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2024-0380 C IE UIVceUse0flv - SEPTIC DISPOSAL APPLI TION- e a emit#: o���- 0.5g) n` ` JUL 26 2024LU) o Permit Fee:$ S` 4 Town of Qucensbury TOWN OF QUEENS01.i (Invoice#: ,2c1- 0 UV- 742 Bay Road,Queensbury,NY 12804 P!JILD!NG P. CODES P:518-761-8256 www.queensbury.net Flood Zone? Y TYPE: `'I Project Location: // iii..t/a dim 0/6s a,iik Wetlands? Y 00) ,�� Reviewed By: C.Ak Tax Map #: ,?d a.j a` /- STRUCTURE INFORMATION Garbage Grinder 1 Yes No Year Built Gallons #of X gallons per =total daily flow Installed? ❑ El Per day Bedrooms Bedroom 1980 or 150 Spa or Hot Tub older Installed? 0 f 1981-1992 130 1992-Present 110 .1 1` 0 aj, 0 PARCEL INFORMATION TOPOGRAPHY Flat Rollin II Stee Slope % Slope SOIL NATURE , Sand 11 Loam I I Clay FirOther, explain: GROUNDWATER At what depth: BEDROCK/IMPERVIOUS MATERIAL At what depth: ---- DOMESTIC WATER SUPPLY Municipal n Well ri Lake (if well or lake, water supply from any septic system absorption is feet) PERCOLATION TEST Rate: per minute per inch (test to be completed by a licensed engineer/architect) PROPOSED SYSTEM INFORMATION 6/a,c/Aff -- 1,e., zti TANK SIZE 4 000 gallons (min. size 1,000 gallons, add 250 gallons for each garbage cylinder or spa/hot tub SYSTEM Absorption field ` ''�tvne Total length J j rc ft. Each trench c ft. Seepage pit w/#3 stone How many: ; Size: Alternate system Bed or other type: Holding tank system Total required capacity: ; tank size: • # of tanks: Septic Alteration Application Revised May 2024 CONTACT INFORMATI ON: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): 6y•c �;.�fi/_-A��- go-.. Mailing Address, C/S/Z: �o� 7'c. co4ef`7 ,..d 66 Cell Phone9 I -- Z - 7a Land Line: Email: dell ©�,� ram v� of • Primary Owners Name(s): r ems te4 /Mailing Address, /S Z: 7 T' �' c, ems•"5b1.4-r-7/dr(124614 Cell Phone: J ` 0 ej - 7 7 Land Line: .54,Avs Email: ❑Check if all work will be performed by property owner only • Contractor: Contact Name(s): any rts4/ Contractor Trade: f ; ® C � �� �� �� Mailing Address, /S/Z: e Cell Phone:}3/P— Z -- g707 L d Line: — 31.'�a Email: d ca ,ff�� S Tvrd� �.-. � 5` J ���e,C - C., **Workers' Comp documentation must be submitted with this application** • Engineer s): Name(s): ' e Mailing Address C/S/Z: Z �S �jf ,��' <14- ®f / F JZ 8gZ Cell Phone: PiroY/7 'oo Land Line: ►r Email: �'" •��� /"��o ; , v���� . J� < Contact Person for any questions regarding this project: Cell Phon : ®- Z Z-- 7 ' „ Land Line: • fa,bc Email: t Declaration: Any permit or approval granted which is based upon or is granted in reliance upon any material representation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations and agree to abide by these and all req i ments ofth own of Queensbury Sanitary