1993-158 CE 1 I I TE !SF COMPLIANCE', `.
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date \tifa ,3 19 93
This is to certify that work requested to be done as shown by Permit No. 93-158
has been completed.
This structure may be used as a 4ep2;Lc .4.6teni
Location Rowe 9
Owner The Coachman, Aviation Road Vev 4mew Coicpoaa on
74-1-12. 1
By Order of Town Board
T OF QUEENSBURY
Director of Building A Code Enforcement
t 4
BUILDING PERMIT
TOWN OF QUEENSBURY
No. g3-15g
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Avl g11oN ROA-D —DEVELOPMENT CORP. (T)+c CoACHAAK) 1\,
OWNER of property located at Rou, Cf Street, Road or Ave.
in the Town of Queensbury,To Construct or place a c A Item fro n
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
fI3 AvlcniOrd i
2. CONTRACTOR or BUILDER'S Name
A-VL012 WGLJ3 r\
}7�frErawnr S'E vwEP SVCC
3. CONTRACTOR or BUILDER'S Address
717
t .'28- k
NeV,4 RReNSELL iN I /g 8�S
4. ARCHITECT'S Name
J'
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
LT RPrT�ON � =NC=i�i c D� G<0NE.?f}L !»A/IV t[Rnrcz
No. SEPTIC �
r Syy m ,s 10E2 R-Or $Pec c,c(+-rLOrts AP Pi-rci(-77olrt.
8. Proposed Use
•
5=pn .5k.isTEA1
$ 3.5.OVV PERMIT FEE PAID —THIS PERMIT EXPIRES APR ►L )Q 19 0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 111
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this Day of 19 a
{nor,
SIGNED BY for the Town of Queensbury �b
Building and Zoning In ftor
41112'' 7'//-/2i/
TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL C �v Permit # ,
Of c\\IS® Fee Paid � .5
Date: 4' Z919 Reviewed By 24,4-
LOCATION OF PROPERTY FOR INSTALLATION: r,®,Ye•®gOt
Owner's Name: /# 64-0/ l4-A — M%/0x) %t/' èf/4Y7'd
Owner' s Mailing Address: //3 4 'Y,1l/0A) 4/1--z) 0,5,6,6ar
Installer' s Name: 4.?4,,U4f- i/1L Phone #:
Number of bedrooms (if residential ): /41
Total daily flow (residential-compute @ 150 gal . per bedroom): 247040 tag
Topography-Circle One: 41111110 Rolling. Steep Slope % of Slope
Soil Nature-Circle One: Sand Loam Clay Other /Depth:
Ground Water-At What Depth? Zc- Feet
Bedrock or Impervious Material-At What Depth? 7 3D Feet
Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch
Domestic Water Supply-Circle One. Municipal Well Other
If domestic water supply is . -- -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank gal . (Mi ize: 1,000 gal . )
Tile Field: a ench eet//Total System Length feet
Seepage Pit(s • m er of 'ze each: ft. x ft.
Si : of Stone to be used: # / Depth or Thickness eet
**************
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: dad/ ( DATE:
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:
Region 5 - Environmental Quality
Hudson Street, Warrensburg, N. Y. 12885
Area Code 518 623-3671
0.c.DC)
November 24, 1975
Aviation Road Development Corporation
113 Aviation Road
Glens Falls, New York 12801
Attn: Carl R. DeSantis, Pres.
RE: (9200) SPDES Permit
Queensbury (T) , Warren (Co. )
Dear Mr. DeSantis:
Enclosed is the Discharge Permit which has been issued in
accordance with the requirements of the State Pollutant Dis-
charge Elimination System to the Bed Coach Grill. The
sewerage plans for the referenced facility, bearing our
approval stamp, have been returned to your engineer.
Please note carefully the conditions listed in the Permit.
Strict adherence to these conditions is of critical importance.
Should you have any questions concerning the Permit or the
requirements contained therein, please let me know.
Sincerely yours,
D. A. Corlies, P.E.
Regional Engineer
By: Robert E. Davis, P.E.
Senior Sanitary Engineer
DAC:RED:brd.
Encl .
cc: Charles H. Scudder, P.E. os OF QUEENSb,_
NYS Dept. of Health - Glens Falls RECEIVED
APR : 1993
& CODE DEPT.
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
��
APPLICATION FORM "D" FOR A STATE POLLUTANT DISCHARGE ELIMINATION SYST1Z(SPDES) PERMIT
(Becomes A SPDES Permit When Signed By Permit Issuing Offici
APPLICATION TYPE IF RENEWAL,GIVE PREVIOUS NO.
