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2011-293 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 - CERTIFICATE OF COMPLIANCE Permit Number: P20110293. Date Issued: Wednesday, July 13, 2011 This is to certify that work requested to be done as shown by Permit Number P20110293 has been completed. Tax Map Number: 523400-290-006-0001-039-000-0000 Location: 5 PINECROFT Dr Owner: JEFFREY LA PELL Applicant: JEFFREY LA PELL 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 f1 property owner of the responsibility for compliance with Site Plan, �n� a Variance, or other issues and conditions as a result of approvals by the '' 7 Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. r TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20116293 Application Number: A20110293 Tax Map No: 523400-290-006-0001-039-000-0000 Permission is hereby granted to: JEFFREY LA PELL For property located at. 5 PINECROFT Dr 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: JEFFREY LA PELL Septic Alteration Residential TINA LUNDGREN Total Value 5 PINECROFT Dr QUEENSBURY,NY.12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-203 septic alteration residential $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 20,2012 (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.) Dated at the T.o�vn f Quee ury A/ ofida Jun_a 20,2011 SIGNED BY .S �' for the Town of Queensbury. Director of Building&Code Enforcement., Community.Development Office D [ECEDWE Town of Queensbury • 742 Bay Road • Queensbury, New York - 4 JUN 17 Office Use Only e�7'70'. /--3 TOWN OF QUEENSBURY TAX MAP NO. PERMIT NO. PE IT FEOU DIN(;R CODES APPROVALS: ZONING TOWN CLERK 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: S= � _ _�� INSTALLER: ADDRESS: ADDRESS: ���I � �-�V� O ►Ml ��� �`— PHONE NOS. t PHONE NOS._ `j 0 S LOCATION OF INSTALLATION: e_i;BC �1 ►�+'c3� RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW BEDROOMS Gallons per bedroom GARBAGE GRINDER 1980 or older X 150 = INSTALLED? 1981 -1991 X 130 = SPA OR HOT TUB 1992-present "�, X 110 p = INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND LOAMA_ 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 Z . ~a PER MIINUTE PER INCH[mpi] (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). TANK SIZE: O� GALLON( N I E IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool.tub. SYSTEM E: ABSORPTION FIELD(WITH NO.2 STONE) Total length ft. Each trench — — X � PAGE PIT(S)(WITH NO.3 STONE) How many? Size? �q, EAL'f RNAT�IVE SYSTEM Bed or other type? ❑ FOOL-1?JfNG TANK SYSTEM Total required capacity? Tank size? Number of tanks? 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 its e regulations w'h rge this application and agree to abide L requ eTown of ueensbury QUESTIONS? CALL 761-8256 OR EMAIL Sanitaosal in yt codesCa 4ueensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION Si a u Person Responsible te. www.aueensburv.net �i Se tic Inspection Re ort PP Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: Lil.