1991-127 A
s e
CERTIFICATE OF COMPLIANCE
,,. TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date (/ iAL/ '9 19 2
This is to certify that work requested to be done as shorn by Permit No. 91 427
has been completed.
This structure may be occupied as a Sant t' Al t rati nn
Location 8 Pi newnln'l Nall tsar
Owner Gerald Beauont
By Order Town Board
TOWN OF QUEENSBURY
r
.„/
Director of Bldg. do Code Enforcement
BUILDING PERMIT •
TOWN OF QUEENSBURY
No. 91-127
WARREN COUNTY, NEW YORK c
1/40
PERMISSION is hereby granted to Gerald Beaumont a
ctt
OWNER of property located at 8 Pinewood Hollow Street, Road or Ave. 1-1
0
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
2. CONTRACTOR or BUILDER'S Name
Same
0
3. CONTRACTOR or BUILDER'S Address c+
00
O
4. ARCHITECT'S Name co
O
C.
Vf
5. ARCHITECT'S Address '17
c+
n
6. TYPE of Construction—(Please indicate by X)
co
( )Wood Frame ( ) Masonry ( ) Steel ( )
0
7. PLANS and Specifications
No. Septic alteration to include: 50' Tile field using #3 Stone, 2'
• thickness.
8. Proposed Use
Septic alteration
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 29 19 93
(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 29th ` Day of March 19 91
SIGNED BY / 2/%: =�'� for the Town of Queensbury
Building and Zo4ng Inspector
TOWN OF QUEENSBURY P-956
31rza APPLICATIOI FOR SEPTIC DISPOSAL PERMIT
DATE: -/ ca 7/91 TOWN OF
QUEENSBU
nn R�
LOCATION OF PROPERTY FOR INSTALLATION 8 eto\J - l.)0e p 1 RECEIVED
Owner' s Name: C �/�� r id�M c�,.�" MAR 2 8 1991
Address: b 10crJ4.- woof) L-vcA—) BLDG. & CODE DEPT.
Installer' s Name: Telephone:
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom) LiZa
Topography: Circle one: 4111, Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? Feet
Bedrock or Impervious Material : At what depth? Feet
Percolation test: Circle one: not required required
Rate - Min. Per Inch
Domestic water supply: Circle one: unicipal Well Other
If domestic water supply is a well :
Separation: Water supply from any septic absorption feet.
X
PROPOSED SYSTEM: Septic Tank (COO gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench `/ feet/Total system length S 6 feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used it _? /Depth or Thickness - feet
r****************************
/� HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks 0/"I 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:/ 41-` -4/W/"'(-' DATE: J/7 �f
•
cc� /
awn o/ Queen u r y t r
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME i hiil Q a
LOCATION J
PERMITfNO. �-/a 7
SOIL TYPE Loam - Clay -
Percolation Test Required? YES.%:- NO
Percolation rate - Min/Inch j
a �•
TYPE of SYSTEM: •
Absorption field, total length o .70
Length of each trench �j
Depth of trenches' p,
Size of gravel etaL /
SEEPAGE PITSfNumber, of)t
Size- ft. X :; ft;
Gravel size ;; I
PIPING: , y Size Type
Bldg. to tank 6XrG
Tank to dist. box
Dist. box to field/ ._ G�
Openings sealed? NO Partial
111
LOCATION/SEPARATIONS:
Foundation to to ik q g.�/4 ft.
Foundation to absorption ,2p ft.
Absorption to lot line a,p ft.
Separation of pits • ft.
LOCATION OF SYSTEM ION PROPERTY(circle one)
Front - r1 Leftt side - Right side -
COMMENTS:. Y /
� t
/„,
SYSTEM USE APPROV YES O
Buil ng nspector •
01/86 and vl
a/•o)-1-06
. I
I
. .
-,--
4-0-SE 'WI 'sr? ..9.L.a s
......V 7 d..1 .+7,1 =. 'el'i I i
•ire'STAN. SH7-1 D 'Sze e 1.110A-r n5 eerq,
c a KB-1-5 Ila S Tha UN N
-r— -
.'c'- -- -— ---
' ''''1
_ .
1*-31$71R1c,1—r 1......c„."s„.,,'0 ;So e.......L. .
—2..S7S-zYala..r. - t u:/snS "4 -)3V wD1 ED
-7., 10v1 1..' rvr'S V c coVv.1 1 .
---- — - --- - ---— - ------- - —- - - -- .V
.........
..•;..ON do •.. ...7
,C 0.1N.4 , • e ‘,% 11-v 0 177 it'' 7.1, ••..,,
.... .•-•••i "..C'‘
•N •• -1 4 O'r)
L- .•••• l•.-)
' • • / .,-',7 .,
4• L 0 1..
e k
N
w4 •
z ...!....e 7,1q, ViO M J- •,•`#.7r.4 aS 0
•40 (5.610- rap
•:i• Mr') -.3A...a d.../l ,, f.•,VV 0 r.r••8 y• sw•igsr.,iNyi 0s...4s ....„;, 0 9..c. .c --.. )
r ••...... b k t'
A
s..%I-0‘is st2 0 0•••••,2 21 ..j. •,...cep•-vv./ 0.4 r•vrtr9 71.63- neo • \ •Ao•
1 ).2VIn 5 '',Y•a-••4 Tv ...al ,G.1.-1 304r9 d'aw Mil- .1.-‘14.1- r oc S
A g / . . •2
✓ 'T•7 .1 ce 1 31-1..s..i..i_ etv-r,-za%a
.I.
ci\k r9r")
c.1 0-4 -‘,4 '4'.:A, t- •• 36-,
/t ‹..!...Q., ‘,,s-z, •,;'-, •
e . 9•
••., . or ..z.:____e_-,,t n, ,.....N.
,0- , ,:_. "":.'---, - 0-z.k.,:' _.. •
N. ' <,.: ---_,) 4.fc., '•••. ,,,-/ , ,:,1_ ,,C3&,.......5a,,....-., IN.
r.:1 ' C J23 i • .
rg :-.-••— ' .7\ • tr., ....,
.
1 , „, ,..- a t-s c c.t, 4;.-z 3 d 1 •\''s, eC:t1"'s ,,,
.
t ,- '-'31 CO —I
0 -5c,
^ki '''..N k‘ '''• '' ,r)
,„...., 0
c) m cr..
a 1J •
rio 3.=1
7J 0 .....:•,„ --I, ....
Cok
t• .2 •F,, G.
Z 1, c; 1;471
\ k F 7-`• rdl 8
✓ 7.) Ufit- C.0
• :•:\ .e.,":,•:3 0 C.C) i Z
M .....0 CO
'1.•,.,..,Y C... '13 03
1775 'kjUi 71 3:1
1=lifti
\C.;•-• •
1