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1990-611
- ,.. - n w, -.-.. jt... �v —. _ .. _S. ..,.,. r..—r.._ t. -..,..•,,' .fvk��L;,S��f 4r';Yy't1rJ: "_�"' _. r,1 CERTIFICATE OF COMPLIANCE - . TOWN OF QUEENSBURY i WARREN COUNTY, NEW YORK Date Septembefr17 19 90 l q-- (-- 9 . 90-611 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a septic system _ , ,Kiley Lane Location DONALD WEEKS `OVVner . -, By Order Town Board TOWN OF QUEENSBURY l • • r Director of,Bldg. 6c Code,Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 90-611 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to DONALD WEEKS 0 co OWNER of property located at 7 Kiley Lane 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 same 1-11 2. CONTRACTOR or BUILDER'S Name Sanders Excavating a 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name -q 0 5. ARCHITECT'S Address CD 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. Sewage alteration to include two seepage pits 61x8' with #3 stone at 2 feet. CD 8. Proposed Use sv Septic system tb n sv $ 2FI.MI) PERMIT.FEE PAID—THIS PERMIT EXPIRES September 13 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 Queensbur Day of 19 90 SIGNED BY for the Town of Queensbury Building d Zoning Inspector �� � ©r! TOWN.OF QUEENSBURY cla APPLICATION) FOR SEPTIC DISPOSAL PERMIT- DATE: 5e 1— ) 2 96 1 f SEP 121990 LOCATION OF PROPERTY FOR INSTALLATION 7 1-1- 7, `�r 2.laer?��N� °�J/ / r ,�.)� Owner' s Name: �) 1QJ/" k) e '6r5" Address: (2 1. �e�/ 14 Installer' s Name: s'-ewe Se., )4/e'' - Telephone: 2Q3-4/'►5-' Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) C' 6-'P / Topography: Circle one: Rolling Steep Slope % of Slope Soil Nature: Circle one: Sa�r.d Loam Clay Other /Depth: Ground Water: At what depth? Feet Bedrock or Impervious Material : At what depth? Feet Percolation test: Circle one: not rem rp required Rate - _ Min. Per Inch Domestic water supply: Circle one: Municipal Well Other If domestic water supply is a we :---- Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank /e90 d gal (minimum size: 1,000 gal ) TILE FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S): 6° Number , ' of ,2_ /Size each - feet by t-- feet Size of stone to be used #. /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 'regul atiton '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 RESPONShBLE lPERSON: ������ . .DATE: 4,, W • 1 l 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 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 •u:covering 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 co 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 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 • k,:m:irks: ,, ,. Jown o/ .Queenit ur ,'. - • -. BUILDING and ZONING DEPARTMENT 00 Bay and Haviland-Road, R.D. 1 Box 9 5. Queensbury, New York 12801 ,,- SEPTIC DI ;OSAL SYSTEM °INSPECTION NAME LOCATION 7 �. , DATE 1 ERMIT NO. U' // . SOIL TYPE - Sand 'r Loam - Clay - Percolation,Test" equired?' YES Percolation rate' l', Min/Inch • ' TYPE of, SYSTEM: , �I` • Absorption field, [,total lerigt . - Length of each trdnch Depth of trenched!. . / ' . Size of gravel ir' SEEPAGITS4Numb`�r of) -_ • - Size- ft. x g ft. Gravel size , $,, 3 1 $fy ,. PIPING: Size Type Bldg. to tank Tank to dist. box I I - Dist. box tofield/pit Openings sealed? YES NO Partial 'LOCATION/SEPARATION ii - r Foundation to tank •"/!) ft. Foundation to absor�'tion' 7 ft. Absorption to, lot Lne ft. - Separation of pits/ " : " , ,i ft. ' LOCATION OF 'SYS r'ON PROPERTY(circle one) .• Front - - Le deft si -. Right side -. COMMENTS: A' , rr . SYSTEM'USE ' PPROVED ( ES ' NO , ' i Binding Ins'ector . Ol/86' and vl €P -21990 C". --•n,P'^ ,Q.-r fE �r'- . • ‘N,e� ( �� �^ , . oZo '.`l n �:,. q, .- , : _ ,. c-cz,'-,p . - ,. I. .. \.... _ _ 9) ' . ( ...., • 1--r_ ? . 'i, , • \ • f