Sewage Disposal Ordinance. PRINT NAME: SIGNATURE: r °". DATE: Septic Alteration Application Revised May 2024 r TOWN b10. ,� ' Q ENSB1IRY 742 Bay Road, Queensbury,NY. 12804-5902 . • • • Septic System Checklist . • 2Lf Plan to scale • . Received Deep hole perc test results from engineer/Architect If applicable(Town Approved Engineers and • • Architects;� June 30 to April 15 Town Engineer for unapproved Engineers and Architects) g kit ll wells on property and adjacent properties shown . . .,Water line shown Municipal or well 10'separation to any part of system • .Setback to property lines show 10'or more for any part of system ' 1 Septic tank and pump stations 10'from foundation.50'from any well/lake/wetland 10'from any waterline • ftptic tank to foundation crawl space/slab on grade,grade In crawl space must be above top of septic tank for 0',Separation required(field verification required) • 1 Septic tank sized for numberf b oedrooms and add 250 gals for Jacuzzi tubs/garbage grinder each Leech Field 20'from foundation 100'from any well 10.from water line CA �w •-sr —4Th }��s Seepage pit 150'from•weil 50'from septic tank • Seepage •Pits 3-times diameter apart Septic tank and pump stations over 30 gallons 50'from watercourse or wetland • 11 distance from bottom of trench or system 24"to bedrock or mottling 36"within 1000'of Lake George • ILeech field 100'from watercourse or wetland . Ai`oe of mound or bottom of retaining wall.10'from property line 100'from well 20'from • Foundation Provide'Engineer/Architect stampfor bed or des ign systems • ,_Department of Health Approval for all m bile home park a systems Flood Plain requirements 2'above established flood elevation to bottom of system • PVAII tanks anchored or 2'above flood elevation NEWYORK Department STATE OF OPPORTUNITY- of Health KATHY HOCHUL JAMES V. McDONALD, M.D., M.P.H. JOHANNE E. MORNE, M.S. Governor Commissioner Executive Deputy Commissioner July 8, 2024 -� JUL 2 6 2024 k t.?! Ryan K. Riper, P.E. �W—TOWN OF Cb`FEN•1..;i:- : •?' RK Engineering, PLLC BUILUN.., s„ :;;._ 3,;rv� 225 Ruggles Rd - Saratoga Springs, NY 12866 RE: Forest Park Mobile Home Court, Facility 56-6822 Replacement Onsite Wastewater Treatment Systems at Briwood Circle Lot 15 and Gregwood Circle Lot 8 Queensbury (T), Warren County Mr. Riper: We have this day, approved the plans and specifications for the above-referenced project. Application for this project was duly made by you on plans titled, "Forest Park—Briwood Circle Lot#14, Gregwood Circle Lot#8," and was most recently received by this office June 13, 2024. Each system includes the installation of a 1,000-gallon concrete septic tank and 110 LF of absorption trench with ADS Hancor ARC 24 chambers to serve one 3-bedroom home. Approval