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PT-0325-2023 Property Transfer Sewage Disposal Information Form f,g• --t Date: JJA/ /41 �c 3 Town of Queensbury 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.queensbury.net 8 FUiire (Name of Owner/Applicant) Re: Onsite Wastewater Treatment System Inspection Information Request for: (Site Address for Inspection) property referenced above. We look forward to completing a thorough inspection for you. You can help us do the best job possible by providing some advanced information about the site. Prior to our inspection,we request this completed application, a site map indicating the location of the septic components and confirmation the pre-inspection preparation (see the last page of this packet) will be completed prior to our arrival. this office,with the appropriate fee(s) and documentation, prior to scheduling an inspection. Please note the Town of Queensbury's fee for this service is$275. Be advised that all fees must be paid prior to scheduling the inspection. We require 48 hours notification prior to scheduling the inspection. cr_I-ii�� ,_ ���s^:aga-Oeaea a, =neel rigF1r-: t 31 nnracr=s:nrA n1ne# @^a_t-in>>a=- i_ caTha the septic system will De inspectea or repairea/repiacea wrtnin b montns from the aate or the property Conveyance or June 1st of the current, or following year (whichever comes first), a map locating the septic system and payment totaling$2275 ($2000 refundable deposit plus $275 permit fee). The deposit is forfeited if the owner fails to complete the repairs or installation as stated above. Phone: (518) 761-8256 Email: kated@queensbury.net Thank you. l " 1 Town of Queensbury Permit#: \ 8v25 -2023 Town of eencburr Fee: $ 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 MICI\ CL., 2-c5 www.queensburv.net individual Residential Wastewater Treatment System CONTACT INFORMATION (please print legibly or type and include an email address) Property address for inspection: /6--,R-6Ck y lj U,�- /20(?-b Tax map number: 57,3' A301:.16---1 - Mailing Address (c/s/z): / C- - TiU s ri_ J C f_ Ai-y 126--.` '3 Cell #: ill �-�t��-� .5 Land Line#: gg3 Email: J h mai j Co1'n- Mailing Address (c/s/z): Cell #: Land Line#: Email: Septic Contractor: / g 6 - — -- - Mailing Address (c/s/z): a L'6w'c2- C4/1 ? iV S', G� U G-G-us�U,e�` �� eo`� #: `LarieCur 4. SI 8- '- g(`� - Email: I I?-Po g l i 5 E'pttc coevL ❑On the market ( ]Future listing ❑Sale Pending ❑ Deed Transfer ❑Other: Property Transfer Packet Revised July 2022 HOUSEHOLD INFORMATION **PLEASE SEE SEPARATE PAGE FOR EXEMPTIONS** bzd�aQ brurhr1 "Is 3 �Lh Onsite Wastewater Treatment System: How many systems are on the property? .Z Type of Absorption System: /�A-aitA 2 P - Are all system components wholly within the property boundaries? 1Yes ❑ No A.r r�, r-c.. ,=.v-_= __-.r -s+.n ik.-.d' �,^. s __.z- Does the system(s) serve multiple properties? 0 Yes IN No If yes, describe Service agreement? ❑ Yes 1E1 No; If yes, business' name Date of last inspection f cS N/A ❑ Date tank last pumped . D1 ' N/A ❑ List known repairs/replacements, with dates: Date Type of Repair/Replacement Operation: Jystem prouiems: U Yes k IV® • Sewage odors? ❑ Yes ® No . Direct surface discharge(s)? 0 Yes ® No . Back-up of toilets? 0 Yes E No • Seasonal ponding or breakout of leach field? 0 Yes ® No 67 4-44. =sa . j2a-4y1 iii==pF== !v0/Rd ors. . I agree to: • Ensure that the septic tank(s), distribution box (es), and/or seepage pit(s), if.any, will be uncovered prior to the requested inspection time; a Wawa a contaao haiilor nn cites ltn niImn tho tanlr ®rffor* tho incnortnr vorifioc flnini from fixtures.); > Tank must be pumped in presence of inspector • Have an authorized representative present at the site; • Allow the inspector to verify information provided above, and to conduct an Liu - -�a..r-_=t-a' 4_:: rI f%., 1)IL311,,i;1.+.1. 52 —E4‘1 I g',,f t H Hut,'--___._ `+_.