KNew ❑Renewal NY- • .
OWNER'S NAME(Corporate, Partnership or Individual) •
/6//17/O,s/ ,&44 JJvram"A/4' o�sitTi:(„/ .
OWNER'S MAILING ADDRESS(State, City, State,Zip Code
/45 /�!//,17-/C.f% /c-G'.4.D ez.�/.S LL. .; 1/4-l-(/ • /Oic�/� /2�O/ ,,,
(7�REFE eLL CORR• rg& T�1Name7Tsle and Adds/A`/ 1 �e�4 /i7 T67HONEINO.(Include 93—sga
FACILITY NAME) /hu J M ( FACILITY LOCATION/(lStree orRo CITY,TOWN OR VILLAGE
/`E- Ce./f /5/ 4iic%LG Li.C- 6E 7 '-C-(Street or
.9) C ds,�x;2y
COUNTY GIVE EXPLICIT DIREC IONS TO LOCATION, IF NECESSARY
J/iij 1./ /t/ A .
NATURE OF BUSINESS OR TYPE OF FACILITY POPULATION SERVED$See Instructio s)
• i.Aa/MA/7 . /k t!��.t Avei. �
FREQUENCY OF DISCHARGE
All Yeat? ,y- Yes ❑No If"No", Specify No. of Months All Week? XYes. 0 No If"No", Specify No.of Days ______ -.—
DOES YOUR DISCHARGE CONTAIN OR IS IT POSSIBLE FOR YOUR DISCHARGE TO CONTAIN ONE OR MORE OF THE FOLLOWING SUBSTANCES ADDED AS A RESULT OF
YOUR OPERATIONS, ACTIVITIES OR PROCESSES?
Please Check: 0 Aluminum ❑Ammonia ❑Beryllium 0 Cadmium X Chlorine 0 Chromium ❑ Copper 0 Cyanide
, Grease 0 Lead 0 Mercury ❑Nickel 0 Oil 0 Phenols 0 Selenium 0 Zinc 0 None of These
•
DISCHARGE DATA(Use additional forms, if necessary)(See Instructions)
OUTFALL NO. ❑ proposed Replacement TYPE OF WASTE ' TYPEPE OF TREATMENTtAT G DESIGNDEES� FLOW
xisting xpansion /�T�//RAJ ) fa / Cl,(�if� �iiIC G�I/0� -'% Gal/Da
SURFACE DISCHAR "Yes", Name of Receiving Waters Classification Waters Index No.
❑Yes ❑No I I I,
SUBSURFACE DISCHARGE If"Yes",Name`of
ne
/arest Suufface Water Distance SOIL TYPE,/^ �/ Depth to Water TabIN
Yes ❑No I L�M L , --- . I/c o Ft. I I. _.. NX/ fre�iC ,,i-f- e_, . , ,,/5 ��G`
OUTFALL NO, 0 Proposed ❑Replacement TYPE OF WASTE TYPE OF TREATMENT DESIGN FLOW
0 Existing 0 Expansion Gal/Da:
• SURFACE DISCHARGE I If"Yes",Name of Receiving Waters (Classification(Waters Index No. .
❑yes DNo
SUBSURFACE DISCHARGE If"Yes", Name of nearest Surface Water Distance• SOIL TYPE Depth to Water TatO
❑Yes ❑'No I • I Ft.I
OUTFALL NO. 0 Proposed ❑Replacement TYPE OF WASTE TYPE OF TREATMENT DESIGN FLOW
❑Existing 0 Expansion Gal/Da
SURFACE DISCHARGE If"Yes", Name of Receiving Waters - Classification Waters Index No.
❑Yes ❑No I • I Ft.l •
SUBSURFACE DISCHARGE I If"Yes",Name of nearest Surface Water Distance SOIL TYPE Depth to Water Tab
❑Yes ❑No ( Ft.I I
I hereby affirm under penalty of perjury that information provided on this form and any attached supplemental forms is true to the best of my knowledge and belief.
False statements made rei are nishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law.
APPLI T'S I I uctio�} a Printed Name [itI ,fIL4 _` f1 5 / (n-c/A/z--,e
/ PERMIT VALIDATION SECTION • • APPLICATION NO. • '
•
(Department of Environmental Conservation Use Only) NY-0087491 .
