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1993-160• . �. .4'l 1. �• , .l4._r ._ ..'y,,.r ._ . •_ - - ., .- ,"" .. .i FJ® ,CERTIFICATE SF COMPLIANCE { TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date 3 19 . 3 This is to certify that work requested to be done as shown by Permit No.93-160 has been completed. .This structure may be used as a 4ep t c 4stem Location 100 Coo.P.idge Au • Owner B'atce O Connat By Order of Town Board TOWN OF QUEENSBURY Director of Building & Code Enforcement • ro. BUILDING PERMIT TOWN OF QUEENSBURY No. 93-160 - WARREN COUNTY, NEW YORK Y �, PERMISSION is hereby granted to BRUCE O' CONNELL OWNER of property located at 100 Coa. idc(e Au Street,Road or Ave. in the Town of Queensbury,To Construct or place a Septic a-P.te to ion G 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 �o flame R 2. CONTRACTOR or BUILDER'S Name (o Condon'4 Septic g Vnatin Sm ice 3. CONTRACTOR or BUILDER'S Address 12 2 Gnant Au G2env Fatez NY 12801 4. ARCHITECT'S Name c7 0 0�0o ram• 5. ARCHITECT'S Address (.0 Co A C 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications Septic aP.teJta ,c.an to -na2ude 1000 ga.P2on zep t:c tank and 200 beet 06 "°"fie 6 Le,ed with 50 6t iJtenche s and #2 t-tone az pen. ptot p.e.an and applica-tion. 8. Proposed Use Se tp.Lc 4y4-te.m $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES MAY 3 19 95 (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 th' nd Day of May 19 93 • SIGNED BY for the Town of Queensbury Building and Zorii Inspector j TOWN OF QUEENSBURY Y APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # 93-/�U ►4 OF QUUEENSb`- Fee Paid ,r5Q?S RECEIVED Date: 4361#�j APR 3 1993 Reviewed By LOCATION OF PROPERTY FOR INSTALLATION: _ Q 0 ® lc ( t/ E _ cuuE �`Fi Owner's Name: ZAcitc___E_ � l �� yr/�i/ �'// Owner' s Mailing Address: /6 0 TO// c9 1 E Installer's Name: Oj /1JJO/?J3 Cep.-b C, \I:Dq,e4//u .IPi Phone #: Number of bedrooms (if residential ): Total daily flow (residential-compute @ 150 gal . per bedroom): 3D ° Topography-Circle One: 41, 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: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal Well Other If domestic water supply is a wel - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank/MO gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench So feet//Total System Length �—©C) feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # 2- / 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 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: '— -R3 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: ok.. '4-OhN OF QUEENSBURY gUILDIF G A CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name 7.1",--ie-e d /6, ,e, Location / . %/ ,44 Date 3 Sj Permit # 91- 6 O SOIL TYPE: Sand Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch /-j& TYPE OF SYSTEM: ABSORPTION FIELD: Total Length 20 Length of each trench `2) Depth of trenches / Size of stone / 2- SEEPAGE PITS: Num'er- Size - ft x ft. Stone size 1 PIPING: Size Twig Bldg. to Tank ,y`` vc Tank to Dist. Box, f 7'^ G c Dist. Box to Fiel /Pi Openings Sealed? Y,es No Partial LOCATION/SEP/WTI° ;; Foundation to Tank ,26 feet Foundation to Absorption 2 feet Separation of Pit/ -. A- feet Conforms as per ' iot\Plan No LOCATION OF SYS. EM ON\PROPERTY: (circle or - Fro t 'ear Left Side - Right Side iddl )Front Middle Rear TS: SYSTEM USE APPROVED: YES 0 Arrived: /bpi Departed' , , "-- Building In'pector BRUCE 0 ' 00 tz i/ri F// Co rv_Doru--). (C)o (90e6./vs207 /.1 e__ - 761- .4-'4_ &Am) T.- 4o E- - uFENs2u 7 /I1) ( ti_svil agnis 1-(57(s • 7U-X 0-8a-I --------7\tsr 'r''- i ,' (-4-71:1-• : ,_ , r ... 6 I\ v 1 10 4.1e60 . -,47tE • P a --- ehi- 0 CiOAGE 1 ,) •rri <IT& -:, co m m 0 cx, 0 h• . m 0 ,, • . 0 Z.. c 0 co 0 z m ca.) to 40 4 57 l . . 47-7"....,F,,).:-,.:.27.:•-:!. 1"--...„, 2- .„ . ( , ci ,.„ ,.., . R EAT EVI2E3 / \L Di4 c /0 0 CO 0 7/0/f € 4VE