of these plans is conditioned on the following: 1. That the proposed works be constructed in complete conformity with the approved plans or amendments thereto; 2. That all components of the proposed works be installed, operated, and maintained as per the manufacturer's specifications; 3. That approval be granted by other agencies or municipalities have jurisdiction; 4. That the design professional inspects the construction and provides certification to this office that construction was completed in accordance with the approved plans. Certification shall also be provided to the Town Office Building and Code Enforcement. The responsibility for the design of the sanitary system lies solely with the design professional and the proper operation of the sanitary system lies solely with the owner. The purpose of the Department of Health review is for compliance with the New York State Sanitary Code and in no way guarantees proper system operation. A set of approved plans is being retained in our files. Sincerely, r34.44„dait. D'eovi� Brendan O'Connell Public Health Specialist I NYSDOH —Glens Falls District Office 77 Mohican St. Glens Falls, NY 12801 (518) 793-3893 PLOT DATE: PROJECT #: m m -qcncnzN oo 0 * O Ij O N N 1 p n y Cf) N omooa m 2 Zm -; Z '� Z w m co m W co -I �� z > O o m v N D O ' r --I-I r- _ z m z G7 O D W mn � Dozoc '�o m cy' z S �, p p X z C mw � ozom > � � rnv{i m O C Z z ;;;z rC M --i � m7J \ z0 Z m -I o v o D { � n Dm `4 --A G) 0 w X ov � o = z (n m �o o iaom -� >m O= A D D ;0 � DO O i m 0) o D 00 0 No �z cn ZZcnnm o r �� z " � o cnu AD D y V)Qz S z o m DOMmzo ) f rN _ � D > N m m z n o o � c0 o II " D U c mcow 01 Dm n - m0D m D m M oV o z D M G� m O Z m = m vumof m z u cn = p 0 m rn z - a: 0 N n O cn 08 �zz O m m w z z D -0 O u O 0 -rnI� 00o0m I D O r O O z z ^ - D r I 0� m0 2 D Zjo _pz l / >_ I mr�* �' v co co0A0 (n D z O I �{ Zz c xc m m � � -i I -c r-^ D r l (Dn0 m o � m I o m0o o Z - z i i� D, m -1 z O nmoa) TJ m N � -` y I _ x m D X = r O I 'mil Z m M z > 'I (n ?> � m rr r Z -i D z < o O O -I DD m mO iCJ I m z z D z o �0 m cl) � �7 1= I m o > o z In D > � O � -� � s D np m I Z Y . m rn o � D p Z � Z (nD � Z N n W =1 c z D m n D D Z I r m � m O r- o D o DU) p � (3i I z `m zo aDzO rl o DEG) > nD I o m�� Uj - = C USO r� J 0D mO / m 7 >m ,� LET #14 NEW 3 BEDROOM ___ I m DWELLING I O W U1 m cc] !T'mm // I c:: n I o 0--- c) I m i z -n r-m-0 W m � F6onm� � r ors D I . �5 77 C z m LOT #12 EXISTING 3 4 n r p BEDROOM DWELLING m 0 ® o . .� -< z Z D uoileaalid :)pdaS jeijuapisa�j apilD P V L 4* W N , R JHW �aed asaao� I z � � Dr > m � m m r r D m D m z 08£0-trZO ZS-T-bT'80£ Z M o cj cu 6 om � K (f)M Dm z D -I z z 0 O CO.