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1989-748 BUILDING PERMIT TOWN OF Q.UEENSBURY No. 89-74 WARREN COUNTY, NEW YORK .tea r � r PERMISSION is hereby granted to Damian Del si anor ~ OWNER of property located at C + &A^. .^+ .4 ' Street, Road or Ave. in the Town of Queensbury, To Construct or place a _ Sewage Al terat i on 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. v 1 . OWNER'S Address is r Same 0 2, CONTRACTOR or BUILDER'S Name 4 1UR Action Septic Service a 3, CONTRACTOR or BUILDERS Address Glens Falls , N . Y . 12801 4. ARCHITECT'S Name ca r� 5_ ARCHITECT'S Address [o to Ph Gi c 6. TYPE of Construction — (Please indicate by X) w J. I ) Wood Frame { ) Masonry { 1 Steel { 1 a w 7. PLANS and Specifications C. No Existing 1000 gal . tank and 200 ' the field as per plot plan , and application a_ Proposed Use Sewage Alteration :E uo ro $ 25 . Q0 PERMIT FEE PAID — THIS PERMIT EXPIRES Se tember 21 19 91 r"r (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the n) town of Queensbury before the expiration date.} -s or J. Dated at the Town of O.ueensbu this 21. t Day of September 19 89 SIGNED BY for the Town of Queensbury Building and Zoning Inspector TO OF UEENSBLIRYOF f' j--- APPLICATION FOR Tam AE EIVI.QLIEEAISS SEPTIC DISPOSAL PERMIT SEP T9� BLDG. et C()r o pr DATE du,a '.Sfr�. LOCATION OF PROPERTY FOR INSTALLATION .</r.� s Owner's Name: ,G7/_c,�ILfJ.r Telephone: le, Address: ' Installer's Name: � t'1 ,rv `J „rsr,�/ Telephone: Number of bedrooms (residential only) Total daily flow (compute (d 150 gal per bedroom) Q Topography : Circle one: lat Rolling Steep Slope 96 of Slope Foil Nature: Circle one an Loam Clay Other /Depth : Feet Ground Water : At what depth ? Feet Bedrock or Impervious Material: At what depth? Feet � `v Percolation test: Circle one: required equired rate min. inch. Domestic water supply: circle one* unicipal Well Other If domestic water supply is a well: Separation : Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank jrrp{,? gal. ( minimum size: 1 .000 gal.) TILE FIELD : Each Trench SC) feet/Total system length ;g4tgde feet SEEPAGE PIT(S): Number of J Size each feet by feet Size of stone to be used # ,,y_/Depth or ThicknessA /' 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 Sanitaxy Sewage DIsRosal O dinance. SIGNATURE OF RESPONSIBLE PERSON: ..� DATE: 65/z....Z.�©./'J s del OVER S�tic 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 -o the Building Department at least 24 hours before start of construction and shall include a blot plan showing : 1 . ) Elie 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 . Nu :system shall be covered before inspection and approval by the Building laspector . Failure to comply with this requirement may rusult in Elie uncoverin,, of the system by the installer and a fine of up to $ 250 . 00 . C: . Ati 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 kiu submitted to the Queensbury Building Department before further coLit: true t ion . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 down o/ Queen ury J � \ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-0. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION LOCAT I ON DATE -f PERMIT NO. SOIL TYPE - Sand - Loam - Clayf Percolation Test Required? YEV�* - NO Percolation rate - Min/Inch -/ TYPE of SYSTEM: Absorption field , total le*gth7L � Length of each trench , Depth of trenches Size of gravel_ SEEPAGE PITS{Number of Size- ft. X _ ft. Gravel size PIPING : r Size Bldg . to tank Jt y Tank to dirt. box .;` Dist. boas to field/p ' openings sealed?' ES O rPartial s 3 I.00ATI+ON/SEPA TIONS : ` Foundation t �- tank �Y( ( .r i ,£t. Foundation absorption �ft. Absorption o lot line ft. Separatio Hof p ' . LOCATION Y PERTY (circle one) Front - ear - Left side - Right side - CCMMEN Awl SYSTEM USE APPROVED E Building Inspector 01/86 and vl 5 YENActivrz Se tic Service 1 ' , A Shcxw 's SOAP ptic Service P.O. Box 1430 Z � Saratoga Road South Glens Falls, N.Y. 12803 rr at W 44 3 Y I"+ 1 � . 4 f� bvi Jr � J 3 �.%M .V ki_1 r1 &a j 1 %rIY.4, x § ! T jL T 1- �1 Y . "{. � LL S 1 ` f f e% � zL 793-2115 7934949 587-4444 Troubleshooting Our Specialty