2024-0313 Office Use Only
SEPTIC DISPOSAL APPLICATION Permit#: 245r- o316
Town of Qucensbury
fl IE Permit Fee:$
742 Bay Road,Queensbury,NY 12804 ::d:nTYPE:
Y282 72024 L.J.) ;0
Project Location: 11 Gunn Lane TOWN OF QUEENSBUF:Y ? Y
BUILDINe.&CODES CIO
Reviewed By: ki\'
Tax Map #: 227.17-1-15
STRUCTURE INFORMATION Garbage Grinder Yes No
Year Built Gallons #of X gallons per =total daily flow Installed? ❑, ❑�
Per day Bedrooms Bedroom
1980 or 150 Spa or Hot Tub n
older Installed? J
1981-1992 130
1992-Present 110 2 110 220
PARCEL INFORMATION
TOPOGRAPHY ✓ - Flat Rolling Steep Slope % Slope
SOIL NATURE - Sand Loam - Clay . . Other, explain:
GROUNDWATER At what depth:36" (mottling)
BEDROCK/IMPERVIOUS MATERIAL At what depth: >44"
DOMESTIC WATER SUPPLY - . Municipal . Well .✓ Lake (if well or lake, water
supply from any septic system absorption is >200' feet)
PERCOLATION TEST Rate: 6-7 per minute per inch (test to be completed
by a licensed engineer/architect)designed to 6-7 min/inch
PROPOSED SYSTEM INFORMATION
TANK SIZE 1,00o gallons (min. size 1,000 gallons, add 250 gallons for each garbage
cylinder or spa/hot tub
SYSTEM Absorption field w/#2 stone Total length ft. Each trench ft.
Seepage pit w/#3 stone How many: ; Size:
Alternate system Bed or other type: 15'x 30'=450 SF
Holding tank system Total required capacity: ; tank size:
; # of tanks:
Septic Alteration Application Revised May 2024
CONTACT INFORMATI ON: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): Tyson Ruecker
Mailing Address, C/S/Z: 12 Willow Creek Court Slingerlands, NY 12159
Cell Phone: 518-337-7444 Land Line:
Email:
• Primary Owner(s):
Name(s): Ruecker Family Irrevocable Trust
Mailing Address, C/S/Z: 34 Ausable Forks Albany, NY 12205
Cell Phone: Land Line:
Email:
U Check if all work will be performed by property owner only
• Contractor:
Contact Name(s): BBB Construction Inc.-Con Burke
Contractor Trade: Excavation/Installation
Mailing Address, C/S/Z: P.O. Box 3 Bolton Landing, NY 12814
Cell Phone: Land Line: 518-796-0329
Email: conburke.bbb@gmail.com
**Workers' Comp documentation must be submitted with this application**
• Engineer(s):
Name(s): Hutchins Engineering PLLC
Mailing Address, C/S/Z: 169 Haviland Road Queensbury, NY 12804
Cell Phone: Land Line: 518-745-0307
Email: thutchins@hutchinsengineering.com
Contact Person for any questions regarding this project: Tom Hutchins
Cell Phone: Land Line: 518-745-0307
Email: thutchins@hutchinsengineering.com
Declaration: Any permit or approval granted which is based upon or is granted in reliance
upon any material representation or failure to make a material fact or circumstance known by
or on behalf of an applicant, shall be void. I have read the regulations and agree to abide by
these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
� `
PRINT NAME: fiASS r.— 1i�1
SIGNATURE: - 'A DATE: (7(2-7/2.fri--
Septic Alteration Application Revised May 2024
TOWN OF QUEENSBURY
Ibp-
742 Bay Road, Queensbury, NY. 12804-5902
Septic System Checklist
e Plan to scale
a`eReceived Deep hole perc test results from engineer/Architect if applicable(Town Approved Engineers and
rchitects;June 30 to April 15 Town Engineer for unapproved Engineers and Architects)
N All wells on property and adjacent properties shown Z.ct /� wale,-SNP,
/�Nater line shown Municipal or well 10'separation to any part of system
,__________..)