-M am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: a PERMIT NO.: LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand/ oa la Type of Water: Munid al/-Wftier Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' +/- Y �A 150'to well required if NO Absorption Field: Total length ft. Length of each trench —�" Depth of trenches Size of Stone .1 Seepage Pits: Number Size: Stone Size: Piping Size Type Building to tank Tank to Distribution Box 2. Distribution Box to Field Pit LL -rL -Openinq Sealed: Y N End Cap N Inlet/0-u—tlek,'Pipes&Baffles N Manholes 12"or less below grade _Y_N [provide extension collar if Yes Y N Location Separations Foundation to tank ft. - `�� �'�✓ Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan N � �f p � �� Engineer Report and As-Built Y N Az; ETU Maintenance Contract Y_N provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear S stem Use Sta s: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report-03 2910.doc i t OR EXTREME ORGANIC L( j TYPE SPAS OR GARBAGE G ' ROOF, F0077NG, GARAGE ' 1 DRAINAGE MUST BE EXCLUL EX/S71NG WELL LOCATION 1 1 ASPHALT ::. THIS DESIGN 1S SUBJECT TG :DRIVEWAY 1 1 1 � FIL_L. MATE' R%4L 1 1 AFTER REMOVNVG ORGANIC ENTIRE AREA OF PROPOSED � E 1 1 "SYSTEM FILL" MATERIAL SH 11 SANDY LOAM OR SANDY PERCOLA77ON RATE OF 3--4 OBJECTS OVER 1 * IN SIZF. BE FINER THAN A NUM80? ' '%� EX/S 71NG 1000 GAL PRECAST MATERIAL BY WEIGHT SHALL Omm. LESS THAN 15 2.BE i `,•- ,EXISTING TWO CONCRETE SEPTIC TANK N� N � LARGER THAN A 1/2" Sit BEDROOM RESIDENCE ' ; T AND SEAL EXIS77NG T SEP71C TANK OUTLET %J : v jma SYSTEM M FILL MATERIAL IS T ' TO BE ABAND ELING SEP77C D 7EM RE'MOVE 6" LIFTS W1771 TRACKED EQU AECK AS NECESSARY FOR NEW TRENCHES. SYSTEM INSTALLATION. INSTALLER TO N077FY ENGI SYSTEM FILL MATERIAL PRIOR OIN MATERIAL REQUIRED TO PRO% PUMP STATION MAY BE NATI EXISTING i WHICH 1S NOT NECESSARILY S PATIO � ' 00' WELL M B'ACK Pr-r l PROPOSED 4" PVC SDR-35 EFFLUENT EX13TING � 5WIMMIN6 1 1 "( h2'd¢ seen or nserved, or b8ii SEWER, V PER FOOT MIN. SLOPE Pooc ! �;� s� s�- -`1��� �s "t � ses, wells, PROPOSED DISTRIBU770N BOX I 1 S , i PROPOSED 2' WIDE ABSORP17ON l U:S�n. w TRENCHES, 4 AT 40' REQUIRED l 1 � AS BUILT -' Y l F ITOWN �lV 1 OI"' UE i o�IS -- � 'BUILDING & evict ed Biel" f ate' - TAX MAP # 2! I a=ROPERC '40 .,,,,.,�- - ..