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1990-454 4. CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY, WARREN COUNTY, NEW YORK Date 19 cos 3pq This is to certify that work requested to be done as shown by''Permit No. 90-454 has been completed. This structure may be occupied as a sewage alt. ation 3 wcomb Street Location �' NCE POTTER: Owner By``Order Town Board TOWN OF QUEENSBURY Director of'Bldg. & Code Enforcement BUILDING PERMIT '.M TOWN OF QUEENSBURY y No. 90-454 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to VANCE POTTER OWNER of property located at 13 Newcomb Street 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 0 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 0 Robert Dowmont y 3. CONTRACTOR or BUILDER'S Address a) 4. ARCHITECT'S Name 5. ARCHITECT'S Address rD 6. TYPE of Construction— (Please indicate by X) CO) ( )Wood Frame ( ) Masonry ( ) Steel ( ) r-f 7. PLANS and Specifications No. Sewage alteration to include 1000 gallon tank and 40 feet of tile field and one seepage pit of 6'x8'. 8. Proposed Use � N Sewage alteration 25.00 July 11 92 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 C (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 town of Queensbury before the expiration date.) �h Dated at the Town of Queensbury this llth Day of July 19 90 � Ly SIGNED BY for the Town of Queensbury 1 Building and' oning Inspector /jo -2--20 TOWN OF QUEENSBURY irlC APPLICATION FOR-SEPTRANSPOSAL PERMIT /CI- Li 1J-' LIP IL_ u DATE: 7 -C( -7j LOCATION OF PROPERTY FOR INSTALLATION / /L/ CSC_/ Pboi,y1 .5 F Owner' s Name: 84) Add VED.:3Y(l? corn r � • [7-:.-_;; 7' p 1' rL4lie7�9OName: A ffa ./ ! 1 (5CA))IOi t Telephone: 4 3,g6/ /” BLDGNugCO of bedrooms (residential only) DE DEPT Total daily flow (compute @ 150 gal per bedroom) oD a/1 I b Topography: . Circle' one: j.j. Rolling Steep Slope % of Slope . Soil Nature: Circle one: Sand Loam Clay Other /Depth: Ground Water: At what depth? Feet Bedrock or Impervious Material : At what depth? Feet Percolation test: Circle one: not required required Rate- Min. Per Inch Domestic water supply: Circle one: uni-cpa Well Other - - If domestic water supply is a, weir:" Separation: Water suppl1from any septic absorption feet. PROPOSED SYSTEM: Septic Tank gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench . 30 feet/Total system lengthy '' feet SEEPAG e PIT(S): Number of / /Size each 0 / feet by ff feet Size of stone to be used if. /Depth or Thickness feet ***************************** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks . / Size of Each . Gal . *Alarm system and associated electrical work to be inspected by an approved agency. 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: (/C("I:' -iL._ DATE: 7� �/ •• • • • . . • • Septic System Inspections: ..• , :- • • • - A. All applications for septic system instillation, alteration or repair, • aS.tequired by the Town of Queensbury Sanitary Sewage Ordinance, 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 lociAnes . . 3.) location and distance co structures 4.) location and distance cdany water supply • • 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywalls - . . B. Nu 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 uf up to 8250.00. \ C. An approved .copy of the plot plan shall be available 'on the construction site. ,Failure co produce said plot,plank time of inspection pay , stdp0447--- ---7- 7- - \• 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 BuildinvDepartment before 'further construction. - . • Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 • • _ . • R.Jniarks: • • • • • • • • • • .• • fow i o Queenitur , !/ ,,� BUILDING any ZONING DEPARTMENT �Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 • \ SEPTIC DISPOSAL SYSTEM INSPECTION NAME �l/N���= � LOCAT I OWN DATF`// /�9 PERMIT NO. 9�I (• 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-fNumber of) Size- ft. X ft. .R Gravel size , PIPING: Size Type Bldg. to tank 1s Tank to dist. box Dist. bo): to field/pit P / Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank _ ft. Foundation to abscrptipn ft. Absorption to lot line y ft. Separation of pits E ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left /side - Right side - COMMENTS: I 1 A1,wlliuK'011 ,e1J-€04. zed \\A‘t:,1-6,11, „ew eJrL VkeeeLOtepAti/4yL SYSTEM USE APPROVED YES NO Buil ng Inspecto • 01/86 and vl ;rr.; � ,'"; J;tiT. d.. r ...:.. N"d I ar7.±a y �uNfi'9�sx"t" .'q, a < : ''�' 4 2?.1'.s,vVv` r:'d.»,w� ,%?';�5d✓ff' ae .nJ r .f rr rn,, G , ,_ � a ,{,�...., a�,,dr "a ..�, �✓,"Cn^".e, t„ ':'m a r4l d '�. ,.s' .>, s� w ra..vt. 3.n t ,;%'a4'�a ! 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'Ca—C-C t 61 G r�do Lid JUL 111990 tlREt..DING F4 C 'C DER: i„ANLJ SURVEYOR GLENS FALLS,N,Y U.4U"I'?'".81ZE0 ALTERATION OR AOGITION TO THIT I.P :RoN P*1°E SE .t,i'.G'f a'T'A Tp� 1_tc�MOA VQo9s� A!.Y IS A VIOLATION OF SECTION 7209(2)OE ttfE f{Eh YOY{ ., - _-- I.P F trf(`,�^i P13*E'FT3"a' S,A:E E©UCATIUN LAW.