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SEP-0117-2021 SEPTIC DISPOSAL PERMIT QmLe-tibw�01 APPLICATION Permit fl:J5 Permit Fee: Invoice$1: I_?;41VF5 742 Ray Road,Queensburv,NY 12904 P!518-761-9256 y4wwqopen%hury,ne.t I'lood Zonv? Y Reviewed B -H ff E CL LJ Project Location: 135 Seelye Road y MAR 20,21 1 Tax Map#: 227,17-1-56 TO y RESIDENCE INFORMATION: JILDHKIG& Year Built Gallons N of beir-o;Z7 gallons e r total daily frJOW peril.aV bedroom Garbage Grinder Yes No 1 1980 or ender 1S0 Intalledl {choose one) X 1981-1991 130 Spa or Mot'Tub Yes No Installed? X 199Z Present 10 7 110 770 ---choose PARCEL INFORMATION: ........... Topography X Flat Rolling Steep Slope % Slope Soil Nature Sand Loam Clay Other, explain: Groundwater At what depth? 17" Bedrock/impervious material At what depth? 55" Domestic Water Supply Municipal Well e La x I(if well or lake, water supp� m any septic system absorption is Percolation Test Rate: 4 per minute per inch (test to be completed by a licensed en ineer/architect PROPOSED SYSTEM INFORMATION: Tank size �allor�s(min. size 1,000 gallons, add 250 gallons for each garbage cylinder or spa/hottub Total tank volume= 2500 gallons System Absorption field w/#2 stone Total length ft.; Each Trench Seepale Pit w/#3 stone How many: Size: Alternative_S�em Bed or other type:7 PuraFlo modules in bed configuration Holding Tank System Total required capacity? tank size # of tanks f_kq)tic Application CONTA!QT INFORMATIQN: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL * Applicant: Name(s): Mailing Address,C/S/Z: Cell Phone: Land Line: Email: • Primary Owner(s): Name(s): BemardoDejesus 27 7 6- Mailing Address, C/S/Z: r- GFeveStfeam-,41*44684- Cell Phone: L"4-Lifye' </� y z, 73 Email: ihopb@aol.com Check if all work will be performed by property owner only • Contractor: Contact Name(s): 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): D.L. Dickinson Associates Mailing Address,C/S/Z: PO Box 388, Lake George, NY 12845 Cell Phone: Land Line: 518-668-4676 Email: didickinson78@gmail.com Contact Person for Compliance in regards to this project: Cell Phone: Land Line: Email: NOTES: 1. Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency;2. We will no longer allow systems to be covered until such time as an as-built plan is received and approved.The installed system must match the septic layout on file—no exceptions. 3. As- built drawings must be submitted prior to the inspection, if there has been a change to the submitted plans.4. If, for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of Queensbury.After I year from the initial application date, 100%of the fee is retained. 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 QueensburV Sanitary Sewage Disposal ordinance. PRINT NAME: 56'."'