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2006-387 Ab` TOWN OF QUEENSBURY u 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20060387 Date Issued: Tuesday, June 20, 2006 This is to certify that work requested to be done as shown by Permit Number P20060387 has been completed. Tax Map Number. 523400-297-007-0001-030-000-0000 Location: 716 RIDGE Rd Owner. ANDREW & JODI DOMMASCHK Applicant: ANDREW & JODI DOMMASCHK This structure may be occupied as a: Septic Alteration Residential By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the 4 property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code E orcement Planning Board or Zoning Board of Appeals. 0./` TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060387 Application Number: A20060387 Tax Map No: 523400-297-007-0001-030-000-0000 Permission is hereby granted to: ANDREW& JODI DOMMASCHK For property located at: 716 RIDGE Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: ANDREW&JODI DOMMASCHK 716 RIDGE Rd Septic Alteration Residential QUEENSBURY,NY 12804-0000 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2006-387 SEPTIC ALTERATION RESIDENTIAL $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, June 07, 2007 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) dn Dated at the Town of Queensbury; Wee day, June 07, 2006 ( flei /� SIGNED BY �f / for the Town of Queensbury. Directo of Building&Co. nfo�?ment OFFICE USE ONLY ;., ,� TAX MAP NO. 297„ .-t 73CiPERMIT NO. e(J `3PERMIT FEE GS ' - s iv ® JUN 0 7 2006 APPROVALS: ZONING TOWN CLERK T,'CWN OF QUEENSBURY 'E3t-14LDFM6 AND-COVE=' APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER: j..\ 4.- ION\ ! u•. C. INSTALLER: \Ly�P ADDRESS I(n Th C\) k) .) ADDRESS: ��5,.' 1� � 0, "` PHONE NOS. �`-c5` PHONE NOS. LOCATION OF INSTALLATION: RESIDENCE INFORMATION: YEAR BUILT E NO.OF X i COMPUTATION= = TOTAL DAILY FLOW BEDROOMS l GARBAGE GRINDER I1980 or older { X 150 gallon per bedroom = INSTALLED? ; 1981 -1991 } X 130 gallon per bedroom = E § SPA OR HOT TU 1992-present I 1 X I 110 gallon per bedroom _ '•• INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. ) ✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH (TEST TO BE COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub. ✓ SEPTIC TANK: EL") GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT. ✓ TOTAL SYSTEM LENGTH: FT. SEEPAGE PIT(S): HOW MANY? ✓ SIZE OF EACH FT. X FT. ✓ SIZE OF STONE TO BE USED: # /DEPTH OR THICKNESS FT. BED SYSTEM SIZE: A01 X 3 ✓ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE ✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: /SIZE OF EACH ✓ GALLONS./TOTAL CAPACITY: GAL. NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation 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 with respect to this application and agree to abide by these and all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL Queens 'ry Sanitary Sewage Disposal Ordinance. codes@queensburv.net _ VISIT OUR WEBSITE FOR MORE INFORMATION 6 {- C)( www.queensburv.net 'q ure of Person Responsible Date Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 /0-I/ 06D - F - 0 6 Septic Inspection Report Office No. (518) 761-8256 Date Ins ion request received: C Queensbury Building &Code Enforcement Arrive: c-cs am/pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: Oiv NAME: li'vvX\O- Ci(SPERMIT NO.: Or--____42c_j_r_oc LOCATION: �� P ' i INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand • •• Clay Type of Water: cipa / Well Water Waterline sepa = 'i• = ' •nce r.__�._ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length - 0 ' B ft. 2¢.i2 Length of each trench ft. Depth of trenches ___ ft. Size of Stone Seepage Pits: Number Size: x ------- Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y/ N/ Partial End Cap Inlet/Outlet Pipes &Baffles _._._Y N Location/ Separations Foundation to tank ft. Foundation to absorption ft. / Separation of Pits ft. ' f(,t h G� Conforms as per Plot Plan .�Y / Engineer Report and As-Built Y N - t, eG l�C.._ Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: 3f" am/pm Depart: am/pm 742 Bay Rd., Queensb ,NY 1280//4// Inspector's Initials: q� NAME: e 1''',14 Jc. L PERMIT NO.: /6 " ? ' 2 LOCATION: l 74, INSPECT ON: 1,06 RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length /2.) 