-- ALTERATION OF THIS DOCUMENT PROFESSIONAL . uNfr 5E(BA N7$'22-..r"" ENGINEER IS A VIOLATi 187•08 SITE PLAN 4" M/N TOPSOIL OVER THE EN77RE ABSORPTION FIELD, SEED & ESTABLISH TURF BACKFILL FREE OF STONES OVER 3" OVERFILL TO ALLOW FOR SETTLEMENT 12" MAX FIL TER FABRIC MIRAF1 14ON OR EQUAL 2' TRENCH WIDTH 6-12" 2" MIN. oC 2" IN. ° s" 12" MIN. OO DO °xopOo 0,0o 6" O °< 3/4" TO 1-112" WASHED 3/4" TO 1 1 /2" CRUSHED STONE WASHED CRUSHED STONE ABSORPTION TRENCH SECTION NT5 ABSORPTION FIELD SECTION NT5 SUGGESTED: POLYETHYLENE APPROXIMATE EXTENSION TO GRADE WITH FINISH GRADE TAMPER RESISTANT ACCESS COVER SLOPE 4" MIN TOPSOIL OVER THE EN71RE ABSORPTION FIELD, SEED AND ESTABLISH TURF FILTER FABRIC MIRAF/ 140N OR EQUIVALENT -4" PERFORATED PVC LATERAL, SLOPE 1 /16" - 1 /32" PER FT. ABSORPTION TRENCH PROFILE NT5 12 "f EXISTING HOUSE PRECAST CONCRETE SEWER 3" INLET " DISTRIBUTION BOX MIN. SLOPE LIQUID LEVEL OUTLET EFFLUENT SEWER, 1/4" PER FOOT T MIN SLOPE 15" BAFFLE -MIN. WATERTIGHT ALL OUTLET INVERTS TO BE SET F/ SLEEVE AND SEAL AT EXACTLY THE SAME ELEVATION, (IMP.)CLz QLi USE SPEED LEVELERS j o o PERFORATED TRENCH 4" PVC SOLID DPPPNNG, ER TO EXISTING 1 1/8" PER FOOT MIN SLOPE GALLON SEPTIC TANK J EXISTING SEPTIC TANK NOTES VERIFY INTEGRITY OF INLET AND OUTLET BAFFLES, REPLACE IF MINIMUM 2X WIDTH NECESSARY. MAXIMUM 4X WIDTH a PUMP TANK AND INSPECT FOR CRACKS OR OTHER DAMAGE AND REPLACE IF NECESSARY. ALL PENETRATIONS MUST BE SEALED. EXISTING SEPTIC TANK DETAIL NT5 END CAP SITE SOILS DATA PERCOLA770N TESTS PT-1 - 6110111 BY T. HUTCHINS P.E. STABILIZED PERCOLATION RATE: 2 MIN 50 SEC PER INCH PT-2 - 6110111 BY T. HUTCHINS P.E. STABILIZED PERCOLATION RATE: 1 MIN 55 SEC PER INCH 6" MIN. WASTEWATER SYSTEM DESIGN 2 BEDROOM RESIDENCE DESIGN TO 3 BEDROOM RESIDENCE WATER SAVING FIXTURES (1.6 GPF MAX. FLUSH, 3.0 GPM MAX. FAUCETS) DESIGN FLOW - 110 GPD/BEDROOM SYSTEM DESIGN FLOW - 330 GPD SEPTIC TANK - EXIS77NG 1000 GAL PRECAST CONCRETE LEACH FIELD - PIPE IN STONE ABSORPTION TRENCHES DESIGN PERCOLATION RATE = 1-5 MIN/IN APPLICATION RATE= 1.2 GPD/SF ABSORPTON AREA REQUIRED= 275 SF 2' WIDE TRENCH LENGTH REQUIRED 138 LF USE 4 TRENCHES AT 40' LONG (160 LF) POTABLE WATER SUPPLY TO BE EXISTING ON -SITE WELL SYSTEM INSTALLATION NOTES CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING AND IN ACCORDANCE WITH THE N.Y.S. DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS AND ASTM F481 INSTALLATION OF THERMOPLASTIC PIPE AND CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS. AFTER EXCAVATION OF 2' WIDE TRENCH TO THE DEPTHS REQUIRED, THE WALLS AND FLOOR OF EACH TRENCH SHALL BE CLEANED AND RAKED IN ORDER TO LOOSEN SMEARED SECTIONS OF TRENCH. PLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND FILTER FABRIC SHALL BE AS SHOWN, AND CARE SHALL BE EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND WASTE O � [)RIVE �� , �//� MATERIAL IN THE STONE AND PIPE. PI NECR THE PIPE SHOULD BE LAID AT THE GRADES INDICATED, MAINTAINING STRAIGHT CONTINUOUS GRADES WITHOUT SAGS, HUMPS, SEPARATED JOINTS, OR OTHER UNSUITABLE CONDITIONS. PIPE SHALL BE LAID WITH HOLES DOWN IN ALL CASES. - - - - - - - - ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND DIVERT SURFACE RUNOFF AWAY FROM THE DISPOSAL 225.95' R= 793.95 FIELD. d=16-18 22 DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION AREA AFTER PIPING HAS BEEN INSTALLED. THIS SYSTEM IS DESIGNED FOR WATER CONSERVING FIXTURES AND IS NOT DESIGNED TO ACCOMODATE EXTREME WATER USE OR EXTREME ORGANIC LOADING DEVICES SUCH AS JACUZZI t � TYPE SPAS OR GARBAGE GRINDERS. 