1990-245 `10
. ,
CERTIFICATE OF COMPLIANCE .
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date May 7 1961_43
(01\
This is to certify that work requested to be done as shown by Permit No. 90-?"?. _
has been completed.
septic alteration
This structure may be occupied as a
Location 96 Wectland A V
Owner Charles Nock
By Order Town Board
TOWN OF QUEENSBURY 2
Director of Bldg. & Code Enforcement
•4 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-245 -o
WARREN COUNTY, NEW YORK
00
- o
PERMISSION is hereby granted to CHARLES NOVAK
OWNER of property located at 26 Westland Av 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 ZO
same
a
2. CONTRACTOR or BUILDER'S Name
Queensbury Septic Tank Service
3. CONTRACTOR or BUILDER'S Address
t•3
cn
4. ARCHITECT'S Name
En
r'
!v
_ a
- 5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
•
( )Wood Frame ( ) Masonry ( )Steel ( )
CD
7. PLANS and Specifications
Qr3
No. sewage alteration to include seepage pits (2) 8'x81 with #3 stone at 2' depth, CI)
as per plot plan, specifications and application. $ Et;
8. Proposed Use
sv
Sewage alteration o
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 3 19 90
(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 3rd Day of May 19 90
SIGNED BY for the Town of Queensbury
Building and Zoni g Inspector
• va ).,; rJUL'It
APPLICATION FOR
SEPTIC DISPOSAL PERMIT
OF ?UEENsF!
'RECEIVED
`l fv - I MAY ® 1 1990
7'1
DATE Jo /61 w
0 E DEFT,
LOCATION OF PROPERTY FOR INSTALLATION - dv J-�_ L c
Owner's Name: C-'� �V�� /? " Telephone: 7 g
Address: c LJ-epG,-(1 /
Installer's Name: QU-0-0-16 ,,,,,,_44c 71/74, `/ :'H,Telephone: / gja7—.-3-6 411- .r
Number of bedrooms (residential only)
Total daily flow (compute Cd 150 gal per bedroom) zS ()
Topography: Circle one:..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: b'IunicipalJ Well Other
If domestic water supply 1 is a we
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank 's(1/;? gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench- feet/Total system length • feet
SEEPAGE PIT(S): Number of 1-- / Size each feet by g. feet
Size of stone to be used # /Depth or Thickness i "47 - 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 Queensbury Sanitary Sewage Disposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: ` Cj--64eA- CL) , ,(� U`-4.
DATE: ' (, I g q d
OVER
•
•
• 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.) 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-
Lion, 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 CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804 •
h�ni:trks: — —
•
loom o f Q3i ,
BUILDING and ZONING DEPARTMENT \
Bay and Haviland Road, R.D. 1 Box 98 514J
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 0
LOCATION 2G 11f
DATE ,5/_ /q,(D PERMIT NO. V—241
SOIL TYPE - Sand �' Loam - Clay -
Percolation Test Required?. YES - NO
Percolation rate - Min/Inch
•
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS{Nuinber of)
Size- J' ft. X _ (ft.
Gravel size
PIPING: Size Type
Bldg. to tank e)(,s4
Tank to dist. box- y
Dist. box to field/ t 7i
Openings sealed;? YES, _ NO Partial
LOCATION/SEPARATIONS:
Foundation to% tank C.> '�-/ ft.
Foundation to absorption
Absorption to lot line �fl ft.
Separation of pits 7,9.... ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front Ream Left side Right side -
CQMMEN'T'� _
1 {ti
s �
.11
„
;� t,
SYSTEM USE APPROVED YES
it 'rig 'Inspector
01/86 and vl
,A A\pe_..
SEIURY
MAY 0 190
BL , ;ODE IIEPT.
Is'
1
2S-
pa.r.
etr.
0 —
fir
7° '
FILE COPY
TOWN OF
QUEE N URY
BUILDING & CODESD EPT,
REVIEWED B,
DATE