'ft. 5- 7 Length of each trench ft. Depth of trenches ft. Size of Stone / Seepage Pits: Number Size: x Stone Size: 2- Piping Piping r Size Type Building to tank '/', 0-L L Tank to Distribution Box c(` U Distribution Box to Field/Pit y" 5'0,(Z _ Opening Sealed: N/Partial End Caps Location/Separations U Foundation to tank ft. Foundationpto absorption ft. J I` Separation of Pits ft. Yee ;'/,/ �r[ Conforms as per Plot Plan Y N Engineer Report and As-Built Y N Location of System on Property: Front zarr Right Side Middle Front Middle Rear System Use,S tus: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Last revised 1/6/05 moo ' -' f i 2 Y Vl / xc_ La ..fib - / ' x , -4 rm Septic Inspection Report Office No. (518) 761-8256 Date Ins 1E1 request request received: 60'9 ( a Co Queensbury Building &Code Enforcement Arrive: WI am/pn� .depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: - b NAME: 4hAre-L-3 .JO►r rv,06 c_Lic PERMIT NO.: 00(P -.3 7 LOCATION: l l(,1 bR RA INSPECT ON: V ,1 A , ,.//a-/0 RECHECK: J Comments and/or diagram Soil Type: Sand / oa / lay Type of Water: M cipal Well Water Waterline separation distan ft. Well separation distance — ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench .ft• Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x----�- Stone Size: Piping Size d,t Type Building to tank i X74 k)�'f° Tank to Distribution Box IA Distribution Box to Field / Pit Opening Sealed: Y/ N/ Partial End Cap ��-� fAiiirki-f-'Inlet/Outlet Pipes &Baffles __-_Y.� I 6 r 41 7.1.41z 'N4-c-T 5R- t7—.151'"X 1A, -T- , "°- Location/ Separations Foundation to tank 2ft• Foundation to absorption _r ft• Separation of Pits ft y L�ri-/a _ u et—r 4-AA) Conforms as per Plot Plan —Y_ iN Engineer Report and As-Built Y Sob Lti-Cr C-Aka ,/')�.�'K5 460,6 V4 Location of Syston P rty: Front Rea a Side Right Side Middle Front Middle Rear System Use Status: C L`- >�c,2 i.{C�C-<< Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 06 '3y 7 NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 June 5, 2006 Project#49219 Mr. Dave Hatin Town of Queensbury 742 Bay Road Queensbury,NY 12801 Re: Replacement Septic System- Dommaschk Residence— 716 Ridge Road, Queensbury,NY Dear Dave: On May 26,2006, we performed a percolation test at the Andrew Dommaschk residence located at 716 Ridge Road in Queensbury. The test was performed to the northeast of the existing residence in the location where construction of a replacement leach field is proposed. The residence has an existing failed septic system which will be decommissioned upon completion and certification of the replacement system. The results of the testing are as follows: Test Pit 0 — 11" Medium Fine Sand w/Gravel 11 — 16" Topsoil 16—27" Loamy Medium Fine Silty Sand 27—52" Fine Silty Sand Mottling observed at 30" Water observed @ 48" Percolation Test Stabilization percolation rate - 1" in 14 minute,47 seconds The hole was presoaked and the test was run 7 times until it stabilized with three consecutive runs of 14:37, 14:43 and 14:47 respectively. The design flow for this 3 bedroom residence at 110 gpd per bedroom requires 550 sf of absorptive area. The replacement septic system should be a shallow absorption bed system no greater than 6" below the existing grade. Prior to installation of the absorption bed, the contractor must completely remove the buried topsoil layer. The replacement shallow absorption bed system for the proposed residence should consist of a new 1,250 gallon septic tank located on the east side of the residence and a 20 foot wide by 30 foot long absorption bed with a distribution box & 4 — 25 foot long laterals located to the north east of the residence. We have included a Standard Septic System Detail Sheet for your files and for use by the contractor during construction. Please call me if you have any questions. Sincerely, "rc / '`Thomas R. Center, PE CC: Andrew Dommaschk K 0 a CIO z H m N A Z6 rcQ a NQ = Q W ZLL ri0 Y MU Q Q E QE QQ € N zdi 2 ,I 0 Till. ti z r F^ i r- _ _ N yQj�i •N ��Tay llaann = C w x—�.ri �I<t 00. 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