-€ z o mr�n Us- r- z �� z o n L7 fU 3 o C < (n C 0 t77 T5 ��., �7� z 'r0 � D zcn z r } urn Z� > r w cNn m mow ' n zoo m o o m _ m v �� oW 0 o m f �m m D c, Cf)mm � t [ O Z yO L� .0 O x CD t `L z m m ;mu � � D m Z D ZO U oo �OO -0 D -0 D oD� � DO Z (n '-n) aVI n n �� m Z n � —i n D NOD Z 'J " E, FTI o N.Q o 67 z ® ® 's D En TI -0 sn r c y G� ® m so n n O -I O N m zr W co D � O O rn v . . 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SITE INFORMATION: (1 A Nw Y AN'� DESIGN t A)'f,)U-1 DE I All S - BEORMS TOPOGRAPHY AT TREATMENT FIELD IS RELA11VELY LEVEL. RAIL -DAL4AI LAMAU 2. U,1,4 [-)"M[,NSK)N5 Cd VE N DO NO I I DWELLING SUPPLIED WITH MUNICIPAL WATER. DRAWINCS. 3 330 GAL. DAY 1-5 MPI 138'-25%*=1O3 "--T, 3, AIA. PIRMI[l[NO/VARIANCES OF OEMAINUL) v NO ACTIVE NEIGHBORING WELLS NOTED/VISIBLE WITHIN 100- -A 13Y (,()Nl'1',,A(J0R AND/OR PROPFRTY OWN[R, OF TREATMENT AREA. N�QR TN 7 7"-111,� �'-,:Fl -L.- PROPOSED INSTALLATION: m. TRENCH SYSTEM WITH ADS HANCOR ARC 24 CHAMBERS 4. 1 UIA, TIME OR VUI.11�::IIF CON�ORUCHON COMPLETELY REMOVE OR FILL IN EXISTING SEPTIC COMPONENTS. V:,�P[CHON lS NOT NC'HJDLD �MFH SCOPI:- TDI8L LIUMBER OF LAIERALS 2 Cd� WORK. + RAL 55'-0" ------ J TOTAL LENGTH OE LATERALS 110' PER NYSDOH APP. 75-A(FES 3, 2010); A 25% REDUCTION IN TRENCH LENGTH IS ALLOWED WITH USE OF GRAVELLESS CHAMBERS BRIWOOD CIRCLE, WTH 1.6SF/FT OF BOTTOM AREA & VOLUME OF 7,5GAL/FT & OPEN PROJECT LOCATION PLAN SIDEWALLS, TABLE 6C OF NYSDOH "GREEN" HANDBOOK, NOT TO SCALE SOI _FORMA J IN: -------------- -- ----------- ---[-_PARKING i violoUim of Ny""S vdUCC�iOrf OW f(H 11 PC��S011, 0 2" DARK SANDY 10PSOlL" 1, PARKING REDDISH BROWN ,,AND B to aller uny leir, ln ony way LOCATE WATER LINE AND 6' 26" 61" �SRAY COURSF SANL) (,14,01flq)WAlfJ OR M0rl)-1l,I(, NOU"D MAINTAIN 10' HORIZONTAL SOI� COND00NS, ARE '-I'lMll.AR 10R, I�NPRI M01'.MF h0ML PARK, SEPARATION TO SEPflC, TYP, Sl,,&RAu ILS'l PlIF; l)[JO 'HROUGH(0,11 PAI W1��K 111 SIMII-AR z 2 � LOT INFORMATION: LATERALS AT 55' EACH, LEI ADS HANCOR ARC 24 TAX MAP 308. 14- 1 - 52 CHAMBERS. SEE DETAILS. k TOWN OF QUEEN U R Y 0 0 f= 0 LOT SIZE: 48, 9 ACRES PT #1 STABIOZED PERCOLATION RATE: 1:55 MPf 0 0 Or Z PT 12 STABILIZED PERCOLATION RATE: 1:35 MPI w (.) 'N Ll 0 Ld x ui Ui On APPROVAL STAMP / NOTES 00 Ld \V—) I AI I I I,,' ( 'F A J aL. II (D J f\I 1) I I 10 F\1 1— 10 N, `) I :R1 j I z C-4 E\1 0 EXISTING TANK \\N - 0 FOR LOT 16 BOX\, N\\\\ NEW 1000 GALLON CONCRETE TANK WITH FILTERISEE -,,---PUR PORTE DETAILSIOCATE AS FEASIBLE, FLECTRIC D LINE.LOCATE IN SEPTIC DESIGN GRAVELLESS CHAMBER F0-D. PROJECT, 1 WEST PARK 13H.I.W0101) Clt7,,.,E ACTUAL SEPTIC COMPONENT LAYOUT MAY VARY DUE TO BURIED UTILITIES OR COMPONENTS,. LOT #14 183 PITCHER ROAD, QUEENSBURY, NY (TOWN OF QUEENSBURY) NE AS-BUILT TIE-BN DIMENISIONS FT SITE PLAN I K, .... ...... RKENGINEERING, PLLC A, B C I. 2'25 RUGGl,ES RD,SARA I OGA SPRINGS NY FILE NAME SITE SEPTIC TANK EXPOSED RLSERS SCALE 11" = 20'-0" III-BOX 6 70 SEPTIC S,ITE PLAN SUBW I I A; / Iff,AS0,l Li BEGIN 6.5 69 A ISSUED FOR REVIEW/APPROVAL RKR 6/3/24 P Oil Pl,Af,,l INFORMAHON 019lAlNED FROM WARREN COHN'Y Ql-; g F- Ll END 61 19 RECORD DRAWING RKR 8/14/24 0 — --r—— Ali[) A.; PU1,,'P0RfFD 1`3Y PROPFRT� MMIJACER. 