1990-718 ,._ 1 �. //1I. CIO
CERTIFICATE OF COMPLIANCE
%', TOWN OF QUEENSBURY
t�J1' °R WARREN COUNTY, NEW •PORK
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,.. 13ae j -. . October •31 19 90.
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`-,:_This is to certify that work requested to be done as shown by Permit No.
90-718
4c�:, has been completed.
This structure may be occupied as a sewti c system
Location
( L( o q Box 70 Ridge Road
ELEANOR K. ROWLAND
Owner
By Order Town Board
TOWN OF QUEENSBURY
(D/00/ -
Director of Bldg. & Code Enforcement
P
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-718
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to ELEANOR K. ROWLAND
s.
OWNER of property located at Box 70 Ridge Road Street, Road or Ave.
V
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
Star Route Box 70 Ridge Rd
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name
Carl Dingman
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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X
6. TYPE of Construction—(Please indicate by X) CD
( )Wood Frame ( ) Masonry ( )Steel ( )
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CD
7. PLANS and Specifications
o Sewage alteration to include 1000 gallon tank with 190 feet of tile
field as p"e'r plot plan, specifications and application and in compliance with
sewage Variance granted 1&/15/99.
8. Proposed Use
Septic system
to
CD
25.00 October 18 92
$ PERMIT•FEE PAID —THIS PERMIT EXPIRES 19
m
(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.) —'
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Dated at the Town of Queensbury th- .18th Day of October 19 90
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SIGNED BY for the Town of Queensbury
Building and Zo Inspector
`/ 0k a,_ /_ /7�� TOWN OF QUEENSBURY •
gs- APPLICATION FOR SEPTIC. DISPOSAL PERMIT
DATE: t0
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LOCATION OF PROPERTY, FOR INSTALLATION ' 7T/: Drop c F R /t1 o iY /?i • 9L
Owner s Name: L LC i.)ok ko 02_ 4At/ J• 16 1990
Address: PU7 b /e%1�� Gr /� .f'%. 2�C�. ca, 1
Installer' s Name: 09-.eL D/, /(A7,�y Telephone: ?9-3•-
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom) 95Z
Topography: Circle one: Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? zi/y Feet
Bedrock or Impervious Material : At what depth? Feet
Percolation test: Circle one: not required ' required
Rate - c) --Jr— Min. Per Inch
Domestic water supply: Circle one: Municipal 6-e--17)1Other
If domestic water supply is a. well :
Separation: Water supply from any septic absorption 7 0 feet.
PROPOSED SYSTEM: Septic Tank / oo o gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench 3 / feet/Total system length / feet
SEEPAGE PIT(S): Number of ./Size each I feet
by 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 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: DATE:
1
Lytle 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 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 co lot lines
3.) location and distance co structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution boxes,
tile fields anal/or drywalls
B. No system shall be covered before inspection and approval by the
Uuilding Inspuctor. Failure to comply with this requirement may
r`sult 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 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—
cion, alteration or repair of an approved system. a new proposal must
be submitted to the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York. 12804
•
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iCamarks:
Down Oil Queeni6ur 14"-
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BUILDING and ZONING DEPARTMENT /G; ,4
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
' SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 4.4froc /I6GJl� d
LOCATION A, , .417,,, 74 6e ,e.,/6/
DATX/05 /A) PERMIT NO. )Q - 7/f
SOIL TYPE _ Sand oa • - Clay -
Percolation Test Required? YES - NO /
Percolation rate -\Min/Inch
TYPE of SYSTEM: �It
Absorption field, total length /PI
Length of each trench 3/ /
Depth of trenches 4 . /
Size of gravel OP._ A\ /
SEEPAGE ]?ITS{Number of)'`��," /
Size- ' _ft. X _ ft. h /
Gravel size , A. /
PIPING: Size Type
Bldg. to tank �/', / P't •
Tank to dist. box S/'tY, pd'er..
Dist. boy: to field/pit '//' , /7{r�
Openings sealed? YES NO; Partial
LOCATION/SEPARATIONS: .1
Foundation to tank Oft.
Foundation to abscrption .p ft. '
Absorption to lot line 30 it.
Separation of pits 1 (o ft.
ATION OF SYSTEM ON PROPERTY(circle one)
z.I.:_. _-0Ct - Rear - Left/ side - Right vide -
COMMENTS: 1
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SYSTEM USE APPROVED, NO
B ding spector
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