-+'11 system components and interior plumbing in crawl-spaces and basements. To the best of my knowledge, the information provided above is accurate and I acknowledge After 1 year from date of submission and there is no activity on this permit, the permit will expire and will be subject to submission of a renewal application and payment of the renewal fee based on the current fee schedule. All fees must be paid PRIOR TO SCHEDULING any inspections. In addition, if the permit is withdrawn 30% of the fee is retained by the Town of Queensbus y°. Signature of property owner or authorized agent: '—i411 FSLL LiV1:_ —===4 i:--.. .,:},,--.111- _' ..5._,2 Please print name: Signature: ,A?. -6 a,,� Date: 41z4z, 18861I tC. 3.8..may=a—,X -_- 'V2 I# S6 d%. :' a €8 YB z'i.3iJC13 Yr1 1: Y1 E 1E I_ 1. Schedule a sewage hauler to be on site to pump tank while inspector is on site. Hauler should arrive 30-45 minutes after scheduled time with the Town of Queensbury's Enforcement Officer. 2_ Exnose inlet and outlet of sentir tank_ and/or numn station_ exnosP d-how_ expose any seepage pit covers. - 3. Excavate test hole in leach field if there is no d-box. - . Property Transfer Packet Revised July 2022 - -PLOT PLAN : ,JRh1s5 N. F4111RE'g, APPROVED ._ WN1T>r (A WN sy! C-NS I Application StrE LpcR7ic•N: 11?o247 . 9L I 43uggo.1 &JR/,N.Y. f MAY -219 6 Tax P3goo,Sec..77.4N 3 54.c.cK 1 4,2.7"2 APR 2 : AlanLa7. e 4,1c FRat'J4-/Navnr�rN 77Zs•.r t ' SUR✓aYS a coULTEg -{ Zoolnn . :.:...:ztnr (/�,r/ /NV8 • • e�fr✓J?EY /w/2//a0: Tow' ...._�_ Rr 1 44 .a'_• me:SZr SITE PLAN • 1..../1 Kc- ' REVIEW NEEDED 1/ O /oc v •• II,_WracA Fc ffAV ✓A EMI5rrNF / `' C�euyD cow�710FitG?e- T J=S %r S.. 3s �1,,..."."w e Ant,w/�.T✓AIyS �. E ON c sr2.L/NB.PR 405 a veR 3'p,A w/7 I, • TAu14•I-tigt ec.,Nor wArn.0 House N 11, ir, �,,s. 2/4 p>// r:_(.r_UT. 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( rN3N1 /e4e+5 j Application 9- S I TE I 44-1 i,NN 1 geg478 I L I . l�u ✓ ?e�F, tR/,N.Y. i NAY •••21996 Tax MnP3loo,SEr�vro 3 FjU,,cK 1,46T2 APPROVE: APR 2 'i`•".` ;VP.:!a7'v' 8 trla FR4vYc//Nayn/74#N 7T'v9•c7- j � '' . SUR✓EYS aF'CoUd-7zA ! Zorinn'- .:::ltnr /r / - ✓/J'F.v /oV/?./1a0: , TOl: .._.____--' 1_Ry '.•4 I=e,p'9/�' SITE PLAN ' L./1 KG- i REVIEW NEEDED , // t��{` • . 5 /oo'+ .' r 1-i"%fl' ii.,_►✓/3Ts-r- 4erkl On EXISTiNG / A n�rrl� �fPP" %aM/r�/�oTYAI1 F 7,/R FS '=7 RQ. 35 I yri t:`,/�d S�' • L o v 1sg..4NE.f'R ge avcR 3".D,A I rrr',y 11 TAtlK.,1 1 EC, NerwATEC NeuSt?.F Lc 'Jam' 11.1 `�:� zo$4.0.1.J.or LI<cs.� (N /1,EG5 Q Isy z_9, I=req,N�'er i �d 7. reRKrNe AREA• — NRv� /a.7.5/v� .t zr'aanrr..�,.,�;-``-.. A As I;,e�ri�riNc ./ .t. 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FoA 0I- IlG' p� - AvDITroNoFZid o N I. - - - - - - - - ' i'oYR777.-c4 P, Pl i'e r I I ` S./voNP V✓ $ kt-. I I cI.AY I !. - �1..rc7x'•,c4L. kt t , I Il , A' i'u cr,ar¢T I Tv 8i /tKtge • • f!%-s0/'3 0, A//,4Ax I , , If/p,,A5cMT ceirTek -Un/ab CouIL T • r/eLD co t` `Ip O St, $ 0 X. E-irr377N6- 7i EES �-• h '� • Ih i.i I .SNGWN,r2�t--HA/N w I°n" Exec-PT 1 TAPE �r7ed /� ®tsPPN i Pr'�AH I ►✓17JlrrV1'°F/? c�u�er dD� °r rc I Al QZ �,Y1 oF LIr�0 . love, 1�1 /vsxr ry MARIN6, �OdTE �. 1F- • I ' i NEt✓ /PeoF Wlyl . ,Jk-- -- 5%r c• 1„ S,Q �'i %V rt./RAY FW;rR25 rR I y�/1r. /02,15�-'' J'i . a . .• • 239.15-1-2 PT-0325-2023 - � II / Fuhrer, ]amen & Diane °" sc°��=-' -�`O Cl..445/FkATo�;I- ,� 15 Rocky Shore Rd • . • z/.-/ . 1 1 RHILy Dot .;.2SOc,/99C Property Transfer -- future listing I�k'StDfN7rAL _ PT'- D 325 -2.0 NOVD ',2=-:.:._:f:_'_-_--_-_L:-...±...,_ Ill 9 ?fit" 1 �� T10N CONDITION OPTIONS .. L, i, r PLEASE CHOOSE;ONLY ONE,CONDITION BELOW IF'YOU ARE.REQUESTING A WAIVER Due to one of the conditions listed below,I am requesting an'exemption from the Septic Inspection,Upon Property Transfer by the.Town' of Queensbury:. 0 The property to be sold or,transferred will not be inhabited,and the new,owner plans to.demolish the existing structure. In order to qualify for the exemption, a notarized affidavit must be submitted to the Building and Codes:Enforcement Office stating that the dwelling.will not be inhabited and that it will be demolished with no immediate plans to rebuild or the dwelling will not be inhabited', it will be ]demolished.and rebuilt,in which:case the:affidavit shall he'accompanied by:a site plan;including 'adequate;detail to.demonstrate a lawftil OWTS,'together with a check payable to the Town of Queensbury in the amount of$2,000 Such funds;will be'held in a non-interest-bearing escrow account and.will be released, in the former case;.upon issuance'of a demolition permit and, in the latter•case, upon issuance of acertificate of compliance from'the Building]and Codes Enforcement Office. If the Property Transfer inspection is not completed within that.6.