(�'_"_1" SIGNATURE: ig_llle DATE: septic Appkatian Reviser!January 2021 Dennis L. Dickm5or.. L5/f'- (TEL) 5 1 6-GG5-4r.7G Dtfon T. DickiT150n ICKIN (FAX} 5 1 5-GG8-4G74 111ISSOV -" ASS0C1A -, A�WL- 5LJRVEYOK5- ENGINEEP,5e LANE) CON5ULTANT5 7 Iroquois Street P.O. Box 355 Lake George, New York 12545 12 August 2014 Dave I-Latin, Director Buildin(I.,and Codes Town of Queensbury copp-yy� 742 Bay Road Queensbui-N.', New York 12804 RE: 135 Seelye Road QU: 16_1_3)6 (old) QU: 227.17_1_56 (new) Dear Mr. Hatin: On 12 August 2014, this office performed a site inspection of the wastewater treatment system installed on the above referenced parcel. It is the opinion of this office that the systern has been installed in a workman like manner, according to approved plans. If you have any questions, or would like to discuss this further, please do not hesitate to contact our office. Dennis I— Dickinson,-PE MAR 19 2021 TOWN OF QUEENSBURY BUILDING&CODES Deed Deference Florence Springer f/k/a Florence M. Davignon to Bernardo De Jesus Margaret 5. De Jesus Book: 4592 Page: 25 1 I I gn 1 9 Map Deference Map of... Dr. Joseph J. * Virginia C. Mlchalka By: John B. Van Du5en Date: 12 February 1979 Map of... Dr. Joseph J. * Virginia C. Mlchalka By: John B. Van Du5en Date: 22 November 1972 Revised: 5 April 1975 Mapping Notes Note: Only title surveys bearing the maker's embossed seal should be relied upon since other than embossed -seal copies may contain unauthorized and undetectable modifications, deletions, additions, and changes. Unauthorized alteration or addition to a survey map bearing a licensed land surveyor's seal 15 a violation of section 7209, 5ub-divr5ion2, of the New York State Education Law. Utility Pole O Iron Pipe Found s PROPOSED (2) MODULE PURAFLO EXPANSION AREA • STONE PAD: 10' x 12.5' (125 SF) • MUST BE SAME ELEVATION AS EXISTING STONE PAD • ADD (1) GREEN CHAMBER (SAMPLE CHAMBER) • ADD (1) BLUE CHAMBER TOTAL BASAL AREA: 17.3' X 47' (810 SO SEE SHEET 2 FOR DETAILS n \ TP #1 PT 1 TP 2 wa PT 173,y Existing Retaining Wall t Existing PuroFlo Septic System (5) Module (5) Bedroom Design I r, r.. is • I r I Remove Existing'Y , +I Rock Retaining Wa- in this Sectiol 0 + o ` �� f Capped Rot O Lands N/F of Bogert (1 043/2 1 1) 20' SIde s��— -- — T- — — f2"O SCH 40 PVC d j F6rce Main (existing) 89° 1 '00"W 100' Shoreline 5� } } Wood Frame i� House 4"0 PVC Drain Pipe To be rerouted to Gar a 1000 gal, tank 114" per fpot Utility Pole - Iron Bar Found c> Lands N/F of Homh5h (3 1 50/33) PROPOSED 1000 GAL. ROTH RMT-1000 PLASTIC SEPTIC TANK IA 24 1 .95' Patio I i I I � I I SILT FENCE (typ.) I U v � I 4 U --ter--' 1250 gal. Concrete Pump Tank (existing) 1 / Capped Rod Found I 1\189°0000"W Iron Pipe Found 1500 got. Concrete Septic Tank (existing) Capped Rod Found 100' Shoreline Setback E INSTALLATION NOTE: Iron Pipe Found Northeast Corner of Seawall Capped Rod Set 7± to easterly face of seawall Dock 5- �5'310 512 (TI Line Only) Capped Rod Found 4'± to mean high water line CONTRACTOR MUST CONSULT PURAFLO INSTALLATION MANUAL FOR PROPER INSTALLATION TECHNIQUES AND PROCEDURES. Mean High Water Line © East Face of Seawall WOVEN WIRE FENCE SYMBOL (MIN, 14 GAUGE W/ MAX, 6' MESH 10' MAX, CL to CL SPACING) 36' MIN, LENGTH FENCE POSTS DRIVEN MIN, 16' INTO GROUND W HEIGHT OF FILTER W = 16" MIN. .6" MIN. PERSPECTIVE VIEW 36' MIN, FENCE POST WOVEN WIRE FENCE (MIN, 14 1/2 GAUGE W/ MAX, 6' MESH 7 SPACING) WITH FILTER CLOTH 20' MIN, FLOW UNDISTURBED UNDISTURBED GROUND C❑MPACTED SOIL EMBEDFILTER CLOTH 16' MIN. A MIN, OF 6' IN GROUND 4' SECTION VIEW CONSTRUCTION SPECIFICATIONS 1. WOVEN WIRE FENCE TO BE FASTENED SECURELY TO FENCE POSTS WITH WIRE 77ES OR STAPLES POSTS SHALL BE STEEL EITHER "T" OR "U" TYPE OR HARDWOOD. 