Proposed Use
SEwage Alteration
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$ /0.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 1990
(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 23rd ,Day of May 1988
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SIGNED BY (fir%�G ' j� y for the Town of Queensbury
Building and Zoning Inspector
Quetfuli;'-
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.� APPLICATION FOR SEPTIC DISPOSAL PERMIT
� �.,� MAY 1 u 1988
��"l u'o BUIL G & CODE DEPT.
DATE 110,2 t oy.,t,\.. / Fs.)6)
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LOCATION OF PROPERTY FOR INSTALLATION ZZRmc_tap,Rc,sotJ ST. )
Owner's Name: cA:7 Eric-ff. Telephone: Ti 3-Zck O\
Address: �\c\ .
Installer's Name: e.N RA s too>> Telephone: IR 24-Zzoo
Number of bedrooms (residential only) _ 3
Total daily flow (compute @ 150 gal per bedroom) 'A SO qqs,•
Topography: circle one: co Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam . Clay Other / Depth: feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one: not 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
PROPOSED SYSTEM: Septic Tank \oOc7 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench So feet / Total system length Mar feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # -Z / Depth or Thickness feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
Section II Septic System Inspections:
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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.
I have read the regulations above and agree to abide by these an all r uirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person:
Date: ' lCt �X
Town of Queensbury
Building and Code Department'
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
-`-TTI_FD 1753 . . . HOME or, `IATI'' ':.. BEA . . A GOOD r'
_loom o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 42n`efL.C� Z
LOCATION Irk a ° 1 5J •
DATE 3/3i /8 PERMIT NO. C5" I 'O
SOIL TYPE Sand oam - Clay -
Percolation Test-/Re.uired? YES -Q0))
Percolation rate - Man/Inch
TYPE of SYSTEM: !
Absorption field, tota l len;-th DC-)
Length of each trench ` (7)
Depth of trenches Z,! ' ,
Size of gravel
SEEPAGE PITS4Number of) ' - • if
Size- ft. X
Gravel size_,_
PTP-ING Size_ T pe
Bldg. to tank
Tank to dist. box ` 1
Dist. box to fie d/pit A • ��O C '
Openings sealed YES NO }partial
LOCATION/SEPA•1TIONS:
Foundation t. tank ft ft.
Foundation t. absorption 2 ) ft.---
Absorption o lot line ft.
Separation of pits
LOCATION 0 ' SY TEM=ON=, OPERTY(circle one)
Front - R:•ar Left side - Right side -
COMMENTS:
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SYSTEM USE APPROVED €)N1 ' 2
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Building Inspector //
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