(six) month. timeframe, the:$2000 will be forfeited.. • fl An.OWTS_inspection was not able to be completed prior',tothe conveyance of real property'due to inclement weather. In order to qualify for the exemption,,a notarized affidavit from the new property, owner to complete'the requisite.OWES,inspection within six:months of the date of"the conveyance,of real property, or June I,whichever comes first,must be flied'with the Building and Codes Enforcement Office.A.-cheek payable to the Town;of Queensbury in the:amount of$2,000 Will'.be held in a.non- interest-bearing escrow account and shall be released upon the completion of a satisfactory OWTS inspection from the Building and'Codes Enforcement Office. - If the Property Transfer inspection' is not completed within that 6(six) month or June 1st timeframe, the.$2000 will be forfeited. . • f' The'property to be sold or transferred contains an existing OWTS than does not comply with the provisions:of this:article,and the prospective,purchasers'and/or the'Seller Wish(es)to forgo an inspection in favor of installing an approved'OWTS Within'Six months.of the transfer of property. in order to qualify for the exemption, a notarized;affidavit must.be'submitted:to:the Building and Codes. Enforcement Ofce'stating-that the'existing.OWTSOWTS:will be.replaced within six months;from'transfer of property. The,affidavit must be.accompanied by a site plan, including adequate detail todemonstrate that the replacement,OWTS will'comply with'this;article,together with ached(payable to the Town of Queensbury in the amount of$2,000. Such funds will be held in a non-interest-bearing escrow account and will be'released upon issuance of'a'certificate.of'compliance from the'Building and.Codes; Enforcement Office. If the Property Transfer,inspection its not completed'within that 6 (six) month timeframe, the $2000 will be forfeited. Praperi}Ti rahsia Exe mpiioa Revised September 2023 During:the;OWTS inspection,.a failure:of the septic.system was.determined.Due.to winter and frozen:conditions, the repair to an existing OWTS could not occur or a new OWTS could not be installed before the conveyance:of real'property..In order to;qualify for the exemption; a notarized affidavit from the new property owner to complete the installation or repair of the septic'system.within .six months from the du1e of the,conveyance.of real property, or.June 1,whichever comes first,must be filed'With the Building and Codes Enforcement Offce..A'Cheek payable to the Town;of'Queensbury in the amount of$2,000 will be held in a non-interest-bearing.escrow account and shall be released upon the completion of the repair or installation ofa new septic.system and a satisfactory OWTS:inspection from the Building and Codes Enforcement Office. lithe Property Transfer inspection is not completed Within that 6{six)'month.or June 1' timeframe,, the S$2000 will 'be forfeited. .0 There is record'of an approved septic'system inspection upon:property transfer permit and inspection completed and passed within the last(five(5)years. please provide a copy,of tliis:record. PLEASE READ_NOTICE THOROUGHLY;: Failure to'complete the inspection,'obtain the permit or complete all,repairs/installations identified in.the.preceding,subsections,of this section with the time provided or any subsequent deadline established'by the Building and Codes Enforcement Office will resultin forfeiture of the moneys held in escrow, and the Town may,use:such funds toward abating the conditions caused by.each such violation of this.article. Inspections must take place.within one (1)'year of'submission of a completed,application. Inspections scheduled to take place,after the one year period will be'subject to.submission of a renewal'application and payment of the renewal fee based .on the current fee schedule. ***ONLY SIGN THIS'PAGE IF YOU ARE OPTING FOR A.WAIVER REQUEST!!*** I have read,and,understand the.abovenotice regarding theexpectations and possible forfeiture 'of moneys'submitted to the Town.of,Queensbury for an exemption request.. Affiliation: seller D seller'.s.agent* D other_(specify): Print Name:. :5?