1991-183 -•r
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CERTIFICATE. OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date /1�1 i 45 19 4/
This is to certify that work requested to be done as shown by Permit No. 91-183.
has been completed.
This structure may be occupied as a Septic Alteration
Y ration Cor of Lambert & Eloper Sherman Ave.,
Owner Arthur Colchester
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. &Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 91.183
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Arthur Colchester
OWNER of property located at Cor of Lambert & Upper Sherman Ave_ Street, Road or Ave.
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
Condon's Septic
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3. CONTRACTOR or BUILDER'S Address r+
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
—a.
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6. TYPE of Construction—(Please indicate by X) a
-I.
( )Wood Frame ( ) Masonry ( ) Steel
7. PLANS and Specifications
Septic alteration to include:
No. 250' Tile Field with #2 stone as per plot plan specifications
and application
8. Proposed Use
Septic Alteration
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 11, 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 nth, Day of April 19 91
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
1�� TOWN OF QUEENSBURY
# APPLICATIOn FOR SEPTIC DISPOSAL PERMIT
lrpw TOW alp •AI s E �
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DATE: V-' /[> 7 f 1
LOCATION OF PROPERTY FOR INSTALLATION ol-AR B A ar 199i
Owner' s Name:A-4, ) b U Y Co d C' hs,s G gA 793 —3 z V& r -
Address: C96'0 kblrh 2 % U4A t7 er127 a1 lb ti
Installer' s Name: avc-foNS Telephone: 7Fe- 5c(2
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom) 1.<0
Topography: Circle one: copRolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? lZ/,cf Feet
Bedrock or Impervious Material : At what depth? IV}i Feet
Percolation test: Circle one: not required required
Rate - Min. Per Inch
Domestic water supply: Circle one: Municipa) Well Other
If domestic water supply is a well : -
Separation: Water supply from any septic absorption feet.
�Rl �}c c5 HAY
PROPOSED SYSTEM: Septic Tank/poo gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench cc feet/Total system length DSO feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used #'. 2i /Depth or Thickness feet
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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: 100, (aaAteAryN, DATE: r9 -"J / //
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.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 to 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 structures
4.) location and distance to any water supply.
5.) size and dimensions of all tanks, distribution boxes.
cile fields anal/or drywells
B. No system shall be covered before inspection and approval by the
Building Inspuctor. 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 •
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resulc in an immediate work stoppage..
D. Should unforeseen problems during construction prevent proper installa—
tion, alteration or 'repuir of an approved system. a new proposal must
bu 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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BUILDING and ZONING DEPARTMENT •
Bay and Haviland Road, R.D. 1 Box 98 , )//
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
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LOCATION 47 �M(A.,, 0I .fie,.�1/4)_
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DATE 4 / ,% \PERMIT NO. g/J/ff
SOIL TYPE _cia d' Loam - Clay -
Percolation Test Rquired? YES -I0
Percolation rate -\ in/Inch
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TYPE of SYSTEM:
Absorption field, total length qo .
Length of each trench \if?) /
Depth of trenches ' ,- /
Size of gravel \ /
SEEPAGE PITS-ENumber of) \ /
Size- ft. X ft. \ / •
Gravel size \ /
PIPING: Size Type
Bldg. to tank gjcl
Tank to dist. box c /'vim
Dist. box to field/per - rt
Openings sealed? YE ,/ NO Partial
LOCATION/SEPARATIONS: / •
Foundation to tank (-aS r ft
Foundation to absorption S.3 ft.
Absorption to lot line -- ft.
Separation of pits ft.
LOCATION OF SYSTEM N• PROPERTY(circ e one)
Front - Rear - Left side - Right si. - -
COMMENTS: ot� ( Fl-� � �`a.!,
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SYSTEM USE APPROVED, Y S 6/0 / /
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Bu'l. g Insp-ctor •
01/86 and vl
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LE -7- D . .793-31`-f 2 ILL GRANT 4 aE., - 9 - ES-c0....
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