Setback to property lines show 10'or more for any part of system
tank and pump stations 10'from foundation, 50'from any well/lake/wetland, 10'from any waterline/ ,,6Septic
ti/A Septic tank to foundation crawl space/slab on grade,grade in crawl space must be above top of septic tank
for 0',Separation required (field verification required)
6/'LS Septic tank sized for number of bedrooms and add 250 gals for Jacuzzi tubs/garbage grinder each
/46Leech Field 20'from foundation 100'from any well 10'from water line
/�� Seepage pit 150'from well 50'from septic tank
N li Seepage Pits 3-times diameter apart
fe3 Septic tank and pump stations over 30 gallons 50'from watercourse or wetland
\ .j'Distance from bottom of trench or system 24"to bedrock or mottling36';within 1000' of Lake George
��
3 Leech field 100'from watercourse or wetland 7
To Toe of mound or bottom of retaining wall 10'from property line, 100'from well, 20'from foundation
-e45 Provide Engineer/Architect stamp for bed or design systems
idO Department of Health Approval for all mobile home park new systems Flood Plain requirements
As° 2' above established flood elevation to bottom of system
r- All tanks anchored or 2' above flood elevation
MAP REFERENCE: WASTEWATER SYSTEM PLAN
SCALE: 1 "= 30'
1. BASE MAP INFORMATION FROM WARREN COUNTY GIS,
AERIAL PHOTOGRAPHY, AND FIELD MEASUREMENTS. ALL GRAPHIC SCALE
LOCATIONS ARE APPROXIMATE CONTRACTOR TO FIELD
VERIFY ALL SETBACKS PRIOR TO BEGINNING INSTALLATION. 152 7 5 15 30 60
( IN FEET )
CONTRACTOR TO FIELD VERIFY LOCATIONS AND DISTANCES.
THIS IS NOT A FIELD SURVEY.
114" PER
FOOT MIN.
SLOPE
4" HOUSE SEWER
WATERTIGHT SLEEVE
& SEAL (TY'•)
16"
LIQUID DEPTH
30" MIN.
60" MAX.
12" MIN. COVER
LIQUID LEVEL
MINIMUM 2X WIDTH
MAXIMUM 4X WIDTH
. e.
MIN.
°
EXISTING 1,000 GALLON PRECAST CONCRETE
SEPTIC TANK
POLYETHYLENE EXTENSION TO GRADE WITH
TAMPER RESISTANT ACCESS COVER
(NON —TRAFFIC AREAS)
1/8" PER
FOOT MIN.
SLOPE
4" EFFLUENT SEWER
FLOAT SWITCHES —
INSTALL INSIDE PUMP
PIT IN LOCATION
d ACCESSIBLE WITHOUT
PIT ENTRY ALARM 3"
ABOVE 'PUMP
INSTALL FLOAT ON'
SWITCHES To PUMP ON
OPERATE PUMP
AND MAINTAIN PUMP
LEVELS AS OFF
INDICATED
d
VOLUME OF DOSE TO BE 801
GALLONS
SEPUC TANK &
16 MIN.
500 GALLON PRECAST
CONCRETE PUMP STATION
ncTATI
LIMIT
15'
SITE SOILS DATA
TEST PIT
TP-1 — 512012024 BY TOM HUTCHINS, P.E.
0-6" — TOPSOIL
6-18" — MEDIUM BROWN FINE SAND FILL
18-30" — DARK BROWN SILTY SAND
30-44" — OLIVE BROWN COMPACT SILT
ROOTS TO 34"
MOTTLING ® 36"
BOUNDARY CONDITION 0 36"
PROVIDE 36" VERTICAL SEPARATION TO
BOUNDARY CONDITION
WASTEWATER SYSTEM DESIGN
2—BEDROOM RESIDENCE (DESIGN FOR 3 BEDROOMS)
DESIGN FLOW — 110 GPD/BEDROOM
SYSTEM DESIGN FLOW — 330 GPD
SEPTIC TANK — EXIST. 1,000 GALLON PRECAST CONCRETE TO BE
PUMPED, INSPECTED, & REUSED IF SUITABLE. INSPECT
BAFFLES.
DESIGN APPLICATION RATE: 0.8 GPD/SF, BASED ON
6-7 MIN/IN PERCOLATION RATE
ABSORPTION BED AREA REQ'D = (330 GPD)/(0.8 GPD/SF)
= 413 SF
ABSORP77QN BED AREA PROVIDED = 15'x3O' = 450 SF
POTABLE WATER SUPPLY IS TO BE ON —SITE WELL
MAINTAIN 50' MINIMUM SEPARATION BETWEEN
SEP77C TANK & WELL
MAINTAIN 100' MINIMUM SEPARATION BETWEEN
ABSORPTION FIELD & WELL
30' AL
ABSORPTION BED PLAN
NIS
IROPOSED
IISTRIBUTION BOX
TRANSITION FORCE
MAIN TO 4" PVC
OUTSIDE OF D—BOX
Crrf= I In/`ATTnAl
. _. �.........." LOCATION MAP
TOWN OF QUEENSBU
BUILDING & CODES DEPT.
n E
Reviewed By'. . LJ 7 2024
Date,. - r.11 jp
TOWN OF QUEENSBURY
BUILDING & CODES
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SYSTEM INSTALLATION NOTES
CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING AND IN
ACCORDANCE WITH THE N.Y.S. DEPARTMENT OF HEALTH INDIVIDUAL
HOUSEHOLD SYSTEMS AND THE MANUFACTURER ANUA'S INSTRUCTIONS.