„:$ t ,� Sign Name* , ,_4 Date: r4 Affiliation: Dibuyer Di buyer's agent* pother (:specify); . Print Name: Sign Name: Date: *see.Agent..Authori7at ion signature.pane Property Transfer Exemption Revised,September 2023 Fr- D1 [ To whom it may concern, NOV 2 1 2t� 3 TOWN ®F QUEENSBURY I'm writing as the owner of the property Iocated'a.1 5&1R�ockk Shore Rd, Queensbury, NY 12845, and as requested by the Town of Queensbury, to acknowledge the status of the septic system on that property, having been inspected by the town, as being insufficient and in need of repair and rework to bring it into conformance with Town of Queensbury requirements. Having already received plans from a licensed engineer for an improved septic system design that should bring the system to an appropriate level of capacity and functionality, and a Grant Approval from the State of NY to fund a portion of the cost, my intention is to enlist an appropriate contractor to implement the design with an estimated completion date of June 1 , 2024. I will use best efforts to meet that date and will keep the Town of Queensbury up to date periodically as to progress, and provide documentation as required. In the event that through circumstances beyond my control (e.g. availability of contractor scheduling, weather, etc.), I might need to request of the Town an extension of the completion date, I understand that such approval would not be unreasonably withheld. Thank you for your consideration, James H. Fuhrer wner, 15 Rocky Shore Rd. Queensbury, NY Dated: ,,//52 NEW YORK ALL-PURPOSE ACKNOWLEDGMENT REAL PROPERTY LAW§309-a zoolicemsami State of New York ss. County of l uZtKSs On the day of /t%"E &. in the year .2013 before me, Day Month /! Year the undersigned personally appeared 7R ilei n • Fu 1-12Z2 Name of Signer (and ,)personally known to me or Name of Additional Signer, if Any proved to me on the basis of satisfactory evidence to be the individual( j'whose namekis(gx)subscribed to the within instrument and acknowledged to me that he/s�bae/tfy/y executed the same in his/fjcr/t capacity(),and that by his/I /tl li•signature(8 on the instrument,the individual(or the person upon behalf of which the individual)-acted,ex ' trument. Signature of Notary Public Notary Public—State of New York Place Seal Below OR Complete Lines Below gar D. Fi� me of Notary BRE1T D FROMAN Notary Public-State of New York NO.01FR6314144 Name of County in Whi h Originally Qualified Qualified in Dutchess County M My Commission Expires Nov 3,2026 I /f ,3 a 6 , Commi sio Expiration Date Name of County in Which Certificate of Official Character Filed(if required) OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document Le-Tex Document Date: II Lc a.3 Number of Pages: Signer(s)Other Than Named Above: ?it O72 SJs ©2020 National Notary Association M1304-15(11/20) PROPERTY TRANSFER SEWAGE DISPOSAL INSPECTION LETTER Satisfactory Compliance Notice Town of Qyccnsbury Building&Codes Enforcement 742 Bay Road,Queensbury, NY 12804-5902 P: 518-761-8256 www.gueensbury.net Date: 9 July 2024 To:James Fuhrer (Applicant) Re: System Inspection Site Report for: 15 Rocky Shore Road, Town of Queensbury, NY (Site Address) As requested, the Town of Queensbury's Building and Code Enforcement Department has made an inspection of the wastewater system components serving the property referenced above. All system components have been found, and are noted in the System Inspections Findings Worksheet. Inspector's observations: The system appears to have functioned adequately under past and present loading. There can be no assurance or guarantee of future performance for any period of time. Numerous factors, such as household water usage, leaking toilets, soil characteristics and seasonal ground water table fluctuation, as well as owner failure to manage and maintain the system, will affect its performance. This approval is valid for five (5) years from9 July 2024, the date of the inspection. Sincerely, A John O'Brien, Director Budding & Codes Enforcement Town of Queensbury /kd Revised August 2023 c k yz im T X,'.• \T v �* ,k,', q � .., ",,,,�',,, \ • ' :.J• wee L @ ww3 ;; �'y i � WASTEWATER SYSTEM DESIGN - a b �- 6-BEDROOM RESIDENCE LAKE ­",-Z�, r T DESIGN FLOW - 110 GPDjBEDR00M �T Tr � ffT �' � .; - SYSTEM DESIGN FLOW - 660 GPO .. I'lI , , _\__ I— tea.... - `z`..: • SEPTIC TANKS - TWO- 1,000 GALLON T Gib_J7 ` , ./ EIGHHOR ING PRECAST CONCRETE RESIDENCE PUMP STATION - 500 GALLON PUMP STATION SITE SOILS DATA I x �„ _. '^� 'z" a ram.. k. v UPPL �r 1 . \ fi.7 WATER LEACH FIELD - PtPE-IN-STONE ABSORP7fi0N BEDS TEST PIT s � T �T< I I AK EXISTING BUILDING SEWER TO BE RATS AP PO . �� ' 1.5' )N ELEVATION FROM tM7H/N BASEMENT. GUT IN MOUND CONFIGURATION TP-1 - 0811812023 BY TOM HUTCHINS, P.E. �� y ;` :. �� �r — 1r «,'.. . ,r 1 -e a 4�A .