This,SPDES permit is issued Ih compliance with Title 8 of Article 17 of the Environmental EFFECTIVE DATE EXPIRATION DATE
Conservation Law of New York State and in compliance with the provisions of the Federal Water November 10, 1975 November 10, 198'
Pollution Control Act, as amended by the Federal Water Pollution Control Act Amendments of ATTACHMENTS: •
1972, P.L. 92-500, October 18, 1972 (33 U.S.C. §1251 et. seq.) (hereinafter referred to as "the .•
•
•
Act"), and subject to the attached co ditions. • Other Conditions
k, - November 10, 1975
Sig ure of Permit Issuing Official Date •
CARD Type Type SIC Code fl Out Dis CARD Region County Major Sub Compact CARD Latitude Longtitude • CARD Lim In.
EsI. 66t Own 68 I 70 I 173 741,Falls Cl76Iss 3 71 72 i Basin Basin Area
6 53 I I 158 59 I . I64 7 57
91-17-1 (3/75) cc: SPIJES File
Region #5
V/
TOM OF QUEENSBURY
BUILDING & COM-ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location
Date S SS Permit #
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test- /
(if applicable) Rate-Minute/,Inch
TYPE OF SYSTEM: '
ABSORPTION FIELD;: Total Length
Length of each t'rench
Depth of trenches,1 /
Size of stone 1 /
SEEPAGE PITS: Nunier- /
Size - ft. \x A ft.
Stone size \i
PIPING: / Size Type
Bldg. to Tank /
Tank to Dist. Box /
Dist. Box to Field/Pit
Openings Sealed? / Yes A, No Partial
LOCATION/SEPARATI01S:
Foundation to Tank \ feet
Foundation to Absorption \ feet
Separation of its feet
Conforms as per Plot Plan Y.es No
LOCATION OF S STEM Ord PROPERTY:
(circle one)
Front - Rear - .Left Side - Right Side
Middle Front' - Middle Rear
COMMENTS:
Leo �h r (;pkg
• AJ /
SYSTEM USE APPROVED: YES NO
•
Arrived: ( 2.'il-
Departed: 2-`y(
Buil ng spector
TO OF QUEENSBURY
BUILDING 3 CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 4dzti
Location �j,1.
Date L/ 3 Permit # �j'3 `is
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: f
ABSORPTION FIELD: Total Le gth
Length of each JJjLrench
Depth of trenc yes /
Size of stone
SEEPAGE PITS: Number- d
Size - ft. x .1 ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. ox
Dist. Box to Fi -ld/Pi✓t
Openings Sealed' Yes No Partial
LOCATION/SEPARtI��I$'°' :
Foundation to Ta feet
Foundation to Ab•,.rp ti on feet
Separation of Pi . feet
Conforms as per P of Plan Yes No
LOCATION OF SYS ES- ON PROPERTY:
(circle one)
Front - Rear - Left ide - Right Side
Middle Front Middl Rear
COMMENTS:
J'
#11-L
SYSTEM USE APPROVED: YES NO
Arrived: yeYf
Departed: 'yi24
Building Inspector
TORN OF QUEEUSBURY 40(GE/`�
BUILDING & CODE ENFORCEMENT a
531 Bay Road 7
dfil
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name (i9CCel ,r'irll/A,✓
Location ,,&p4 i,Z_
Date 00 Permit # 9 -/0
SOIL TYPE: San:-Lo." Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: Number-
Size - ft. x fti
Stone size ,f
PIPING: Sizej Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/P 't 745
Openings Sealed? es No Partial
LOCATION/SEPARATIONS
Foundation to Tank feet
Foundation to Absorp ion _ feet
Separation of Pits feet
Conforms as per P i of ill an Yes No
LOCATION OF SYSTEM ON1 ROPERTY:
(circle one)
Front - Rear - Left Sid - Right Side
Middle Front - Middle Rear
COMMENTS:
4t25
r 3
/ eef err-
rr reJI O
��
SYSTEM USE APPROVED: YES 16-i:
Arrived: 9,/0
Departed: 2&
l l
Building I pector
Jown of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME aci/ii 6--
LOCATION E /
DATE �!'/Jd"/ �3 PERMIT NO. 93-/J`r�
SOIL TYPE/ - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:`
Absorption fiAld, total length
Length of each trench
Depth of trenc es
Size of gravel_
SEEPAGE PITS{N .er of)
Size- ft. X ft.
Gravel size
PIPING: Size Type
Bldg. to tank
Tank to dist. bo
Dist. box to fie d/pi
Openings sealed? Y S NO Partial
LOCATION/SEFARATIn S:
Foundation to tan . ft.
Foundation to ab_o' ption _ ft.
Absorption to l t line ft.
Separation of its ft.