AFTER EXCAVATION OF ABSORPTION BED TO THE DEPTHS REQUIRED,
THE WALLS AND FLOOR OF EACH TRENCH SHALL BE CLEANED AND
RAKED IN ORDER TO LOOSEN SMEARED SECTIONS OF TRENCH.
PLACEMENT OF CRUSHED STONE, PURAFLO UNITS AND FILTER FABRIC
SHALL BE AS SHOWN, AND CARE SHALL BE EXERCISED TO AVOID
INCLUSION OF FINE GRAINED SOILS AND WASTE MATERIAL IN THE
STONE ABSORPTION BED.
DISPOSAL FIELD SHALL BE GRADED TO SHED RAINFALL AWAY FROM
THE DISPOSAL FIELD.
DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION AREA AFTER
ABSORPTION SYSTEM HAS BEEN INSTALLED.
THIS SYSTEM IS DESIGNED FOR WATER CONSERVING FIXTURES.
ROOF, FOOTING, GARAGE, CELLAR AND SURFACE WATER DRAINAGE
MUST BE EXCLUDED FROM THE WASTEWATER SYSTEM.
SYSTEM MATERIAL SPECIFICATIONS
ABSORPTION BED AGGREGATE
STONE IS TO BE 3/4" TO 1-1/2" WASHED CRUSHED STONE.
EFFLUENT SEWER PIPE
PIPING TO BE 4" SDR-35 OR SCHEDULE 40 PVC. INSTALL WI7H 1/8" PER FOOT
MINIMUM SLOPE.
FILTER FABRIC
FILTER FABRIC TO BE 4.8 OZ/SY NON —WOVEN SEPARATON FABRIC, TENCATE
MIRAFI 14ON OR EQUIVALENT.
FORCEMAIN
PIPING TO BE 1-1/2" SDR-11 HDPE, PROVIDE POSITIVE DRAINBACK TO PUMP
STATION.
HOUSE SEWER PIPE
PIPING TO BE 4" SDR-35 OR SCHEDULE 40 PVC. INSTALL KITH 1/4" PER FOOT
MINIMUM SLOPE.
SYSTEM FILL
AS DESCRIBED IN FILL MATERIAL NOTES."
TOPSOIL
PLACE 4" MINIMUM TOPSOIL OVER ENTIRE BACKFILL AREA. SEED, MULCH, AND
SEPTIC TANK NOTES ESTABLISH TURF.
ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW
12" MINCOVER YORK STATE DEPARTMENT OF HEALTH AND SHALL BE OF PRECAST WASTEWATER SYSTEM FILL
TRANSITION TO 4 . OUTSIDE CONCRETE AS MANUFACTURED BY UTOPIA ENTERPRISES OR
OF D—BOX DISTRIBUTION BOX EQUIVALENT. MATERIAL NOTES
ALL STRUCTURES SHALL BE PLACED ON FIRM, COMPACT SAND OR
GRAVEL BASE. WHERE EXISTING SOIL CONDITIONS ARE UNSUITABLE, AFTER REMOVING ORGANICS & TOPSOIL, PLACE SYSTEM FILL OVER THE ENTIRE
CRUSHED STONE SHALL BE PLACED AS NECESSARY TO ACHIEVE A AREA OF PROPOSED ABSORPTION BED AND TAPER AREA.
BAFFLE STABLE BASE.
1-1 2" USE SPEED LEVELERS TO ASSURE ALL 2"MIN. "ABSORPTION AREA SYSTEM FILL" MATERIAL SHALL BE CAREFULLY SELECTED SAND
/ SEPTIC TANKS INSTALLED IN TRAFFIC AREAS SHALL BE OF EXTRA OR SANDY LOAM WITH IN —PLACE PERCOLATION RATE OF 3-6 MIN/INCH AND NO
FORCEMAIN OUTLETS ARE AT EXACTLY THE SAME HEAVY CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADING. ORGANICS OR OBJECTS OVER 3" IN SIZE LESS THAN 10% BY WEIGHT SHALL BE
ELEVATION FINER THAN 0.05mm. AT LEAST 257. OF THE MATERIAL BY WEIGHT SHALL BE IN
2"MIN. DROP ALL JOINTS MUST BE SEALED WITH BUTYL SEALANT. JOINTS BELOW THE RANGE OF 0.50mm TO 2.Omm. LESS THAN 15Z OF THE MATERIAL BY WEIGHT
BALL VALVE 4" PVC SDR-35 SOLID HEADER TO BETWEEN INVERTS THE LIQUID LEVEL MUST BE TESTED BEFORE BACKFILLING. SHALL BE LARGER THAN A 1/2" SIEVE.