79 50 SHEET w A 0 I'l-flS DRAWN(., 'JOES NOl RLPH'FSi-l`,ll A �AND SURVF'7' AND �,tl.PL�F ----- L2 BEGIN 7 70 ✓ 0 i 1 OF Ix N01, fil" AS sip, C-001 a- CL L L2 END 61 15 2j MOUND TOPSOIL FOR SETTLING, SEED AND COVER Ww TI-i STRAW, 6 1, SYSIFNI D 11,­,NIFD IN A(,'COI WITH �01(,l AI , ENDIX r , 115 6 SIEE Ny1.",'00,H"­, "APF'LA,JDfX 75 A, WA,FL.w,Arri,,, 86-(:ATMFN1 .JANDARIY�> INDIV03N, HOI1S11;OIJ) "NY!;0fell (GFRFF I,]) DE'SIGNJ 1 yl HAk4D800K` FOR ADD TIONAL DE K3N AND N!S TAl I A I ION GI NA NO GUARAI'llf-E OTQ SYSIE,�IA PFIJ0I,MA1,,](J 01�,' IONGI GRAVELLESS _.*-- NATIVE q1L 1 CHAMBER EARTH 2, Ifl�CORD DRAWING I 0,d ONI"' V1"AT CC (I 01� N'STAILLED BACKF1LL X,)MP0N[N1,',,;, N�) UNLARIIIIN(; PliflORMEIU. 3. N5IRUCfION SHALI HF, A`,:� SHOWN 0111 IIHF'�;F DRAWIN(,S AND 1 "', CH A M�',-i R' �i 11J AC0.)R.DANCE W1711 N.1 NY.,-DOI­i AND SR`W MAN0ACII ONE CH AMBER PROPOSED GRADE, SLOPE TO LONGITUDINAL SECTION! 4. All WONK MU GOWN Y W11H 10CAI, 'SIATE & FEDEINA AFEI'Y DRAIN. SEED AND MULCH. EXCAVATION. REGULAIIGNS, (NYSI),01-1, O'SFIA, NYSD�01). PLkMIHIIN(', ART: c 1f I, RL'­J'0N"-RflIJ PY 01 fl If OWW R, DO NOT SMEAR SOILS DURING -,-----------2 now- INSTALL LEVEL. REMOVE DEBRIS, RAKE FLOOR & WALLS. 5. ILAVY LQUNIMItNI SIHAH W K[P AWAY IwROMd o'HF �RFA'III FIE{_[). NK) VE1 IICLF5 k u 0ffi D ()IV IRL A IMENT 1 If I D '— GROUND WATER, BEDROCK OR 6, SMLAHr 11 IRLAIW W1 ARIA DORS AND WAl L�, ARF `0 13E RAKI�D. IMPERMEABLE STRATA PER NYSDOH APP, 75-A(FE5 3, 2010); A 25i I IlItD 'SHAH HL GIRADIIJ TO SllfD RAINFALL AN[) To REDUCTION IN TRENCH LENGTH IS ALLOWED NTH USE OF 7. INIL A ffff N DIVERT SUII RUNOH FROM AI�OACENI ARlAS GRAVELLESS CHAMBERS WITH 1,6SF/FT OF BOTTOM AREA ADS HANCOR ARC 24 CHAMBER MODEL & VOLUME OF 7.5GAL/F1 & OPEN SIDEWALLS. I 8, Fd.�(.�OMM[NIDAIION� DOWNSLOPE OR '3HALLOW WLJA'� SHOLAA) HAVI GRAVELLESS CHAMBER TRENCH TREATMENT SECTION IJV TR[AtMVN1 OR 011,0kINANDIN AM) 'ILTRAIION SYSTEM INSIA(AFI'). SCALE: NTS WEI I- WA RN' QUAI I IY "31 0I)LID B1 ILS R'Dj PIT R'10EXCA1 Y, 24" DIA 9. RLAD11Y VISIBtL WHA.S ARL 4HOW1,4 ON F'[AN,, N01 AH, WIIIJILS MAY 111� --FROM SEPTIC TANK F-T7---------- 4" DAA, SOLID PVC I I I I iEASIBL'f LOCAR1) INLET g- OUTLET lo, GARBAGE' URINFjI�R5 AND WAUR T14-A1MEN1 '.,NAIA N( I All"ACH 10 IAPIIC� "A� ISUMP PUMP DISCHARGE ALLOWED. EAKING FIXIII W1111 4 CAUSE I All I. O�: SEPrIC SYSHM L-LI--------- It INLET OUTLET \--PROVIDE