LOCATION OF S STEM .ON PROPERTY(circle one)
Front —Rear - Left, side - Right side -
COMMENTS:
/�s„4�/
Gll/ ' (
SYSTEM USE APPROVED YES NO
Buildin Inspector
01/86 and vl
SCENGINEERS, SURVEYORS & PLANNERS
ASSOCIATES
Charles H.Scudder,P.E.
Charles T.Nacy,P.L.S.
Russell C.Scudder
April 29, 1993
David Hatin, Director
Office of Building and Codes
Town of Queensbury
Bay Road at Haviland
Queensbury, New York 12804
THE COACHMAN, ROUTE 9, QUEENSBURY
Dear Dave:
A print is attached of the "as-built" drawing for The Coachman kitchen wastewater system
designed and constructed in 1975. A SPDES Permit was issued by NYSDEC (copy attached).
As you know, the problem with kitchen wastewater is grease. It is extremely difficult to trap
gease ahead of the leaching system because water temperatures are necessarily high (180 degrees
F. for rinsing) and surfactants or dispersing agents are used in washing.
The time has come to make maintenance repairs to the leaching system. There will be no
change in the configuration of the castings and piping installed in accord with the plan approved
in 1975. The capacity of the wastewater system meets current standards. The system has
proved satisfactory over these past 18 years.
Very truly yours,
SCUDDER Associates
Engineers, Surveyors & Planners OF QUEENSInL
c.` /?,/,..„„ed.„ RECEIVE0
APR 1993
Charles H. Scudder, P.E.
Principal
& 00DEE DEPT.
cc: Aviation Road Development Company
Attachments
(PLEASE REPLY TO P.O. BOX 4522, QUEENSBURY, NY 12804)
13 Ridge Street • P.O. Box 792 • Glens Falls, New York 12801 • (518) 793-1475 • FAX (518) 793-6174
T 6l
Le4cW&I6 SYs�
""JS —BUILT .LOCQ
S� /,us �,y sl s A. 11 ". Tv Al.�iGl-e-s law . B. S . S Q. ,B „
DisT,4�/«
Af
-
sT� ,,Z- .,
3 5' - 0 7 = 30
113 "
Af99 9
37'- 30"
/22'
99 3
� • S Ic/ Co e
/3/ ° - 07"- W "
203 '
9S8
B•h(.-Caae- eD•1t/ .�iO,cl
2/30 - 50 - 30"
97'
(Tqv 9$• SO
DIST eox
28&0
46'
" 998
-- iy IW7 aR/ �i � _
2°-2o'
S
_ 39,
97S
3�0- /
/03'
Z.-P 02
L-� ¢
/7°
20
979
,L 5
3/8°-40,
38'
98.5
L •� 8
24�� 30'
S5'
9�• 7
G Ir Rr.�rcei,NT6W.5c�/
WALL
k
To
T
�sTAU,PA�tl �
GE,uE,P.aL ' �s
1.
This drawing shows the locations of unsaergro . s'at "'
ccoponents with reference to established station can
the ground surface. see construction drawings dated
may. 1975 (2 sheets) for design details of ki1tc' WU
wastewater disposal system.
2.
The approximate layout of the sanitary wastewater Ais-
posal system is shown. original design is by Milton To
Crandell. Architsat, Glens Falls' N•Y.
3.
Stations "A" and "H" are two of five transit stations
on an original closed tra"rs• as #hOWN on 6 p3*e0
4.
All leaching pits are preaast concrete units of # -d"
and around
diameter by 8. S' deep with crushed *tope under
i
the castings. The dlstribOtiaa born is preeast soasrete
about 44wide and 'S' long*
S.
]Avtribution lines and force main are 4" 4iaMWt4C plant c
with'solvent welded joints.
-9410
r n I r
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UE
4
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���� y LIr�T .S 4r1 : ��Isoc%PY 1tlaLL �,c/F-
REVtE1"+�'ED BY
DATE
/ V /Y
- SPED COACH Ge/Ll-
OUEEN
A (o " D✓F,e�C D fit/ L �,�� �VI OF RECEIVED
ts.
` � RECEIVED
LAKE GFov6E GOAD — WMAISSUiCY — WACX4FA1 COUAtT.y
--t APR 1993
;�'" f G / S -5 I •' • t a - & CODE DEPT.
.4 s .E3vic T_ _LeAew
�yicls
FDA I
WA sT,E WQ rER DISPOSAL SYS;'"EM
G4ZL Z. De &4*71s CNA.eGES J Scurae ,e
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