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1990-388 a. CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date November 13, 990/ This is to certify that work requested to be done as shown by Permit No. 90-388 has been completed. This structure may be occupied as a sewage alteration Luca ion ato, Seeley Rd, Cleverdale JOHN SCHMULBACH Owner • By Order Town Board TOWN OF QUEENSBURY v Director of Bldg. do Code Enforcement l.; BUILDING PERMIT 1-3 TOWN OF QUEENSBURY 7 No. 90-388 WARREN COUNTY, NEW YORK ro O PERMISSION is hereby granted to JOHN SCHMULBACH l OWNER of property located at Seelye Rd, Cleverdale Street, Road or Ave. r1 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. cn 1. OWNER'S Address is 3 Silver Maple Dr Clifton Park nY 12065 2. CONTRACTOR or BUILDER'S Name ACI Builders 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name cD cD cD / 5. ARCHITECT'S Address • a C lD 6. TYPE of Construction— (Please indicate by X) FL ( 1 Wood Frame ( ) Masonry ( )Steel ( ) 1 lD 7. PLANS and Specifications No. Sewage alteration-replace septic tank only with 1000 gallon tank as per plot plan, specific tinns and application_ 8. Proposed Use Sewage alteration r- CD n lv $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 18 19 92 z (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 18t( Day of June 19 90 SIGNED BY C / b `3 / for the Town of Queensbury Building and Zoning Inspe or a OtiattdAni P/ ‘, It! �� 4 Us7:1111t Not 1 DA . l1 TIM . APPLICATION FOR SEPTIC DISPOSAL PERMIT ZONINt E''tLDO CODES DE M ,,,u:� OF QUEE �•�._.,.. TO 1 OFQUEF.NSDURY DATE (Obe / 9d JUN 181990 BUILDING & CODE DEFT. LOCATION OF PROPERTY FOR INSTALLATION S 7 7 Owner's Name: Jo4/4/ SaitiMa...1G(2( Telephone: 'j 7/ - 760 00 Address: S/L I/ /2 6 PL6- fa?. Ce b r&z/ "pelt- t Installer's Name: X. C.I. t„f beRS Telephone: 65-6- 36zo Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) 3.06 Topography: circle one: Flat Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loam 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 19K6 tj6I46 IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank lido — gal. (minimum size: 1,000 p .l.) re 026P1.9c '2`1$1.1 61 T4-.v,e o tlrL TILE FIELD: Each Trench feet / Total system length -et SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used III° / Depth or Thickness feet * * * * * * * * * * * x * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * : * * * * * * * * * * * * * * * * * * * * * * * * * * * * x, * * * * * * (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.) 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 and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: a Date: _ 6M77f© Town of Queensbury Building and Code Department . Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 • /L /Whir iocun oQ ueeni ur ly BUI DING and ZONIN DEPARTMENT Bay . d Haviland Ro:d, R.D. 1 Box 98 •ueensbury, Ne, York 12801 SEPTIC PTIC DISPOSAL STEM INSPECTION NAMES iJ/LI� !cad d LOCATION / -LOA PC,i . ri.P.,I E Ar3 I DATE F / 4-/ % PE' IT NO. 90-3RE SOIL TYPE - Sand - oam - Clay - Percolation Test R=:kired? YES - NO Percolation rate - Min/Inch TYPE of SYST Absorption f eld, total length Length of ea•h tr:•nch ?7,0 Depth of tren hes ' Size of grave,' SEEPAGE PITS{ cer of) Size- ft. ft. Gravel size , PIPING: Size Type Bldg. to tank 4 �,L/L Tank to dist. bx�► t-( Dist. box to f' - d/pit (/ C ( Openings seale•? YES NO Partial LOCATION/SEPA- ,TISNS: Foundation to • an /� ft. Foundation to abs• ption .,p ft. Absorption to lot ! ine it) ft. Separation of pits ft. LOCATION OF S STEM 'N PROPERTY(circle one) Front - Rear Left side - Right side '- COMMENTS: PD LW, d 01- (1) eCk° P 12+-P10114 SYSTEM USE ,PPROVED YES/ NO, iv' (1(1 Building I pector 01/86 and vl , AIL_ c_7 _Jown o/ QUJUrey (BUILDING and ZONING DEPARTMENT way and Haviland Ro d, R.D. 1 Box 98 Oueensbury, Ne York 12801 S •TIC DISPOSAL S STEM INSPECTION NAME r. L 0 kIflu ( _L. LOCAT I I It' jud71)),r . 0tt., hd DATE /7i/ 1O(-' PERM T NO. co -3JnR SOIL TYPE Sand - oam - Clay - Percolatio Test Re h ired? YES - NO Percolation rate - in/Inch TYPE of SYS EM: Absorption field, total length Length of e ch trench Depth of tre chest' Size of gray I 1 _ SEEPAGE PITS Number of) Size- ft. X / ft. Gravel size 1 PIPING: it, Size Type Bldg. to tank Tank to dist. ox Dist. box to f 4ld/pit Openings seale YES NO Partial 1 LOCATION/SEPARAT ONS: Foundation to a k ft. Foundation to ab .rption _ ft. Absorption to lot line ft. Separation of' ,pit- ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear [ Lef. side - Right side - COMMENTS: �° eG /5 A 15 LI _1li '.-...1 wi -- --- 70 //.5- SYSTEM USE A PROVED YES : t / t /1 / ' Buildi.g I Spector 01/86 and vl s w, - ANDREWS`, O POINT — ---.BAY ) 8 ' COMFORT /�� . .,,aIl of QUE s,..:__._._: PILOT r CAMP YMCA - �'jjggg KNOB �� CHINGACHGOOK ilE � Jiii y } , r Office• - '. D �l L� i� /,I( •Fire Station - ' • JUN 181990 (j M°aP BUILDING & CODE DEP' �\ g. • v.' ( 1( BARBER BAY,, .• . l V . ISOM)11 Crosswinds Rd /BAY( . -7 Baker Rd . V ECHO B• S Echo Bay Rd TRAVIS POINT . \ ELIZABETH ��� -' ISLAND�/ Oakley Rd - 1l II \ � ... /1 I71 / . i� Allen Rd I RIPLEY KATTSKILL i' La ( POINT BAY , Mayflower • LONG 11 Post Office / /IS LAN D j / `) Trout Pavilion Rd::` 7 I Lakeside SHELDON (l Bean Rd _= • I Chapel POINT - .. /5../ CLEVERDALE 1 sPosrOfficej 11 \� Fischer!Marina'' I Lackey Rd .r` \ ROCKHURS� ° :''- 0 �I��ASSEMBLY l ii` '� ç r - SPEAKER I �V� M \ ' Il -1 HECK V, 1 Gong 9 ) P 1/ 'ISLAND I \` C° Z Granger hoc ` \ � 'o s ° Rd -- Shoreac es Rd - o ,s ld' \cri I North - _ < aPa } - n�u.. ch"'""'r° !"aHillman a m - - w 1 f�. °. °" sunset Lo I -: d n JBrayton Ts 3 1 a IT4- WilIiorn,� 11 y'9P �` W•Store 1 \ Knox is. 1‘ Cleverdale Rd '� d \� General ,y \ Store \ • �\~ ��� } Yardarm, Fire•Station • f �(o jMarina• •-..., j �--I CathoP jIJ' Brayton 4 A Chord' 6 • CROOKED eJlc,0.sa9TR _' W--VE - POINT \ • DS (` �� O� NORTH = - POIONT Pao.o ��G'l' CHURCH m DARK `4� 9 � BAY 'Pa JOSHUA �s\i PLUMI"1. .11 Q% 'ROCKY ' \ j0 ffJJ o POINT �� SHORE �I • v\/1� I ° <oCkha'/ � 0 1/4 1/2• 1 t t t 1 ,Y EPS' Q > '. SCALE MILES • /� FROM "a- O GLENS - �rLAKE TOP O' /� y - �% �. TLJF Wr)R�tl \\ f,,.,...;,J..107/, I rl FICK ol C71YA17Mol,, A /7z CD /0-zl�ez ell -0 ps.cr� % U's 00 40 E�l oc iz -.45 q I�u Qe 17