� „ - AND GROUT NEW PENETRATION IN BLOCK WALL DESIGN PERCOLA17ON RATE 1 5 MINI 0-iD - WOO UFF ORGANICS FRACTURED �� � - / , 'FOR NEW 4" BUILDING SEWER - D D j j '' �, , 4- APPLICA77ON RATE 0.95 GPDjSF BOULDERS , w s � ti , , j. �o ABSORPTION BED AREA REQUIRED 695 SF X� ' 10-32 - MED. BROWN SILTY FS, 50q BOULDER I I'llx, y , ..,. e \: o INSTALL 20X35 BED IN GRANULAR FILL MATERIAL. T � " -�-- 1+- o ROOTS.ENTIRE DEPTH .,/ „�,, NEIGHBORING 1,250 �. 4� .`v o POTABLE WATER SUPPLY IS LAKE GEORGE. �' '` � r, , GALLON SEPTIC TANK " ° .____ %, ,' t " sae - ", - _ a w s ,r r` c . . •,/ GROUNDWATER 0 22 �,. r f : — XIS77NG WASTE ATER ANKS AN PUMP S A77ON TO BE REMOVED AND REPLACED MAINTAIN 10' BETWEEN WATER SUPPLY LINES � � � ) PROVIDE 36 VERTICAL SEPARATION TO " ` AND ALL WASTEWATER SYSTEM COMPONENTS BOUNDARY CONDITION �, \\ � \ ..) � %,, I ��.,� ,� " NEIGHBORING GRINDER 15d \ � ��_,,, I ", 11 T w �� : ,�: �- \ PUMP ASSEMBLY 1 \ 2011 0 4 \ 1­1DUAL J00 GALLONL /N LANDS NjF OF —�-- —� - --� -, -' :- -F_., ; , , vs SERIES SEPTIC TANKS MARY CAROL & DAVID R. WHITE T ': , ,1'T SITE LOCATION �� LOCATION MAP �` 5 5 5 1 500 GAL PUMP STATION Y� r k IN 7RAFFIG RAZED MANHOLE I J�-2 5 q 2 5 eri �,,• _ 1111111�I'llT t � . z f � ✓ . ' SYSTEM INSTALLATION NOTES NEIGHBORING P 5 g /STING FORGE MAIN l NEIGHBORING y"', ; v , \ SIDENCE % `T` , 0 TO BE 71ED INTO \ ABSORPTION FIELDS f -"' � ' .- CONS7RUC77ON SHALL BE AS SHOWN ON THIS DRAWING AND IN ACCORDANCE WITH THE N.Y.S. DEPARTMENT RE PLY a �� � ," m o 1 E WATER SUP ;, �� f '. , OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS AND ASTM F481 INSTALLATION OF THERMOPLAS77C PIPE AND LAR � / ° \ ✓'s s f ✓ ✓ CORRUGATED 71181NG IN SEPTIC TANK LEACH FIELDS. �'� � � � '' 11 '✓ ' ���� AFTER EXCAVATION OF TRENCHES TO THE DEPTH REQUIRED, THE WALLS AND FLOOR OF EACH TRENCH SHALL DECK SA ��z —' s r � �; m �� 11 .14. BE CLEANED AND RAKED IN ORDER LOOSEN SMEARS ECTIDN OF TRENCH v �� — -,A � K� ✓ TO L D S S ���T" ` �` as,, V �-.-' .i 'r �+ ``,� ,r '` " - s ' x f t ✓ i ✓ ✓ 11 m - PLACEMENT OF AGGREGATE SHALL BE AS SHOWN, AND CARE SHALL BE EXERCISED TO AVOID INCLUSION OF -� ���� \ , y , FINE GRAINED SOILS AND WASTE MATERIAL IN THE ABSORP770N TRENCHES. p �, �� \ �. NEIGHBORING 1,000 35' ✓ ✓ , � GALLON PUMP STATION �•K• " THE PIPING SHALL 8E LAID AT THE GRADES INDICATED, MAINTAINING STRAIGHT CONTINUOUS GRADES WITHOUT o �� --- : SAGS, HUMPS, SEPARATED JOINTS, OR OTHER UNSUITABLE CONDITIONS. — A `,,T NEIGHBORING 500 G Nr' GALLON PUMP STATION \ " " " '� _ , 'r,"- 11 ,�-, ✓ ✓ , ✓ ' , ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND DIVERT SURFACE RUNOFF AWAY FROM THE ys' asapMENr ALTROCKY 4" PERFORATED PVC �; 1 DISPOSAL FIELD. -777 �„ SHORE ROAD LATERALS INSTALLED �� ✓ � � x ��� a� �, o A NEAR LEVEL IN BED '�` � %".� DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION AREA AFTER TRENCHES HAVE BEEN INSTALLED. \ .11 1 i CF E:�TSi7NG PAVEFiQJT o ,U�; , �, -o o CONFIGURATION ✓ If 7 \ 7c�c- 4 " '' THIS SYSTEM IS DESIGNED FOR WATER CONSERVING FIXTURES AND IS NOT DESIGNED TO ACCOMMODATE . ♦ ­11, r � � �� T' EXTREME WATER USE OR EXTREME ORGANIC LOADING DEVICES SUCH AS JACUZZI TYPE SPAS OR GARBAGE \ - PROPOSE 1-1 2 H PE ��s - k = ;' GRINDERS. S. SDR-11 FORCEMAIN o _ ` A \ a, z LIMIT OF 20x35pgING 1 \ � STONE BED ", 'i ,� , � I Z I "I ;,,­,­, ROOF, FOOTING, GARAGE, CELLAR AND SURFACE WATER DRAINAGE MUST BE EXCLUDED FROM THE wE1G�RIyE � �flE° � V ��', WASTEWATER SYSTEM. r r r / 11 �0\ , 4 t � �1 z r5'' `� SYSTEM MATERIAL SPECIFICATIONS OF s;. r s s t v ) �) k) ti) c ♦ .�� GG TENNIS t LANDS NjF OF �` x D P; y ABSORPTION FIELD A REGATE -- \�, � - \ �"-„� : 11 fi DIAMOND GIRL 72, LLC 4" PVC EFFLUENT SEWER PROPOSED STONE IS TO BE 3/4" TO 1-1/2" WASHED CRUSHED STONE, TRANS177ON 1-1 j2 FORCEMAIN EFFLUENT FILTER w�,\� "� P OWED D-BOXIII " DISTRIBUTION BOX a ,_ �' T o 1 11 , 41 ����, r ` g TO 4" OUTSIDE DISTRIBUTION BOX EFFLUENT FILTER TO HAVE 1 j16-INCH FILTRATION, POLYLOK PL-122 OR EQUIVALENT r 1 Q r s EFFLUENT SEWER PIPE \ \ ,- ,,,, r r \ c� �� �'( �� E `t� � ` , a PIPING TO BE 4" SDR-35 OR SCHEDULE 40 PVC. INSTALL WITH 118" PER FOOT MINIMUM SLOPE. � v v - r . % IE COy ; °����> �,y y,, MOUND ABSORPTION BED PLAN FORCEMAIN 211, \ NEIGHBORING 1,250 e� X �� �s ,� ;y� SCALE:NTS PIPING TO BE 1-112" SDR-11 HOPE, PROVIDE POS177VE DRAINBACK TO PUMP STATION. �'-o GALLON SEPTIC TANK 1 c r � ` T T FILTER FABRIC 2 0 . 