2. FILTER CLOTH TO BE FASTENED SECURELY TO WOVEN WIRE FENCE WITH 77ES SPACED EVERY 24" AT TOP AND MID SECTION. FENCE SHALL BE WOVEN WIRE, 6" MAXIMUM MESH OPENING. J. WHEN TWO SECTIONS OF FILTER SLOTH ADJOIN EACH OTHER THEY SHALL BE OVERLAPPED BY SIX INCHES AND FOLDED. FILTER CLOTH SHALL BE EITHER FILTER X, MIRAFI 10OX, STABILINKA T140N, OR APPROVED EQUIVALENT. 4. PREFABRICATED UNITS SHALL BE GEOFAB, ENWROFENCE, OR APPROVED EQUIVALENT. 5. MAINTENANCE SHALL BE PERFORMED AS NEEDED AND MATERIAL REMOVED WHEN BULGES" DEVELOP IN THE SILT FENCE. ADAPTED FROM DETAILS PROVIDED BY. USDA—NRCS, NEW YORK STATE DEPARTMENT OF TRANSPORTATION, SILT FENCE NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION, NEW YORK STATE SOIL & WATER CONSERVA77ON COMMITTEE Lake, George Lake Elevation 9-1 G-13 = 3 1 9, 2' 1 3'--+- along lake5hore as it winds * turns. Dock Approximate water line location Mean High 41ater Line Located 9-1 —13 ALL MATERIALS, SUCH AS, BUT NOT LIMITED TO, SPECIFIED SAND AND GRAVEL, MUST MEET SPECIFICATIONS OUTLINED IN THE PURAFLO INSTALLATION MANUAL. INSTALLATION MUST BE PERFORMED BY A CERTIFIED PURAFLO INSTALLER. NON -CERTIFIED INSTALLERS MUST COORDINATE WITH A PURAFLO DEALER TO BECOME CERTIFIED PRIOR TO INSTALLING ANY PURAFLO SYSTEM, OR INSTALLATION MUST TAKE PLACE IN CONJUNCTION WITH THE OVER SITE OF A CERTIFIED INSTALLER. Soil Stabilizotion Notes Use seed and US Fabrics Straw Coconut Blanket or equal to stabilize all newly created banks with slopes greater than 3: 1. Seed and mulch all other disturbed areas using mix (min. 7/b/1000SF): —257 Birds Foot Trefoil —457. Creeping Red Fesque —30% Perennial Rye Grass All disturbed areas need to be mulched at the end of each work day. After final grading the disturbed areas should be stabilized as describe above, FILE COPY TOWN OF QUE BUILDING & L Reviewed B Date: — DECEl- MAR_ TOWN OF QUEENSHURY BUILDING & `ODES of a proposed septic expansion for Bernardo De Jesus Stu to in Town of Queen5bury County of Warren State o New York Scale: 1 " = 20 feet ate: 10 March 202 1 Revised: 2G March 202 1 Survey ar d Map by Show water line location± �•Di �j�s • A550 IATES P.��OF NEpr yo Surveyors Engineers � �s C 1 LAKE GEOKGE, N W YORK 1 284 2S Sheet I o 2 7. 17_1_5G (new) PURAFLO - PLAN Limits of Basal Area 7 7.3' x 47' Limits of Gravel Pad 10 x 43' Exis tin g (5) PuroFl o Modules Evenly Spaced on Gravel Pad Gravity Inlet front ST Union Disconnect followed by Ball Valve Water -tight Riser w/Lid Minimum 1/4 Day Storage (above High Water Alarm) Ckeck Valve (w/Antisiphon Hole as req'd) -- - - - -- Alarm/Override Level1 Flow Equalization Zone (Min, Vol. = 1/2 Design Flow) Low-water Cut-off Level—\ Pump Note: Use (2) llyciromatic Model SHE1`50 •' Vent Hole Dosing Note: The pumps must be calibrated to dose 83 gallons per dose every 2 hours u5ioalhe timed dosing panel Supplied by 5ord Na Mo T re re line m t tte wI ve to allow back dra,n nn 1 250 Gallon Pump (Do5ing) Station Control Panel w/Prog, Timer & Alarm Electrical Conduit Sch, 40 PVC Force Main (to Puraflo Peat Biofilters) Drain -back Hole — (for cold climates & seasonal applications) I I Design Parameters: Daily Flow: 7 bdrm = 770 gpd Gravel Pad Application Rate = 1.79 gpd/SF 0 F Gravel Pad Application Area = 