1 ROOF, FOOTING, GARAGE, CELLAR AND SURFACE WATER t � DRAINAGE MUST BE EXCLUDED FROM THE WASTEWATER SYSTEM. 1 EXISTING WELL LOCATION THIS DESIGN IS SUBJECT TO STATE AND LOCAL APPROVALS. I 1 A5PHALT i 1 DRIVEWAY FILL MATERIAL NOTES AFTER REMOVING ORGANICS, PLACE SYSTEM FILL OVER THE EN77RE AREA OF PROPOSED FILL. 1 I "SYSTEM FILL" MATERIAL SHALL BE CAREFULLY SELECTED SAND 1 1 1 I SANDY LOAM OR SANDY LOAMY GRAVEL WITH IN -PLACE 1 I PERCOLATION RATE OF 3-6 MIN/INCH AND NO ORGANICS OR 1 1 OBJECTS OVER 1 " IN SIZE. LESS THAN 10i BY WEIGHT SHALL t BE FINER THAN A NUMBER 200 SIEVE. AT LEAST 25% OF THE 1 I MATERIAL BY WEIGHT SHALL BE IN THE RANGE OF 0.50mm TO 1 EXISIING 1000 GAL PRECAST �0 2.Omm. LESS THAN 159 OF THE MATERIAL BY WEIGHT SHALL t CONCRETE SEP77C TANK ti o BE LARGER THAN A 1/2" SIEVE. EXISTING TWO CUT AND SEAL EXIS77NG vL: t SEP71C TAOUTLET 110 NK SYSTEM FILL MATERIAL IS TO BE MECHANICALLY STABILIZED IN 1 BEDROOM RESIDENCE FAILING SEPTIC SYSTEM 6" LIFTS WITH TRACKED EQUIPMENT PRIOR TO INSTALLATION OF I 1 PTO BE ABANDONED, REMOVE TRENCHES. t DECK AS NECESSARY FOR NEW 1 SYSTEM INSTALLATION. I INSTALLER TO N077FY ENGINEER OF PROPOSED SOURCE OF IN /� SYSTEM FILL MATERIAL PRIOR TO TRANSPORTING TO SITE. �' I MATERIAL REQUIRED TO PROVIDE COVER OF SEPTIC TANKS AND oao NOvy� I I PUMP STATION MAY BE NATIVE MATERIAL OR OTHER MATERIAL Irn �0� �pG - > I WHICH IS NOT NECESSARILY SYSTEM FILL. 5� ..: EXISTING PATIO t SETBACK Pr- I ExisriNG i-'hserved, or believe I saw 1 PROPOSED 4" PVC SDR-35 EFFLUENT 5WIMMING I I f^ ses, we11� y' Ape 1` POOL I 1 I t SEWER, PER FOOT MIN. SLOPE 1 PROPOSED DISTRIBUTION BOX I 17 t PROPOSED 2' WIDE ABSORPTON I i t TRENCHES, 4 AT 40' REQUIRED 'TOWN OF QUE42, U, i ate: µ TAX MAP # 290.6-1-39 ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED OPERA_ _ - " _ PROFESSIONAL ENGINEER IS A VIOLATION OF NYS EDUCATION LAW. jOBAGK N78,224�_-..+ t - LINE 5� .•-''�87•p8 SITE PLAN 1 ISSUED FOR PERMIT 6/1 SCALE: I "=20' 0 PRELIMINARY 6/1 MAP REFERENCE: BASE INFORMATION FROM "MAP OF A SURVEY MADE FOR PAULA & PHILLIP J. HASSON, JR." MADE BY VAN DUSEN & SIEVES LAND SURVEYORS, 169 HAVILAND RD. QUEENSBURY, NY 12804 AND DATED APRIL 20, 1989 AND "MAP OF STONEHURST A SUBDIVISION DEVELOPED BY CHARLES & BEVERLY MAINE" MADE BY VAN DUSEN & STEVES LAND SURVEYORS, 169 HAVILAND RD. QUEENSBURY, NY 12804 AND DATED JULY 15, 1983. ADDITIONAL FEATURES LOCATED BY HUTCHINS ENGINEERING ON JUNE 13, 2011.