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1988-763 BUILDING PERMIT TOWN OF UEENSBURY Q No. 88-763 0 WARREN COUNTY, NEW YORK —1/*2 PERMISSION is hereby granted to BARRETT,WILLIAM N.) OWNER of property located at2 )/Hunter Lane 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. 1. OWNER'S Address is Same 2. CONTRACTOR or BUILDER'S Name H. Condon's Septic & Drain N. w 3. CONTRACTOR or BUILDER'S Address 17 Grant Avenue n Glens Falls,New York 12801 rt rt 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) rt ( )Wood Frame ( ) Masonry ( )Steel ( ) __ rf 7. PLANS and Specifications Po CD No. 360 feet tile field per plot plan and application. 8. Proposed Use Sewage Alterations Cl) $ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES -October 11 19 90 crq (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.) 9 rt Dated at the Town of Queensbu y t "s 1 lth Day of October 19 88 rt ,�� H. SIGNED BY ,fce /'� for the Town of Queensbury °p Building and Zoning Inspector ilf �'f/.0-iith. of°I./ea/4,41 PO DAT _ .�7�r' APPLICATION FOR SEPTIC DISPOSAL PERMIT 20NIN DLDO CODES D a'T�� TUN OF 4UEEUS0UkY 0 DATE F a ! / sib A� -- e. i(it , ./i,e LOCATION OF PROPERTY FOR INSTALLATION • Owner's Name: 0 jl/a, AAtet_F ¢—tc Telephone: 79 e 3 3 76 Address: ,#0,1) E �a;v6 Installer's Name: ` S . t C.� +iV Telephone: 79� 8-5 ' Z Number of bedrooms (residential only) __ Total daily flow (compute @ 150 gal per bedroom) (t, ®d Topography: circle one: Flat Rolling Steep Slope if) of slope _ Soil Nature: circle one: Sand Clay Other / Depth: /0 feet Ground Water: At what depth? 11f1,4 feet Bedrock or Impervious Material: At what depth? A/A feet Percolation test: circle one: not required required ,/ rate min. inch. • Domestic water supply: circle one: Municipalgi Other _ IF domestic water supply is a Well: Separation: Watersupply from Septic absorption Jf3 feet PROPOSED SYSTEM: Septic Tank gal: (minimum size: 1,000 gal.) TILE FIELD: Each Trench 6 0 feet / Total system length 3 co - feet SEEPAGE PIT(S): Number of / Size each feet 15y feet Size of stone to be used III — / Depth or Thickness / feet * * * * * * * * * * * * * *: * * * * * * * * * * * * * * * * 4 * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * 4 4 * * * * * * * 4 * * 4 * 4 * 4 * * * * 4 * * * 4 * * 4* * * (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.). lo.cation and d-istance to structures =!.) 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 inspec'tiori 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 $250.00. C. An approved copy oLthe plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, • alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. • • I have read the regulations above and agree to.abide by these'and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: � ( ,r\_ &rV1__�"`t • Date: • Town of Queensbury • Building and Code_Department • Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 • • • _loran of Queensbury • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME (/(,/,cad r .l1 ,�C'JtAPji/- LOCAT I ON c 5— 2 r- , .` .L . i �yis DATEJ/-/ I PERMIT NO. ( ,--'- 4/,IF SOIL TYPE - Sand - Loam - Clay - / Percolation Test Required? YES NO Percolation rate - Min/Inch TYPE of SYSTEM: rl• ;„. Absorption field, total 1pngt 4 . Length of each. trench lam% r'� Depth of trenches - l71. ' Size gravel '' SEEPAGE\•ITS4Number of) / Size- t. X ft. I Gravel size / PIPING: S ze Type Bldg. to tank A . Tank to dist. bo // 7Yi/{ _ Dist. box to fiel• . t .l '/-' - 1 Openings sealed? S' - NO / Partial LOCATION/SEPARATIaNS: Foundation to to k y " ft. Foundation to a rsorption ,' �_;..ft. Absorption to of line —ft. Separation of .its t. LOCATION.OF:S STEM ON PROPERTY ircle one) Front - Rear :- Left side - Right side - COMMENTS:_ / /)° / f'1.'7 /. -g/ / J ��� !mil' /711// t SYSTEM USE APPROVED YEA NO 1 / Building InSpector 01/86 and vl LO 1?l farm S/3R,A.e °^ -7 7 ts',S 3 7 (, C(5,mob©n:s £Epf l't- -'- aat/)iry S cc4, , 5 I 0 w + ek kaYvf.. _ t 1-1-- 0raw /-ue `' 79$'- .-y,Z @ u c E av s r3 o h y ray e 2.6-0/` G f 1 s Fails 1V y p-s-o! r 0 �g it \f % Hot-E. 161 L. "i s-f T O T."- t . £XIS` t'/ I coo of L 90 c ow c1-c-t£ VH U 1" vJ,1. — — `), 20 o to o K'A,,o,Q.Ps 6eu No, ) oocieN CAA NN®ry -c I-1 u r1)-f€ k karuL c 10 al FeQnovf i.a