20 x 35 r ��3% 'c,,� PIPE-IN-STONE / 'T T:. FILTER FABRIC TO BE 4.8 OZISY NON-WOVEN SEPARATION FABRIC, TENCATE MIRAFI 140N OR EQUIVALENT. q0 NEIGHBORING 15 X35 ♦ I ABSORPTION BED EXISTING SEEPAGE / � HOUSE SEWER PIPE ABSORPTION BED 1 INSTALLED IN PIT TO BE REMOVED 1v` \ STABILIZED FILL, / '� r 3 PIPING TO BE 4" SDR-35 OR SCHEDULE 40 PVC. INSTALL WITH 1 j4" PER FOOT MINIMUM SLOPE. \,,Cj,-,:�,, 0 F T r 11 F SHALLOW TRENCH FILL MATERIAL , 1 " MI MATERIAL TO HAVE SIMILAR PERCOLATION RATE` TO EXISTING IN-SITU SOILS. NO PARTICLES GREATER THAN J . o♦o. 1 ABOVE p� EXISTINGrT " / \ ) ,z SEE "SHALLOW TRENCH FILL MATERIAL NOTES." o� TOPSOIL \ - �� l `��cr / / `z 24' MIN. IN107H OF TOP OF SYSTEM FILL PLACE 4" MINIMUM TOPSOIL OVER ENTIRE BACKFILL AREA. SEED, MULCH, AND ESTABLISH TURF ,,� \ r / �� �; T 43' MIN. LENGTH OF BOTTOM OF SYSTEM FILL ♦. l �� �� . / / � �,­ z � ��� / � � � ' 12" OF 314-1j" FILTER FABRIC X. � �F �� ,��I" WASHED CRUSHED STONE MIRAFI 140N OR EQUAL d Q / ��s ���� ��� LANDS NjF OF '���0� ABSORPTION BED OVER TOP OF STONE CHARLES GALES ♦ ��� ., 3' TO TOP 3' TO TOP 1 /� / awL ,� 9 10 MIN. TAPER OF TAPER 20' BED WIDTH OF TAPER 10 MIN. TAPER / " - ' 5' TYP. PIPE 2.5' 7YP 11 ' SPACING 6" MIN COVER AT "4 TOPSOIL ON ENTIRE FILL AREA, \ \ �/ / 1. EDGE OF MOUND SEED AND ESTABLISH TITRE ♦ // ♦�/ ' e. / / 1 MAX 3 10" MAX COVER LANDS N F OF 1 ` �"'-- " - ,--.�. ---�,. .�, .- --r T-'-� ,.Y. - -.�.+ .:.,.., s.�.� ,.. :... � '"� I , SLOPE , � '( �.�^ t R--"' )""� j X .. r .,uF , DIANE H. MATTHEWS, TRUSTEE � �±+ v. X - ��...t. �,..1;, , � . �. ._ �,. x zz_ 1 -... �. 12 MIN ABOVE ..'���_ � X Z , _­ I'll - :.:,6 MIN STONE , . ♦ _,.:: ".. ..._; APPROXIMATE NA77VE GRAD.:.. 4 .. ...............': .: ... .. ........., ,......... ... r / :::......:. .i....v.u .......- ........�. . .-... :..:.:., S.. ...>.. .,, : ,,,. EXIST. GRADE 1­ 1BELOW PIPE - 3 MIN. . r . / l ,: .., , ..,,,.. 3: I'll —�,,,,P;�;.,.�,�.. �..: BOUNDARY CONDt TlON AT 22 a, / — . . _11 111-­1 77 : : 11 ­11- 111­ ­111 1. 1. '111, - Za11:1I. rr . I z y f it Z _.... ?r . �'r s I'llr / r\ '1� ,, T��� % EXISTING ORGANICS & TOP 24" OF NATtYE 18'x35' STONE 4" PERFORATED PVC TAPER AREA - MAXIMUM SLOPE 1:3. `' / LANDS NIP OF LOAM TO BE EXCAVATED & REMOVED ABSORPTION BED LATERALS W/MANIFOLDED ENDS, SYSTEM FILL MATERIAL ALL AROUND XX h z / ' JOSHUA'S ROCK CORP PRIOR TO PLACING FILL \ jl,r .; INSTALLED LEVEL 11 r �` RECORD DRAWING TAX MAP # 239.z s-1-z r � � .: �tla INSTALLATION DATE: JUNE, 2024 MOUND ABSCJRPTION FIELD SECTION �Ig Slfely. SCALE:NTS New ®York INSTALLED BY - RICK MCGUIRE EXCAVATING ®Call Before You Dig Wait The Required Time Confirm Utility Response 1 RECORD DRAWING 612012024 WASTEWATER-SYSTEM PLAN Respect The marks IM Dig With Care SCALE: 1"=30' RECORD DRAWING NOTE: 800-962.7962 0 ISSUED FOR PERMIT 121412023 GRAPHIC SCALE A REPRESENTATIVE OF OUR OFFICE WS17ED THE SITE MAP REFERENCE: www.digsafe"ewyork.com NUMEROUS TIMES DURING CONST RUCTION AND IT IS N o. Revisions Dote 7.5 0 7.5 15 30 60 MY OPINION THAT THE SYSTEM IS INSTALLED IN 1. BOUNDARY INFORMATION FROM "MAP OF LANDS NOW OR GENERAL CONFORMANCE WITH THE APPROVED PLAN FORMERLY OF MALCOLM MJTCHELL, SITUATE IN LOTS 8 AND 10 Eo _ V I/ASTEI MATT R SYS TT M PLAN & DETAIL S AND THIS RECORD DRAWING. FINAL SURFACE FINISHING FRENCH MTN. TRACT," IN THE TOWN OF QUEENSBURY, WARREN ( IN FEET ) COUNTY, NEW YORK. DATED MAY 3, 1960. LAST REVISED R kW Ll AND TURF ESTABLISHMENT IS ONGOING. OCTOBER 12, 1960. PREPARED BY GLENN B. COULTER. 0 prepared far. CONTRACTOR TO FIELD VERIFY LOCA77ONS AND DISTANCES WASTEWATER SYSTEM SETBACK REQUIREMENTS 2. EASTERLY PROPERTY INFORMATION FROM "OVERALL & DETAILED * 4 r James & Diane Fuhrer `� 0 `'7 t - tS> G. THOMAS HUTCHINS, P.E. WASTEWATER SITE PLAN PREPARED FOR DAVID AND SALLY r- ,;� 6j22/2024 STREAM, LAKE, KELLY, DWG NO. 29904-01-S1," IN THE TOWN OF QUEENSBURY, � 15 Rocky Shore Road PROPERTY LINE HOUSE W47ERGOURSE, WELL WARREN COUNTY, NEW YORK. DATED JUNE 11, 2015. LAST Town of Queensbury, County of Warren, State of New York WETLAND REVISED MAY 27, 2016. PREPARED BY HUTCHINS ENGINEERING. SEPTIC TANK 10' 10' 50' 50' J. WESTERLY NEIGHBOR INFORMA7ION FROM "WASTEWATER SYSTEM A)r ,. Drawn: JRS/WGC/AVA Checked: G7H Scale: NOTED Date: 81312023 PLAN & DETAILS PREPARED FOR JAMES T. SEARS," IN THE op- S ,. 