430 SF Convert existing "GREEN" module Basal Area Application Rate = 0.95 gpd/SF a' to "BLUE" module. Basal Area Application Area = 810 SF Dose Volume = (9.17 gal/unit x 7 Units) + O Proposed "BLUE" PuraFlo Module (0.163 gal/LF x 120LF of 2"0 PVC Pipe) = 8J C) Space evenly to match existing gal. (w/ drain back) fPuraFlo modules. Dry Stack Stone ,j� /% O ! Total Dose Volume w/ Drain Back = 83 go/. Retaining Wall Proposed "GREEN" PuroFlo Module Dose Frequency = 12/day l Space evenly to match existing '( i PuraFlo modules. Pump: (2) SHEF50 — Hydromatic(equiv.) Static Head = 20' Total Dynamic Head = 36' OCD 2"0 SCH 40 PVC Force Main Pump Flow = 40 GPM @ 36' (approximate) from 7250 gal. Pump Station /\ PURAFLO - SECTION !rj N. T. S. 343' 17 34" + 340' 1 r Mo t tlin g Topsoil, Seed, Mulch do Plan t (as desired 345' Native non—invasive species ONLY Dry Stack Stone Wall 343' Limits of Basal Area NO TES: • Sand media must meet requirements set forth by Anuo and accepted by the NYS DOH. • Existing gravel and organic matter must be removed before placing sand media fill. • Plantings may be used, as desired, to screen PuraFlo modules. 4' 9"+ 337'f INSTALLATION NOTE; CONTRACTOR MUST CONSULT PURAFLO INSTALLATION MANUAL FOR PROPER INSTALLATION TECHNIQUES AND PROCEDURES. ALL MATERIALS, SUCH AS, BUT NOT LIMITED TO, SPECIFIED SAND AND GRAVEL, MUST MEET SPECIFICATIONS OUTLINED IN THE PURAFLO INSTALLATION MANUAL. INSTALLATION MUST BE PERFORMED BY A CERTIFIED PURAFLO INSTALLER. NON -CERTIFIED INSTALLERS MUST COORDINATE WITH A PURAFLO DEALER TO BECOME CERTIFIED PRIOR TO INSTALLING ANY PURAFLO SYSTEM, OR INSTALLATION MUST TAKE PLACE IN CONJUNCTION WITH THE OVER SITE OF A CERTIFIED INSTALLER. Place fill in front of stone retaining wall, as desired, t0 limit visual impact. Slope @ 3: 9 to natural grade. V c --�--�- Mottling Existing Grade TANK SPECIFICATIONS 15' Property line ell 1 151 1 00' minimum* House 15 -I we I I 100'minimum* House Pond I C� 5eptic 1O'min 20' tank min. D15t. box N Ab5orptl n field5 o provide 50% exp. —1— 1O'min 10'min Street N � U O c� N > � N U� Ri 1 n 2 New York State Department of Health Plan Detall5 Increase to 200 feet if well 15 down gradient and inline DESIGN CAPACITY TOTAL CAPACITY WEIGHT GALLONS LITERS GALLONS LITERS POUNDS 1000 3780 1147 4340 450 DWG SCALE: "I PLOT SCALE; i 2 SHEET#: I OF 3 Percolation Test Re5ult5 Perc Test # I 4min 105ec Perc Test #2 3mm 505ec Performed by D,L. Dickln5on A5500ate5 24 December 2013. All percolation tests were performed at a depth of 1 2- 1 4" and a hole diameter of approx. 1 2" under the 5uperv151on of The Chazen Companle5. Deep 5oll Te5t Re5ult5 The following 5011 te5ting data 15 5upplled by Charle5 Maine, 5oll 5cientl5t, performed 24 December 201 3. Test Pit # I 0-1 5 mche5, gravelly fill 1 5-39 inches, gravelly loamy Sand 39-55 mche5, gravel 55+ mche5, bedrock Mottling @ 1 7" indicating seasonal high ground water table. Test Pit #2 0-5 mche5, gravelly fill 5-6 mche5, top5o11 5-33 inches, loamy fine sand Mottling @ 9" indicating seasonal high ground water table, ROTH MultiTanK@ 1000 GALLON / MODEL RMT-1 OOOE E ROTH GLOBAL PLASTICS One General Motors Drive Syracuse N.Y. 13206 Call Toll Free 866 943,7256 wvvw.fralo.net �Ln o � I C9 �I — N N O 0 0 oo''�i O