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1991-730 7 �' A CERTIFICATE OF COMPLIANCE TOWN OF QUEENSB.URY WARREN COUNTY, NEW YORK Date tf O .J // 199/ This is to certify that work requested to be done as shown by Permit No. _ 91-730 has been completed. This structure may be occupied as a Septic Alteration Location 120 Aviation Rd Owner Donald Sokol By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement _ r BUILDING PERMIT TOWN OF Q U E E N S B U RY No. 91-730 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Donald Sokol OWNER of property located at 120 Aviation Rd 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 0 2. CONTRACTOR or BUILDER'S Name 4-3 Condon's a) 3. CONTRACTOR or BUILDER'S Address 4-3 .r. a) V) 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction-(Please indicate by X) 0 +� ( )Wood Frame ( ) Masonry ( )Steel ( ) rt 7. PLANS and Specifications Septic Alteration to include: No. 1500 gal . Tank with one seepage pit 8' x 10' using #3 Stone, 2' Thickness as per plot plan specifications and application 8. Proposed Use r-. Septic Alteration b 0 35.00 PERMIT FEE PAID -THIS PERMIT EXPIRES October 15, 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.) 0 t/) Dated at the Town of Queensbury this-l5th Day of October 19 91 SIGNED BY 71,' for the Town of Queensbury Building and Zoniq Inspector X F- 7 ��- TOWN OF QITJIh ��Q,��UItvII0ISSUR`r APPLICATION FOR SEPTIC DISPOSAL MP Permit # - 1 ^o Fee Paid, 7- — 3 ,0 . tOCT11991 Date: /0;4 /•n:` �� / BLDO. & CODE DEPTReviewed By LOCATION OF PROPERTY FOR INSTALLATION: ( 2,o /LVt/A-rcaty R-10. Owner' s Name: boLDAL ) _; D L • Owner' s Mailing Address: 1 _ci Av .k-rio0 R,b. - rj.caEc.Nssug,y Klr( /270,f Installer' s Name: CoN,bol.;S 561e-r-(� Phone #: 'IJ ?rvt.- Total Daily.flow- 280GPD (Based on 8 day workers @ 35 GPD.per person Required absorptive area--- 250 s.f. for 300 GPD. . • 1 - 8ft.X 10ft Seepage pit reqired per Septic Ordinance Topography-Circle One:CF1, Rolling Steep Slope Y. of Slope vt. r r 1 Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? N/A Feet Bedrock or Impervious Material-At What Depth? N/A Feet -g. ' Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch, . V Domestic Water Supply-Circle One: Municipal Well Other v N. w If domestic-water supply is a well - r� Separation: Water supply from any septic absorption N/A feet 8 PROPOSED SYSTEM: Septic Tank ilrt gal.. (Minimum size: 1,000 gal . 3 Tile Field: Each Trench et//Total System Length Gees Seepage Pit(s) : Number of one / Size each: 8 ft. x 10 ft. :� -a ��_ Size of Stone to be used: # 3 / Depth or Thickness 2 feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks . Size of Each Gal . Alarm system and associated electrical work to be inspected by a 'certified 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: 4 DATE: lo,0/ NOTE: Information on absorption area requirements taken from New York State Health Dept. '.'STANDARDS FOR WASTE TREATMENT WORKS" Vic Lefebvre i / 44- 1Cd Down of Queen bur i 4�Jyy? • BUILDING and ZONING DEPARTMENT . ./- Bay and Haviland Road, R.D. 1 Box 9�. •Oueensbury, New York 12801 SEPTIC DISPOSAL SSYYSS/TEM INSPECTION NAME G/�`6i1 /K aI i- . LOCATION ! 7) /IL(a j/ th'1 ,1 DATE JO)//// P, PERMIT NO. 9/`7 jJ SOIL TYPE - Sand)- Loam - Clay - Percolation est Required? YES NO Percolation rate - Min/Inch (5L_ SY TYPE of SYSTEM: Absorption field, total length Length of each tre ch ' ivl_../A_ Depth of trenche Size of gr , SEEPAGE PITS{Number ''of) ' / Size- ?ft. X JQ .t. 4 Gravel size , - -344 9t?f�-114. PIPING: S'ze,,� Type Bldg. to tank ,, SCj{ 'f 0 Tank to dist. box 6,4 ' . )11 C_- Dist. box to fr. ed/pi \IP f)/ Openings sealed? 20 NO Partial LOCATION/SEPARATION': Foundation to tank k /Q f t. ,j-. Foundation to abso ption • o ft.y-- ,Absorption to lot ine /`t' ft.I- Separation of pit ,A4 4ft. LOCATION OF SYST ON PROPERT'i(circle one) Front - Rear - L ft side - fight si ej COMMENTS: y 11 0--i30x i atz,ru;-uz -�->:(3/ v5(OA1 f I i a SYSTEM USE APPROVED E- NO a t d . n Bui ding I'spector ((()..( 01/86 and vl SOKOLr S Qvs - c :U7 /447' r `a. a Av?j ROA) RD - -79 - 3777 , Zz R/tomi ,4VE .- 795 gs VL OuE,c.ivs3py . 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