169 Haviland Road 4 ABSORPTION FIELD 10' 20' 100' 100' TOWN OF QUEENSBURY, WARREN COUNTY, NEW YORK. DATED11 JUNE 18, 2013. LAST REVISED DECEMBER 29, 2015. PREPARED ALTERATION OF SL ONAMENT EXCEPT 8Y Queensbury, NY 12804 292190-01 -51 BY HUTCHINS ENGINEERING. A LICENSED PROFESSIONAL ENGINEER IS A (518) 745-0307 Phone VIOLATION OF NYS EDUCATION TAW. Hutchins Engineering PLLC (518) 745-0308 Fax WASTEWATER SYSTEM MATERIAL WASTEWATER SYSTEM FILL MATERIAL NOTES W/W SYSTEM INSTALLATION NOTES ABSORPTION FIELD NOTES SPECIFICATIONS AFTER REMOVING ORGANICS & TOPSOIL, PLACE SYSTEM FILL OVER THE ENTIRE CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING AND IN THIS DESIGN UTILIZES STANDARD PIPE-IN-STONE ABSORPTION BED AREA OF PROPOSED ABSORPTION BED AND TAPER AREA. ACCORDANCE WITH THE N.Y.S. DEPARTMENT OF HEALTH INDIVIDUAL INSTALLED IN STABILIZED FILL. CUT ALL TREES, STUMPS AND OTHER HOUSE SEWER PIPE PIPING TO BE 4" SDR-35 OR SCH-40 PVC. INSTALL WITH 1/4" PER FOOT "ABSORPTION AREA SYSTEM FILL" MATERIAL SHALL BE CAREFULLY SELECTED HOUSEHOLD SYSTEMS AND ASTM F481 INSTALLATION OF VEGETATION AT GRADE AND REMOVE. REMOVE STUMPS AND EXISTING MINIMUM SLOPE SAND, SANDY LOAM OR SANDY LOAMY GRAVEL WITH IN-PLACE PERCOLATION THERMOPLASTIC PIPE AND CORRUGATED TUBING IN SEPTIC TANK LEACH TOPSOIL AND ORGANIC MATERIAL FROM SURFACE PRIOR TO PLACING FILL.EFFLUENT SEWER PIPE RATE OF 3-6 MIN/INCH AND NO ORGANICS OR OBJECTS OVER 3" IN SIZE. FIELDS. USE TRACKED EQUIPMENT FOR ALL WORK IN ABSORPTION FIELD AREA. PIPING TO BE 4" SDR-35 OR SCH-40 PVC. INSTALL WITH" 118" PER FOOT LESS THAN 109. BY WEIGHT SHALL BE FINER THAN 0.05mm. AT LEAST 25% • AFTER EXCAVATION OF 18' x 35' ABSORPTION BED TO THE DEPTH MINIMUM SLOPE OF THE MATERIAL BY WEIGHT SHALL BE IN THE RANGE OF 0.50mm TO REQUIRED, THE WALLS AND FLOOR SHALL BE CLEANED AND RAKED IN CONSTRUCT DRAINAGE SWALE UPGRADIENT OF SYSTEM IN ORDER TO EFFLUENT FORCE MAIN 2.Omm. LESS THAN 15% OF THE MATERIAL BY WEIGHT SHALL BE LARGER DIVERT SURFACE RUNOFF AROUND ABSORP71ON FIELD. PIPING TO BE 2" PVC SDR-26 OR SCH-40, PROVIDE 3' MIN. COVER AND POSITIVE ORDER TO LOOSEN SMEARED SECTIONS OF BED. THAN A 1/2- SIEVE. PLACEMENT OF AGGREGATE SHALL BE AS SHOWN, AND CARE SHALL BE DRAINBACK TO PUMP STATION BOTTOM OF BED INSTALLATION ELEVA77ON AT EXISTING HIGHEST GRADE FILTER FABRIC EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND WASTE ABSORPTION AREA SYSTEM FILL MATERIAL SHALL BE INSTALLED TO PROVIDE NEAR HOUSE (PROVIDE 36" OF VERTICAL SEPARATION FROM BOTTOM OF FILTER FABRIC TO BE 4.8 OZISY NON—WOVEN SEPARATION FABRIC, TENCATE MINIMUM OF 3—FEET BETWEEN BOUNDARY CONDITION BEDROCK, CLAY OR MATERIAL 1N THE ABSORP77ON BED. M1RAFt 140N OR EQUIVALENT. ( • THE PIPE AND STONE SHALL BE LAID AT THE GRADES INDICATED, STONE TO BOUNDARY CONDITION (GROUNDWATER, 22" DEPTH). REMOVE SEASONAL HIGH GROUNDWATER) AND BOTTOM OF ABSORP77ON BED. ONLY ORGANICS AND TOPSOIL AND TOP 2—FT OF NATIVE SOILS PRIOR TO SYSTEM FILL MATERIAL FILL MATERIAL TO BE GRANULAR SANDY LOAM MATERIAL WITH N0 PARTICLES SYSTEM FILL MATERIAL SHALL BE INSTALLED THROUGHOUT THE ABSORP77ON MAINTAINING STRAIGHT CONTINUOUS GRADES WITHOUT SAGS, HUMPS, PLACING SYSTEM FILL. GREATER THAN 3" AS DESCRIBED IN "WASTEWATER SYSTEM FILL MATERIAL NOTES." BED AREA AND TAPER AREAS. SEPARATED JOINTS, OR OTHER UNSUITABLE CONDITIONS. TOPSOIL • ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND ABSORP77ON AREA SYSTEM FILL MATERIAL IS TO BE MECHANICALLY STABILIZED DIVERT SURFACE RUNOFF AWAY FROM THE DISPOSAL FIELD. _ PLACE 4" MINIMUM TOPSOIL OVER EN77RE ABSORPTION FIELD AREA. SEED, MULCH IN 12" LIFTS WITH TRACKED EQUIPMENT PRIOR TO INSTALLATION OF AND ESTABLISH TURF. ABSORPTION BED. • g a INSTALLED.NOT USE S BEEN HEAVY EQUIPMENT WITHIN THE ABSORPTION AREA AFTER INSPECTION REQUIREMENTS INSTALLER TO N07IFY ENGINEER OF PROPOSED SOURCE OF SYSTEM FILL • THIS SYSTEM IS DESIGNED FOR WATER CONSERVING FIXTURES AND IS FILL PLACEMENT TO BE INSPECTED BY DESIGN ENGINEER AFTER MATERIAL PRIOR TO TRANSPORTING TO SITE NOT DESIGNED TO ACCOMMODATE EXTREME WATER USE OR EXTREME