EFFLUENT FILTER. SEE NOTES. APPROVAL STAMP / NOTES INSTALL RISER & EFFLUENT FILTER (POLYLOK PL-122) It o,:, o viok)II al NY S c,�ducalIori aw for any p,.,�¢,son, urde.v,� hu, � ci,'Jinq undw th� diieutic)n of a k:ensed LOCKABLE COVER' TYR pmfusslunrjf vridrivef, to ulter any 1lcfri In ofly woy, I-10" PRECAST- J CONCRETE 0 CRETE BAFFLE OACKFILI, WITH CLEAN NISHED GRADE OR EQUAL Top BAFFLE ON-SATE MATERI,�IL fLACEB� TOP SOIL, SEED & MULCH IN 8 INCH LAFTS AN AMP EFFLUENT FILTER REMOVABLE COVER COVER `WATERPROOF SEAL. 12" MIN K < POLY RISER ANLET INVERT 2* ABOVE 0 INLET -E- OUTLET 0 INVERT , OUTLET INLET CAULKED--- �' CAULKED JOINT JOINT OUTLET IOUAI SANITARY TEE W/ SANITARY ' LEVEL EFFLUENT FILTER 2" MIN. TEE 11 �ULKHEAD MIN 12" MAW CLEAN SAND, PEA im--GRAVEL OR AGGREGATE 7-7 7-7-7 1-7 z z x 0 (3/4" - 1 1/2-) qw,-d vo IF DESIGNED TO USE EMS11ING SEPTIC TANK, PUMP OUT AND INSPECT EXISTING TANK, PROVIDE WRITTEN REPORT TO ENGINEER, I SYSTEM COMPONENTS SHALL BE I I 1. MINIMUM TANK CAPACITY AS FOLLOWS� MAINTAINED. TANKS SHALL BE PUMPED SEPT C DESIGN GRAVELLESS CHAMBER -1 ct IF OUT AND INSPECTED EVERY 2 YEARS PROJECT! q 1. PIPE JOINTS TO BE SEALED LIQUID TIGHT - FOR 3 BEDROOMS OR LESS TANK SHALL BE 1,0�00 GALLONS, WITH OR LESS FOR OPTIMAL PERFORMANCE; FORESTBRIWO101D 27 S,F. SURFACE AREA, Z SPEED LEVELING DEVICES SHALL BE USED ON ALL - 4 BEDROOMS SHALL HAVE A 1,250 GALLON TANK WITH '154 S.F. EFFLUENT FILTER (IF INSTALLED) SHALL OUTLET PIPES, SURFACE AREA BE CHECKED AND CLEANED I-AT #14 - FOR EACH ADDITIONAL BEDROOM ADD 250 GALLONS & 7 S.F. REGULARLY, OTHERWISE PREMATURE 1 SEPTIC TANK TO, D-BOX: 4" PVC OR SDR21, LIQUID SURFACE AREA. F A I L U R E C 0 U L D 0 0 C U R 183 PITCHER ROAD, QUEENSBURY, NY (TOWN OF QUEENSIBURY) TIGHT JOINTS, MIN. SLOPE 1/8" PER FOOT. - FOR HOT TUB/SPA AND/OR GARBAGE GRINDER ADD 250 4. THE SLOPE OF OUTLET PIPES BETWEEN THE GALLONS TO TANK SIZE FOR EACH, DRAWING TITLE: DISTRIBUTION BOX AND DISTRIBUTION LATERALS 2. BUILDING TO SEPTIC TANK: 4" PVC SCH. 40 PIPE, LIQUID TIGHT JOINTS, Z -'OF NP 7., -k-�" DETAILS SHOULD BE SLOPED AT LEAST 1/32- PER FOOT MIN, SLOPE 1/4- PER FOOT, RK���LIINEERING� PLLC 0 OF 4" PVC SCH. 40 OR SDR21 -RING,AND CONSTRUCTE RUGG ES RD.,SARA TOGA SA NY WITH LIQUID TIGHT JOINTS, 3. SEPTIC TANK TO D-BOX OR PUMP TANK: 4" PVC SCH, 40 PIPE OR 8.581,3893 FILE NAME DETAILS 5� USE DOUBLE SIDED STICKING RUBBER BUTYI. FOR SOR21, LIQUID TIGHT JOINTS, MIN. SLOPE 1/8- PER FOOT, SCALE AS NOTED DOSED SYSTEMS. 4. SEPTIC TANK TO CONSTRUCTED PER NYSDOH GUIDUNES. NU, SUBMIT'T' AL / REVIS ON aNm"D DAIF oil A ISSUED FOR REVIEW/APPROVAL RKR 6/3/24 NEW CONCRETE tp if < 1-1 1 .. DISTRIBUTION BOX NEW CONCRETE SEPTIC TANK RECORD DRAWING RKR 8/14/24 SHEET 9 5 0 ,0 SCALE: NONE SCALE: NONE isi C-100 2 OF S 22