ABSORPTION LATERALS, 1/8" PER FOOT
I SLOPE PUMP STATION NOTES
ABSORPTION AREA SYSTEM FILL MATERIAL SHALL BE INSTALLED TO PROVIDE
SEAL ALL TANK OPENINGS WATERTIGHT. MINIMUM OF 3—FEET BETWEEN SEASONAL HIGH GROUNDWATER (60" FROM NATIVE
d
PROVIDE AND INSTALL UL LISTED PACKAGED PUMP CONTROL PANEL WITH GRADE AT 7P-1)) AND BOTTOM OF ABSORPTION BED. ONLY SYSTEM FILL
1-1 2" SCH-40 PVC OR GALVANIZED PIPING INSIDE WET VISUAL AND AUDIBLE ALARM. INSTALL SIMPLEX, DEMAND DOSE CONTROL MATERIAL SHALL BE INSTALLED THROUGHOUT THE ABSORPTION BED AREA AND
/ TAPER AREAS.
WELL THROUGH WALL PANEL INSIDE HOUSE IN ACCESSIBLE LOCATION.
UNION —LOCATE SUCH THAT UNION CAN BE INSTALL POWER & CONTROL WIRING TO CONTROLLER WITH ALARM IN ABSORPTION AREA SYSTEM FILL MATERIAL IS TO BE MECHANICALLY STABILIZED IN
DISCONNECTED AND PUMP REMOVED WITHOUT TANK HOUSE IN ACCORDANCE WITH MANUFACTURER'S INSTRUCTIONS AND 12" LIFTS WITH TRACKED EQUIPMENT PRIOR TO WSTALLA77ON OF ABSORPTION
ENTRY NATIONAL ELECTRIC CODE (N.EC.) REQUIREMENTS. TRENCHES.
PUMP CONTROL AND FLOAT LEVELS TO BE INSTALLED TO PROVIDE A 40 INSTALLER TO NOTIFY ENGINEER OF PROPOSED SOURCE OF SYSTEM FILL MATERIAL
Q " BALL VALVE GALLON DOSE. PRIOR TO TRANSPORTING TO SITE
REDUCING TEE POINTED DOWNWARD WITH INTO WETWELL
EFFLUENT PUMPS TO BE GOULDS PUMPS WE
THROTTLED TO ALLOW TRICKLE DRAIN BAD APPROVED EQUIVALENT, SUBMERSIBLE EFFLU SERIES, MODEL WE03M, OR
VOLT, 1PH 'ENT PUMP 1/3 HP, 230 WASTEWATER SYSTEM SETBACK REQUIREMENTS
VERIFY EXISTING ELECTRICAL SERVICE PRIOR STREAM, LAKE,
CHECK VALVE TO PURCHASING PUMP. PROPERTY LINE HOUSE WATERCOURSE,
WELL
BALL ALL ELECTRICAL WORK TO BE INSPECTED
GOULDS WE O3M PUMP OR INSPECTION AGENCY PRIOR TO START-UP 0 B P �PCSRAnC�I CAL SEPTIC TANK 10' 10' So' So'
ABSORPTION FIELD 10' 20' 100' 100'
EQUIVALENT
EXTERIOR WEATHERPROOF JUNCTION BOX (IF NECESSARY). SEAL CONDUIT GAS TIGHT.
INSTALL CONTROL PANEL IN HOUSE ALL ELECTRICAL WORK TO BE INSPECTED BY A
CERTIFIED ELECTRICAL INSPECTION AGENCY PRIOR TO START—UP OF PUMP STATION.
IN Call Before You Dig
Wait The Required Time
Confirm Utility Response
Respect The Marks
Dig With Care
800.962.7962
www.digsafelynewyork.com
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ALTERATION OF THIS DOCUMENT EXCEPT BY
A LICENSED PROFESSIONAL ENGINEER IS A
VIOLATION OF NYS EDUCATION LAW.
Hutchins
Engineering
PLLC
169 Haviland Road
Queensbury, NY 12804
(518) 745-0307 Phone
(518) 745-0308 Fnx
TAX MAP # 227.17-1 -15
�TIATA"iff
SYSTEM PLAN
& DETAILS
prepared for:
Ruecker Family
Revocable Trust
11 Gunn Lane
Town of Queensbury,
County of Warren,
State of New York
Drawn: GTH/HKB Checked: GTH
Scale: NOTED I Date: 512012024
22316-01 - S 1