STABILIZATION AND GRADES HAVE BEEN ESTABLISHED, PRIOR TO ORGANIC LOADING DEVICES SUCH AS JACUZZI TYPE SPAS OR GARBAGE INSTALLING THE ABSORPTION BED. A PERCOLA7ION TEST IS TO BE PERFORMED PRIOR TO INSTALLING ABSORPTION GRINDERS. BE© TO VERIFY IN-PLACE PERCOLATION RATE IS IN ACCORDANCE WITH FILL . ROOF, FOOTING, GARAGE, CELLAR AND SURFACE WATER DRAINAGE SEPTIC TANK, PUMP STATION, PIPING, ABSORPTION FIELD COMPONENTS TO SPECIFICAAONS MUST BE EXCLUDED FROM THE WASTEWATER SYSTEM. BE INSPECTED BY THE TOWN OF QUEENSBURY BUILDING DEPARTMENT & DESIGN ENGINEER PRIOR TO BACKFILL EXTERIOR WEATHERPROOF JUNCTION BOX (IF NECESSARY). SEAL CONDUIT GAS TIGHT. INSTALL CONTROL PANEL IN HOUSE. POLYETHYLENE EXTENSION APPROXIMATE POLYETHYLENE EXTENSION ALL ELECTRICAL WORK TO BE INSPECTED BY A CERTIFIED TO GRADE WITH TAMPER RESISTANT FINISH GRADE TO GRADE WITH TAMPER RESISTANT ELECTRICAL INSPECTION AGENCY PRIOR TO START-UP OF PUMP ACCESS COVER ACCESS COVER TEE BAFFLE STATION. 12 MIN. TRANSITION TO 4" 12" MIN. COVER COVER DISTRIBU77ON BOX OUTSIDE OF D-BOX 2- 4" PVC SDR-35 a a. ° 1/8 PER FOOT ° ° . ° ° 1/MlNp S� T "SLOPE INLET a . °Q a . . MIN. SLOPE IEEE 2" BAFFLE LIQUID LEVEL OUTLET 4" PVC SDR-35 -- a ` MIN. SLOPE LIQUID LEVEL 4" EFFLUENT SEWER : 1-112" USE SPEED LEVELERS TO ASSURE 2'M/N. 1/4" PER FOOT FORGEMAtN ALL OUTLETS ARE AT EXACTLY 96" 1$" 16" THE SAME ELEVATION MIN. 18" SEAL (TYP) � 2""MIN. DROP WATERTIGHT SLEEVE AND MIN. BALL VALVE 4" PVC SDR-35 SOUD H EADER TO BETWEEN INVERTS d ABSORPTION LATERALS, 1/8" PER w ? Q FOOT MIN SLOPE ALARM 3 ABOVE ©� ° w ? Q 'PUMP ON' ' a 1,000 GALLON PRECAST o "� �D ©o ,a CONCRETE SEPTIC TANK PUMP ON 1-1/2" SCH-40 PVC OR GALVANIZED PIPING PUMP STATION NOTES INSIDE WET WELL THROUGH WALL MINIMUM 2X WIDTH SEAL ALL TANK OPENINGS WATERTIGHT. MAXIMUM 4X WIDTH MINIMUM 2X WIDTH PUMP OFF MAXIMUM 4X WIDTH a ? ; • UNION - LOCATE SUCH THAT UNION PROVIDE AND INSTALL UL LISTED PACKAGED PUMP $ ° 16" MIN.° AND AUDIBLE ALARM. CAN BE DISCONNECTED AND PUMP iN�TTR�L SIMPLEX,PANEL �DEMANDTN A DOSE CONTROL PANEL a a a ° . a a VOLUME OF DOSE TO REMOVED WITHOUT TANK ENTRY a BE 80f GALLONS INSIDE HOUSE IN ACCESSIBLE LOCATION. SEPTIC TANK NOTES 1,000 GALLON PRECAST CONCRETE PUMP STATION • ' REDUCING TEE POINTED DOWNWARD WITH 1" INSTALL POWER & CONTROL WIRING TO CONTROLLER KITH ALARM IN HOUSE /N ACCORDANCE W17H ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK STATE DEPARTMENT 4'0 PRECAST BALL VALVE THROTTLED TO ALLOW TRICKLE MANUFACTURER'S INSTRUCTIONS AND NA77ONAL OF HEALTH AND SHALL BE OF PRECAST CONCRETE AS MANUFACTURED BY UTOPIA FLOAT SWITCHES — (CONCRETE PUMP STATION DRAIN BACK INTO WETWELL ELECTRIC CODE N.E.C.) REQUIREMENTS. ENTERPRISES OR EQUIVALENT. INSTALL INSIDE PUMP PIT TRAFFIC RATED WITH CAST IRON M`THOUT PIT ENTRY LOCATION ACCESSIBLE FRAME AND COVER BALL CHECK VALVE PUMP CONTROL AND FLOAT LEVELS TO BE ADJUSTED WI ALL STRUCTURES SHALL BE PLACED ON FIRM, COMPACT SAND OR GRAVEL BASE. WHERE INSTALL FLOAT SWITCHES To TO PROVIDE A 80 GALLON DOSE. EXISTING SOIL COND177ONS ARE UNSUITABLE, CRUSHED STONE SHALL BE PLACED AS OPERATE PUMP AND MAINTAIN DUPLEX PUMPS NECESSARY TO ACHIEVE A STABLE BASE. LEVELS AS INDICATED LIBERTY FL102M-2 ALL ELECTRICAL WORK TO BE INSPECTED BY A 23OV, DUAL PUMPS INSTALLED CERTIFIED ELECTRICAL INSPECTION AGENCY PRIOR TO SEP77C TANKS INSTALLED 1N TRAFFIC AREAS SHALL BE OF EXTRA HEAVY CONSTRUC77ON VERIFY EXISTING HIGH LEVEL START-UP OF PUMP STATION. DESIGNED FOR H-20 WHEEL LOADING. ALARM. REPLACE 1F NECESSARY. ALL JOINTS MUST BE SEALED WITH BUTYL SEALANT: JOINTS BELOW THE LIQUID LEVEL MUST BE TESTED BEFORE BACKFILLING. SEPTIC TANKS AND PUMP STATION IN SERIES DETAIL SCALE: NIS Dig ® Safely. New York EM Call Before You Dig Wait The Required Time EM Confirm Utility Response EM Respect The MarksEM 'Dig With Care 1 RECORD DRAWING 612012024 800-962■7962 0 ISSUED F R P MIT 12/4/2023 www.digsafelyrmwyork.com No. I Revisions Date OF N �: M DETAI SHEET prepared for: James & Diane Fuhrer s l; 15 Rocky Shore Road Town of Queensbury, County of Warren, State of New York °a 067879 Drawn: JRS/WGC/AVA Checked: GTH Scale. NOTED Date: 81312023 aS 169 Haviland Road ALTERATION OF 0 UMENT EXCEPT BY Queensbury, NY 12804 2921 90-01 -SG A LICENSED PROFES ONAL ENGINEER IS A (518) 745-0307 Phone VIOLATION OF NYS EDUCATION LAW. Hutchins Engineering PLLC (518) 745-0308 Fax