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1993-005 r ti ,. y .:rJ t r rJ.- ..r., _.r icy . .lJ` v r 1Y+}•M'^L..--� u.-.- .. .. - - CE ICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK '• Date (1L1a fj 19 q • SO) -Si This is to certify that work requested to be done as shown by Permit No. 93-005 has been completed. This structure may be used as a septic system Location 28 Buena Vista Drive Owner David Daley By Order of Town Board TOWN OF QUEENSBURY Director of Building & Code Enforcement --I BUILDING PERMIT TOWN OF QUEENSBURY No. 93-005 WARREN COUNTY, NEW YORK =� PERMISSION is hereby granted to DAVID DALEY OWNER of property located at 28 Buena Vista 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. r- 1. OWNER'S Address is m -< same 0) 2. CONTRACTOR or BUILDER'S Name Steven Harris 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name Co co CD iv 5. ARCHITECT'S Address 1- C t=i 6. TYPE of Construction-(Please indicate by X) -5 J. fD ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. Septic alteration to include 200 feet of tile field as per plot plan and application. 8. Proposed Use Septic system m 25.00 January 7 95 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the [D town of Queensbury before the expiration date.) .5 fi Dated at the Town of Queensbury this 7th Day of J nUary 19 93 SIGNED BY for the Town of Queensbury Building and Zoning Inspe r 01111144 19 5 ` ." TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERM T Permit Fee Paid Date: ( /1-17/42-- Reviewed9 By LOCATION OF PROPERTY FOR INSTALLATION: r 4k/- / t 7- e vev7q - OLIEEP,ISbL. Owner' s Name: /0i4(11-rJ /09/Q y Owner's Mailing Address: cf &wide ; i _ tha, ufloy Installer's Name: ,c 0h /(/a.r-,', 5 Phone r#,: 79 —5 -09 & BODE DEp a Number of bedrooms (if residential ): Total daily flow (residential-compute @ 150 gal . per bedroom) : Topography-Circle One: _lat Rolling Steep Slope % of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At What Depth? Feet Percolation Test-Circle One: No R fired equired/Rate Min. Per Inch Domestic Water Supply-Circle One: unicipa� Well Other If domestic water supply is a we 1 - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 7D feet//Total System Length Zoe) feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # Z / 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 o Qu sbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: j 7 L 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: z�� e 2IT 1/( iS Jown of Queen iburcy 7 • BUILDING and ZONING DEPARTMENT Bay and Haviland-Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION NAME lietget, 9 , • LOCATION to.l0/Y,2Q-, ,J . DATE j tr /9_ PERMIT NO. 9y - 006 SOIL TYPE nd Sa - "Loam - Clay,,- - Percolatio Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench ' ,,5D Depth of trenches ' g, • Size of gravel i* 9. SEEPAGE PITS4Number of) ' ' Size- ft. X ft. Gravel size PIPING: Size/ Type Bldg. to tank , q rY5cfr Tank to dist. box Li " S-Wt, 440 • Dist. box to field/ it S/ a S -J Openings sealed? ES NO Partial LOCATION/SEPARATIO S: Foundation to tank e-x/__ f t. Foundation to abso ttion ,,Wj ft. . Absorption to lot„V ne ia_ ft. . Separation of pits --' ft. • LOCATION OF—SYSTEM 0 PROPERTY(circle one) Front ears- Left ide - Right side - COMMENTS: ile 1 E. X[SJ..�C- /C.:LL a ...5_,:- Liile-ei-e_is---. .---r-7.!..-.1 SYSTEM USE APPROVED YE81l NO . . (A/14p • �Builsing Inspector/ tomi-Ac'LG_(c C.L-ec1 c„A2 i l/ 01/86 and vl Q 6 %18own ofueen9 ur y • BUILDING and ZONING DEPARTMENT /Pee ' Bay and Haviland Road, R.D. 1 Box 986/-Me'Ur •Queensbury, New York 12801 / / . GU 6vY SEPTIC DISPOSAL SYSTEM INSPECTION/ NAME )A- Lam' = , LOCATION QDZ ri PA- S Pr N }.';r,(4c._ DATE ()/ ." PERMIT NO. 34O5 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: . Absorption field, total length Length of each trench' Depth of trenches ' Size of gravel ' SEEPAGE PITS{Number of) ' Size- ft. X. ft. . Gravel size PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: <•'". Foundation to tank / ft. Foundation to absorption ft. Absorption to .lot 1'�i ft. . Separation of pits ft. LOCATION OF SYST M ON PROPERTY(circle one) Front - Rear - Left side - Right side - CQMMENTS: 192-0.K2 -AitA4t-ta,06L.-- 6-3,tx-RAc-rd k Wit c A_, AI Uc_ki t©,Ly& (3,0 , .__.7.---PL:g'kk • e9,,\,...../- 7-1/ ":4L fie, . . \e, 04? c2;62fA,Feefe4 ie— y ci, \ SYSTEM USE APPROVED YES NO Bui FT-Inspec.or 01/86 and vl ' awn of Queenalury • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTTIC DISPOSAL SYSTEM INSPECTION j NAME 04 LOCAT ION tAsPfaq DATE /5/W PERMIT NO. J'u? -60 SOIL TYPE - Sand - Loam - Clay✓ - Percolation Test Required? YES - NO Percolation rate - Min/Inch : TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches ' • Size of gravel SEEPAGE PITS*Number of) ' Size- ft. X. ft. Gravel size PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit ./ I Openings sealed? YES :NO Partial LOCATION/SEFARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to lot line / ft. Separation of pits ft. LOCATION OF SYSTEM ON PR 1 RTY(circle one) Front - Rear - Left side - Right side - COMMENTS: \\\ SYSTEM USE APPROVED YE O Building Inspector 01/86 and vl 1 POLAD \ SCALE 1 = 20 ' JAN 7, 1993 D . 15 0'- ' - .-a n • IF 50' 0" t G . �� 1 -- EllillerGARDEN 0 a 1 7' 3" CU SEPTIC 0 0 n 32 ' . co coy W co DAVID DALEY - E_\_1 , 3pi GARAGE CI) m 28 BUENA VISTA .DR . cu ai QUEENSBURY NY / 0 4 8' -1-2 2 ---- WATER IN -- FENCE 1 I I ( EJ . w W I I > H 150. 3' O POTTER ROAD