1990-558 , y
CERTIFICATE OF COMPLIANCRrsj . .
TOWN OF QUEENSSURY . -
•
. - WARREN COUNTY, NEW YORK . •
Date August 27 19 90
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90-558 JJ3
This is to certify that work request to be done as shown by Permit No.
has been completed.
. 'This structure may be occupied as a septic.system
13 Lynnfield Drive
Location
RICHARD ENGLAND
Owner
•
. By Order Town Board '
TOWN OF QUEENSBURY •
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. Director of Bldg. & Code EPorcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-558
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to RICHARD ENGLAND O
00
OWNER of property located at 13 Lynnfield Drive Street, Road or Ave.
alteration e
in the Town of Queensbury,To Construct or place a Sewage
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
2. CONTRACTOR or BUI LDER'S Name
z
Hometown Sewers
3. CONTRACTOR or BUILDER'S Address
a
4. ARCHITECT'S Name
t-'
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) C•
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
NoSewage alteration to include 1000 gallon septic tank, two 8'x8! seepage pits
with #3 sotne at 2 foot depth. c
8. Proposed Use
crq
Septic system fD
ro
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 24 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 24th Day of, August 19 90
SIGNED BY �% for the Town of Queensbury
Building and Zoni Inspector
/llat: TOWN OF QUEENSBURY
a a /`' / APPLICATION) FO SE? IC aISPOSAL PERMIT
OWN ( s` QUEENSBURY
DATE: 7 39 �90 RECENT°
LOCATION OF PROPERTY FOR INSTALLATION /6 Zy.,,,dr-/ _) 2'c . AUG 22 1990
Owner' s Name: c.+f--v &•0&-64-i„)..r3
Address: 13 C,y.�,v F. � .,� C. r 116- BLDG. CODE DEPT.
Installer' s Name: '/, ���
�a S�zJe'le-sS Telephone: 71z - 79 id
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) 47S7)
Topography: Circle one• Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one• Spa d) Loam Clay Other /Depth:
Ground Water: At what depth? (,L Ai, Feet
Bedrock or Impervious Material : At what depth? a ,�f, Feet
Percolation test: Circle one: not required required
Rate - l— .r Min. Per Inch
Domestic water supply: Circle one: 41111P Well Other
If domestic water supply is a_ well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank / 00 gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench feet/Total system length feet
SEEPAG PIT(S): Number of /Size each F feet
by feet
Size of stone to be used is /Depth or Thickness \, feet
*****************************
o;g0.,e .phLs
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: (,,e,if,,,% I ./ DATE: oPAVA
Septic System Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Torn of Queensbury Sanitary Sewage Ordinance, shall
be submitted co 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 co structures
4.) location and distance co any water supply
5.) size and dimensions of all tanks, distribution boxes,
cile fields and/or drywalls
B. Nu system shall be covered before inspection and approval by the
Building Inspuctor. Failure to comply with this requirement may
result in the uncovering of the system by the installer and a fine
of up co $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure co produce said plot plan at tins of inspection may
rusulc 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 co the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
kgnrarks:
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can o/ .Queeniburcy
BUILDING and ZONING DEPARTMENT
Bay a d Haviland Road, R.D. 1 Box 98
Q eensbury, New York 12801
•
SEPTIC DISPOSAL SYS INSPECTION
NAME /' /
LOCATION / ,��,� •
DATE_ g 9 PERMIT 0. 6tO
SOIL TYPE Sal* Loa - Clay -
Percolation Te-t Requ'red? YES - NO
Percolation ram- - Mi /Inch
TYPE of SYSTEM: •
Absorption fiel. , to al. length •
Length of each ti enc'
Depth of trenche.
Size of gravel_
SEEPAGE PITS4N .er of) _ a
Size- g. ft. X r ft.
Gravel size ,,og
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field sit -f li
Openings sealed? NO Partial
LOCATION/SEpARAT ON':
Foundation to to k J a, ft.
Foundation to a.sorpiion c'�o ft.
Absorption to lit li jp ft.
Separation of p. ts der, ft.
LOCATION OSYS EM ON• PROPERTY(circle one)
Front (Rea�rj- Left si e - Right side -
COMMENTS:
\'
SYSTEM USE 'APPROVE YESO
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• AUG 2 2 1990 -, 4
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BLDG.,81 CODE DEPT,.
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