1991-841 4. �` �^ .. -• r it > .,_. -"N �V' -"" :+J r.f"�.iY ` r
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
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WARREN COUNTY, NEW YORK
Date 1 9190ll44-t /G) 19 Q/
This is to certify that work requested to be done as shown by Permit No. 91-841
has been completed.
This structure may be occupied as a Septic alteration
Location 24 l400rwood Drive
Owner Arthur & Sandra B1n1ey
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY a
No. 91-841
WARREN COUNTY, NEW YORK
In
PERMISSION is hereby granted to Arthur & Sandra Binley C
Co
OWNER of property located at 24 Moorwood Drive 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
rD
Condon's Septic & Drain Service
3. CONTRACTOR or BUILDER'S Address
110
col
4. ARCHITECT'S Name
5. ARCHITECT'S Address
3
0
6. TYPE of Construction—(Please indicate by X) 0
0
( )Wood Frame ( ) Masonry ( )Steel ( ) O
a
7. PLANS and Specifications a
No. Septic alteration to include: 2 seepage pits each 8' x 8' using fD
#3 stone, Thickness 2' as per plot plan specifications and application
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8. Proposed Use rD
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Septic alteration
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$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 6, 1993
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the LT
town of Queensbury before the expiration date.) O
Dated at the Town of Queensbury this 6th Day of December 19 91
SIGNED BY for the Town of Queensbury
Building and Zoni nspector
I . TOWN OF QUEEa •• . RY 1
}�� APPLICATION FOR SEPTIC DIS�!t,�r.l ''ERMIT
btu 11._-641
DATE: 1)-- `
LOCATION OF PROPERTY FOR INSTALLATION Li MO ID A w (JOG/ D
Owner' s Name: Ait1 fV "t 4/opzA 3 ki/cy
Address: 2.k/ 1%OOaQWooJ � . OF QUEENSbL.
t-a=t,chvED
Installer' s Name: 00/1i.7)c3ru(S G4„NW/ / SE&Telephone: 798°-8SVZ.
Number of bedrooms (residential only) 3 DEC 5 1991
Total daily flow (compute @ 150 gal per bedroom) f,J''/Q nqna & CODE DEPT.
Topography: Circle one: gillIO Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? lv/P) Feet
Bedrock or Impervious Material : At what depth? OV1/21 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.
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PROPOSED SYSTEM:' Septic TankJOCO gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench feet/Total system length feet
SEEPAGE PIT(S): Number of /Size each F feet
by feet
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Size of stone to be used #. /Depth or Thickness feet
*****************************
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:4PC-CV 3/.4411,we DATE: �' ' 31 l/
Septl4 System Inspeccions:
A. All applications for septic system installation. alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
bd submitted co the Building Department at least 24 hours before start
of construction and shall include a plot plan shoving:
1.) the proposed location of cho system
2.) location and distance co lot lines
3.) location and distance co structures
4.) location and distance co any water supply
5.) size and dimensions of all tanks. distribution boxes,
cile fields and/or drywalls
B. Nu system shall be covered before inspection and approval by the
uuilding Inspuccor. Failure to comply with this requirement may
result in the uncovering; of cha system by cha installer and a fine
of up co $250.00.
C. An approved copy of the plot plan shall be available on the construction
'ice. Failure to produce said plot plan at time of inspection may
rusulc in an immediace work stoppage.
D. Should unforeseen problems during construction prevent proper inscalla-
cion, alteration or repair of an approved system. a new proposal must
be submitted co the Queensbury Building Department before further
couscruccion.
Town of Queansbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
l.:marks: .
•
Jown of Queentup
• BUILDING and ZONING DEPARTMENT',
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME (i A 1) A d-�5 ridVck
LOCATION j,� X)r to c('
DATE _ r / /0 PERMIT NO. 9 /-siti
SOIL TYPE Sand Loam - Clay -
Percolation 5 Required? YES - NO
Percolation rate - Min/Inch
•
TYPE of SYSTEM: 1 '
Absorption field; total length
Length of each trench'
Depth of trenches, 1
Size of gravel \
SEEPAGE P S{Nuinbex� of) .�t
Size- ft. X 0'�.- ft. ,I
Gravel size , .� \
PIPING: @ S'ize , Type
Bldg. to tank
Tank to dist. box ?S/
Dist. box to field/ppift g fW
Openings sealed? • YES \NO Partial
LOCATION/SEFARATIOS:
Foundation to tasng - )9 ft.
Foundation to aboorption ft.
Absorption to loh. line ,ft.
Separation of pits , ft.
LOCATIO/1,DF SYSEM ON PROPERTY(circle one)
Front Rea - Left side - Right side -
COMMENTS:
•
•
•
SYSTEM• USE APPROVES NO
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• Builing Ins ector
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. REVIEWED BY
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