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1990-846 • . _ry r - G* t.. Vp• r , ' .ter CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY fil ' WARREN COUNTY, NEW YORK a i r: , Date fee r°cmhe 31, 19 qti ' 30a . ii - i -3u. i ,,, .... This is to certify that work'requested to be done as shown by Permit No. 90-846 1, has been completed. ? Sewage alteration This structure may be occupied as a ;7y t - Location 23 WinteSSreen Road t Owner Don Hurley ' By Order Town Board TOWN OF QUEENSBURY ` s Director of Bldg. & Code Enforcement -f, Y ./ BUILDING PERMIT Iv X TOWN OF QUEENSBURY 3 No. 90-846 - a WARREN COUNTY, NEW YORK z 0 • .PERMISSION is hereby granted to - Don Hurl Py ,._, 1— OWNER of property located at 23 Wi ntPrgreen Rd Street, Road or Ave. ic., i in the Town of Queensbury,To Construct or place a Sewage alteration c) 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 0 c 2. CONTRACTOR or BUILDER'S Name Steven Sanders 3. CONTRACTOR or BUILDER'S Address N (,.) 4. ARCHITECT'S Name (�D -5 . co (D CD 5. ARCHITECT'S Address c1. 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( ) Steel ( I 7. PLANS and Specifications (n CD No. Sewage alteration as per plot plan specifications and applicationCC including: 200' Tile Field, #2 Stone, thickness 1' fD SW 8. Proposed Use .--, cl- (D Sewage alteration ¢ c+ J. $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 27 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 thi 7 D y of ,December 19 90 SIGNED BY .GUl �' • for the Town of Queensbury Bui ding and Zoning{nspector AftTOWN OF QUEENSBURY APPLICATION) FOR SEPTIC DISPOSAL PERMIT DATE: Dee. .`26 Qz r o°�r� Lf`'FNSBURY LOCATION OF PROPERTY FOR INSTALLATIONS Owner' s Name: 1904 1'Y/ 'i / DEC 26 1990 Address: .g 3 a g,/,f�li-e��reevi /4 - 4 E'n - e , 'v, �.� Installer' s Name: 5-'fei/e4?- � �'�" Telephone: i�f��l� ��T. Number of bedrooms (residential only) • Total daily flow (compute @ 150 gal per bedroom) -V6 -77 Topography: Circle one: la Rolling Steep Slope % of Slope Soil Nature: Circle- one: Loam Clay- Other /Depth: Ground Water: At what depth? Feet . - Bedrock or Impervious Material : At what depth? '� Feet Percolation test: Circle one: nc(re ui required Rate - Min. Per Inch Domestic water supply: Circle one: Ezigjp.a.b Well Other If domestic water supply is a well : - Separation: Water supply from any septic absorption - feet. PROPOSED SYSTEM: Septic Tank 'Oc2 2 gal . (minimum size: 1,000 gal ) . TILE FIELD: Each Trench cj 22 feet/Total system length .. " ' feet SEEPAGE PIT(S): Number of /Size each feet by feet Size- of stone to be used #. /Depth or Thickness • 1 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: / - d • 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 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 to. scructures 4.) location and distance to any water supply 5.) size and dimensions of all tanks. distribution boxes. tile fields anal/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 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 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 ■ust 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 • • !C.:m irks: :, • r ! _,40050 -• own o f Queentur y . BUILDING and ZONING DEPARTMENT Ad Bay.and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801- SEPTIC�� DISPOSAL SYSTEM INSPECTION NAME APAWJ .- LOCATION o?I ei (Pt(d t p ,.-le) & DATE) ,2%/9v PERMIT NO. 9d—d4L SOIL, TYP Loam - Clay - - Percolation\Test Required? YES - NO Percolation Late - Min/In h._ TYPE of SYSTEM: Absorption field, total length c e Length of each. trench' SO Depth of trenches - 02 45. ' • . , Size of gravel 2 / SEEPAGE PITS{Numb"er cif)1f) - _ • Size- ft. X _ , t. Gravel size , PIPING: Size Type Bldg. to tank q. 71 Ilq�- Tank to dist. box iy ci/ / / / Dist. box to fielo/• 't. c/ (-/ Openings sealed? ilia, NO Partial LOCATION/SEPARA I IONS: Foundation to t nk ) [9ft. Foundation to a sorption ‘ -ft. Absorption to of line y;s ft. Separation of ,its 1 ft. LOCATION OF SY TEM ON. PROPERTY(circle one) Fron - ea - Left side - Righ• . t side - COMMEN v' . • t4vie '� TYd #cJS'- zn` ' 1 fps � C��'1. J�(1�, SYSTEM USE APPROVED 4 . , • Building In pector 01/86 and vl . - ---7 ' . . " .. . ,. ' . . . . . - . . . • Ow • - . to (w OLIFENsBURY. . . . . . . , . . DEC 26 1990 BLDG. .8t CODE DEPT. 1 aa-VG - :'.)`‘ • •i . , ' /6 •allf`ali • r \..\. . ) A 611\1\-- . - • 4.• 4. Q ?,., 7,,,,,,,::-.„, , 8 -f ' „ n.3. . ,, 1-,,,,..1 (c.--."--21i, --.•'-'•r" ili un Zfirkk-'-'-- . „. , • .. • \‘,©Its;----,.. - 3,4-01,-0, --.„A(‘ ' hlicticasta'a , . • , i z - • . . . , )) . , . ,.. . • • . %. I-- „........ //- . • • :,';‘ • . , . r7. . . • . . . .... rii'e • .. i. . \. 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