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1990-233 • r •' i .• -• • „/-• • , r CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 6)9 19 (2.„0 4 This is to certify hat work requested to be done as shown by Permit No. 90-233 has been completed. sewage alteration This structure may be occupied as a 9 Wintergreen Location James Kinyon Owner By Order Town Board TOWN OF QUEENSBURY 4.(\ Director of Bldg. & Code Enforce ent ..•;:. : . BUILDING PERMIT1-3 TOWN OF QUEENSBURY No. 90-233 �Z, WARREN COUNTY, NEW YORK PERMISSION is hereby granted to JAMES KINYON OWNER of property located at 9 Wintergreen 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 FC O 2. CONTRACTOR or BUILDER'S Name Queensbury Sewer 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name cfl 5. ARCHITECT'S Address cD aq CD CD 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. Sewage alteration to include 1000 gallon tank with tile field and #2 stone at U, 1 foot depth. 8. Proposed Use Cr4 ro Sewage alteration ~ _ c� 7 e--r $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 92 (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 7.1Day of May 1990 SIGNED BY for the Town of Queensbury Building and Zoning Spector TO WN OF Q UEENSP UR Y J1�� APPLICATION FOR —�B> SEPTIC DISPOSAL PERMIT 'UW►y OF QUEEN ' .,� M -_, is. 1 j //�- �= i pip 501990 DATErif j(`( + 7---- Q BUILDING & CODE DEPT. LOCATION OF PROPERTY FOR INSTALLATIONq 6>/Y/ ,�- (9 U e- ,ff Owner's Name: ,, 1 QLr1J-c kiI in t 6Y) Telephone: Address: c �� .) (,A`4,r C r .e /J G Installer's Name:( a���c�.CC� ✓` S2Q,.�.e�,- Telephone: �� ,� 7 ivy Number of bedrooms (residential only) Total daily flow (compute.(. 150 gal per bedroom) G (-7) Topography: Circle one:,©at Rolling Steep Slope % of Slope Soil Nature: Circle one: and. Loam clay Other /Depth: Feet Ground Water: At what depth? Feet Bedrock or Impervious Material: At what depth? Feet Percolation test: Circle one: of re uire-I required rate min. inch. Domestic water supply: circle one(2iunicip Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic.Tank,,'-'-- --U gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench o feet/Total system length (-7 feet SEEPAGE PIT(S): Number of / Size each - feet by feet . Size of stone to be used # Z- /Depth or Thickness / 2- " feet ************************* I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of.Queens.bury Sanitary Sew e Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: - N 9_-p e ,U DATE: 2J ,-7 OVER • Septic System ;Inspections: • A. All applications. for....sep.tic system installation, alteration or repair, as required by the>.Town of Queensbury Sanitary Sewage Ordinance, shall be ,submit,ted: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 installa— tion, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. • • Town of Queensbury.:, BUILDING and CODESDEPARTMENT . Bay and Haviland ]toads Queensbury, New York 12804 kL.tmarks : . . • • awn o/ çueenjtur, . BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 �� SEPTIC DI?SPOSAL SYSTEM INSPECTION NAMES "1 -74) I ''!! II 6 � �1 LOCATION 9 (;!/L,�e, P_e°„-- DATE �,Q;? / 9D PERMIT/ NO. i0-01 3 SOIL TYPE - Sand - Loam - Clay - Percolation Test Requkred? YES - NO Percolation rate - Mi/n/Inch TYPE of SYSTEM: Absorption field, total length /Tr° Length of each trench ' Depth of trenches \ / 4 Q g_ Size of gravel . -^Z_- _ SEEPAGE PITS{N -of) a— Size- . X ,{\ft,f Gravel size PIPING: \ Size Type Bldg. to tank Tank to dist. box `I >y/tjc_ - Dist._ box- to -field/ • -OVc.- - Openings sealed? f YES NO Partial f ; LOCATION/SE?ARATIONS: 1% Foundation to tank ysc ,u6, ft. Foundation to absorption; 3 C ft:1- Absorption to lot` line -fit O e Separation of pits e.te/AF ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front Rea Left side Right side - COMMENTS: i N(L / SYSTEM USE APPROVED YES 0 • Building nspector 01/86 and vl . . : .-• ..: �fi . . . . . • , . ' .ei., . i: k.::., ... . .: . •. Q� 1 . rc)--(.D--,- _:,_ , 4 < • T____ . . , : ) . h. 1N 1.-N, ) 0-iS . i E �_ . •tho Er)) 21; • . . ' c 0`` ,,,. . . . : r at ff • z . I c1. 4),L . \ ' , , 03 . . ' /' ' • . :' ' - . . 4: . . . ' 0• �-�. . r c ti. i • T . EO .` ' • �-= . KVIADING 8 Djj,,S D. • T,.•• -, ' -:. • • .) � � �� 777,-rg',. 7 - '' ' - . • ' ''-' ' . • „ • . SAYS .4 , if-,,,-- , a� J