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1990-630 " g""4- 11, , )- CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date October 5 19 90 This is to certify that work requested to be done as shown by Permit No. 90-630 has been completed. This structure may be occupied as a septic system RFD#1 East Road Location CEMI LE RENAUD Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 90-630 D WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to CEMILE RENAUD o OWNER of property located at RFD#1 East Rd Street, Road or Ave: in the Town of Queensbury,To Construct or place a Septic 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 rn 2. CONTRACTOR or BUILDER'S Name Condon' s Septic & Drain Service a 3. CONTRACTOR or BUILDER'S Address rD 4. ARCHITECT'S Name 5. ARCHITECT'S Address �p rn 6. TYPE of Construction—(Please indicate by X) 0. ( 1 Wood Frame ( )Masonry ( )Steel ( ) 7. PLANS and Specifications "°-Sewage alteration as per plot plan, applicationa nd specifications to include two 8'x8' seepage pits with #3 stone at 2 foot thickness. 8. Proposed Use to CD Septic system n 25.00 PERMIT FEE PAID—THIS PERMIT EXPIRES September 19 19 92 cD (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the szu town of Queensbury before the expiration date.) c+ 0 19th September 19 90 Dated at the Town of Queensbury this / -\Day of SIGNED BY \ ,� for the Town of Queensbury Building and Zoning Inspecto . - . ...... .' 4r L.1'JU L. Lt f��> APPLICATION FOR 9 _p��+�}B' �p %\ �� :OWN �r �1.i re�iVt7 idV�7 =� � SEPTIC DISPOSAL PERMIT ` RECEIVED �r -- SEA 181953 DATE �- 16 ' 70 BLDG. & CODE DEPT. LOCATION OF PROPERTY FOR INSTALLATION ea,ST <S fc C .tic So 12/'iySCc0 Owner's Name: Ci) .T] { g pf,v4up Telephone: '7 q3 g'S1-0 7 Address: p F l ��),-,S % , RD, Installer's Name:CaIlici(Gns s ct�fit.L-4-74A I/U SfQ Telephone: 7f8 8 qq2 Number of bedrooms (residential only) 3 Total daily flow (compute Cd 150 gal per bedroom) X0 Topography: Circle one: 41:0 Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Feet • Ground Water: At what depth? D`U//j Feet Bedrock or Impervious Material: At what depth? n//j9 Feet Percolation test: Circle one: not required required rate min. inch. Domestic water supply: circle one: Municipal & Other If domestic water supply is a well: • Separation: Water supply from septic absorption /0 0 feet PROPOSED SYSTEM: Septic Tank6 k S±I/vq gal. (minimum size: 1.000 gal.) TILE FIELD: Each Trench feet/Total system length • feet SEEPAGE PIT(S): Number of 2. / Size each feet by g' feet Size of stone to be used # /Depth or Thickness 2. 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 Sanitary Sewage Disposal Ordinance. ,, 1 SIGNATURE OF RESPONSIBLE PERSON: f / P 004n0�L i DATE: q/i61?4 . OVER • 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 ho.urs :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. 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 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 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 • Remarks: . _town of Queeniur, 144 N. BUILDING and ZONING DEPARTMEN ► 2 Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 ' SEPTIC DISPOSAL'SYSTEM INSPECTIO NAME d ont,aI t / / (a, ` LOCATION �'t ;t. oq 9 d DATE / ill 9 5 PERMIT NO. 9Q' 6j0. 4amrSOIL TYPE - Sand - - Clay -.l Percolation Test Required? YESa`J NO • Percolation rate - M1n/Inch _ ' TYPE of SYSTEM: Ili E! ; oa117 rpion fie SEEPAGE P ITS4Numbepr�!of) • ,» Size- ft. X p Ift. 0 Gravel size 31 # PIPING: Size1 Type Bldg. to tank '' IST-l.u/6 Tank to dist. box �; 40 v L. Dist.- box to- field/• • - lL-J - f V - - - ' Openings sealed? al INC) Partial t; LOCATION/SEPARATIONS}; Foundation to tank / 5-ft. "1— Foundation to absorp .io i 'Sft.--- Absorption to lot liriej o(Lft. Separation 'of pits I', Soft.+ — LOCATION OF SYSTEM ON4PROPERTY(circle one) Front - - Left side - Right side - COMMENTS: 'SA-r-(L.� ( f . X.I.S Ti Ago i A-Al1c eckAPCYLA-e-1-1* \ \\\\/ SYSTEM USE APP OVED4110 NO . Buil ing -Inspec or 01/86 and vl LZ/►/ II- U n ►.,7v.i . LO ..0iVS' —NtJ- (c_'1-�fC/)( ,v vLi� A3, i °x �-90 1 d 7?3 8 ©7 111 @RAry /4 °798 -$54-/ z as-t T Gveovs3uryey eir,,,,, raaS 4),y 1 2--gO1 stc G OWN OF QUEENSBURY AECE V ED S P181990 BLDG. & CODE DEPT, 0............................ , /IA, )( i,...V Si5 -9 N. CA. _S�P � r�'`�° � SAP CO . , . ./... . . • 9v 3 OPR 1 , 0 3" ii el . . , S — ( ace SuivrvySi.c/E