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1991-856 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date December 31. 19 11 This is to certify that work requested to be done as shown by Permit No. 9/-''56 has been completed. This structure may be occupied as a Septic Alteration - • Location 37 Edge=;t Drive Owner Gary J. OnConnav By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement yr' z -BUILDING PERMIT TOWN OF QUEENSBURY 3 No. 91-856 .fl WARREN COUNTY, NEW YORK - o PERMISSION is hereby granted to Gary J. O'Connor OWNER of property located at 37 Edgewood Drive Street, Road or Ave. ro in the Town of Queensbury,To Construct or place a Septic Alterations 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. e� 0 1. OWNER'S Address is Same `D Y 2. CONTRACTOR or BUILDER'S Name Sidney Timms 3. CONTRACTOR or BUILDER'S Address CD e+ 4. ARCHITECT'S Name et 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No- Septic Alteration to include 2 seepage pits each 8' x 8' using #2 stone as per plot plan specifications and application 8. Proposed Use Septic Alteration $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 19, 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 19th D y of ,/ December 19 91 SIGNED BY Z&/..� i l/ � for the Town of Queensbury Building and Zoning Inspector 74- 44 ° Aft 'tag TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # 9 -857C Fee Paid ,7,5 - Date: //—//-9/ Reviewed By LOCATION OF PROPERTY FOR INSTALLATION: 37 EZ)C�8"600eDip ap{j'/(J, Owner' s Name: /,12y ©'C©A,/,t/0/j Owner's Mailing Address: .3; P LPJ O..O Installer' s Name: S/p/yey i/4144 s Phone #: "7,2- /I Number of bedrooms (if residential ): 3 ,gR 'S Total daily flow (residential-compute @ 150 gal . per bedroom): 43 ? Topography-Circle One: 'Flat Rolling Steep Slope % of Slope EZ.47— Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? / —/Z Feet Bedrock or Impervious Material-At What Depth? /1/0,/251. 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 we-VT-- Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank /f�O. gal . (Minimum size: 1,000 gal . ) ,(Y/5%/mac. TiTe Field: Each Trench feet//Total System Length feet Seepage Pit(s): Number of (7 z.) / Size each: (. ft. x ft. ihi44 .4 a S Size of Stone to be used: # / Depth or Thickness feet (07- X ) ************** 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: DATE: / /7 9/ 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, tile fields and/or drywells B. No system shall be covered before inspection and approval by the Building Inspector. 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 to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks: . • pi awn of Queensbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME (2_.:-vor ( LOCATION .3 7 4)13c2�II.uo--- ') hf`I 't c DATE L� /4PERMIT NO. q 1 85 SOIL TYPE - Sand - Loa - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total l,eng•I Length of each trench Depth of trenches ` • Size of gravel_' SEEPAGE PITS*Number of) ' ;1 / Size- (� ft. X _' ft. r,S{�jte Gravel size •-tf' 5+ PIPING: Size Type Bldg. to tank Tank to dist. Dist. box to :eld/pit c' Openings sealed? flp , NO - Partial LOCATION/SEPARATIONS: Foundation to tank (.‘ft. Foundation to absorption 0 ft. Absorption to lot line I2 ft. Separation of pits C r ft. LO ,TION OF SYSTEM ON PROPERTY(circle one) ront Rear - Left side - Right side - Co' ENTS: 4ivvY SYSTEM USE APPROVED YE NO Bu',-iding nspector 01/86 mdvl �a_ TOWN' 01 U Ry in 0 M (D R E V IL' D LD; Y DATE law CD ?o .96 of -000 00) Ca r— 'D > 4) m 2 V) 175.85' 'o 0 0 S Lot No. 11 37 Edgewood Drive O Queensbury arvis raohics SEPTIC SYSTEM GLENS FALLS, N. Y. 1CIUNIWD 12-17-91 DRAWN J;6, o&Wa.JW.MA Y4&*1110" JDA-M PLOT PLAN lemscim; , I Mr. sn",