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2011-568 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20110568-38341 Date Issued: Tuesday,November 15, 2016 This is to certify that work requested to be done as shown by Permit Number P20110568-38341 has been completed. Tax Map Number: 239.18-1-15 Location: 16 TUTTLE LN Owner: Julie Currie Applicant: Julie Currie This structure may be occupied as a: Residential Septic Alteration By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the ( 040 4 10t . 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 Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY FTO 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110568 Application Number: A20110568 Tax Map No: 523400-239-018-0001-015-000-0000 Permission is hereby granted to: JULIE CURRIE For property located at 16 TUTTLE Ln 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: CROSWELL H TUTTLE C/O JULIE CURRIE Septic Alteration Residential 23S VILLAGE Dr Total value CAZENOVIA NY 13035-9951 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications BP 2011-568 Residential Septic Alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 15,2012 (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 Town o. ' - -ensbury• Tues. •y,November 15, 2011 SIGNED BY _ for the Town of Queensbury. Director of Building&Co:e En t, ement 1E C JE 0 WI E I ` - Community Development Office 211LNJ 1 4 n Town of Queensbury • 742 Bay Road • Queensbury, New York •128)4 TOWN OF QUEENSBURY BUILDING & CODES Office Use Onlyg7q �J J TAX MAP NO. 39. it- /--/J ' "6 q /G/ PERMIT NO.�I� PERMIT FEE 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: J ..LIE Cu..,R,RAE INSTALLER: `f~O '-t 1 E-riSTQ1A%)4ECO ADDRESS: `5 -ru-r j 1._ . y4 I Qt.A. IA '" CD PHONE NOS. (Q(Q€ -gDZ8 PHONE NOS. in t l"' Q Tu-r LOCATION OF INSTALLATION: 1( rL.E LA�1C l'� RESIDENCE INFORMAT 0 (Ni YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW 0 BEDROOMS (Gallons per bedroom) GARBAGE GRINDER a :p 1980 or older X 150 = INSTALLED? n4.4!) CO981 -1991 X 130 = .1 SPA OR HOT TUB Q 1992-present 14 X 110 = ,4s.4 INSTALLED? 1410 U PARCEL INFORMATION: L/ co us) ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE % %SLOPE t )—I'� = CO / ‘,/ 1 J 03 ✓ SOIL NATURE: SAND A/ LOAM � CLAY OTHER V N ✓ GROUNDWATER: AT WHAT DEPTH? > �, -0 ,^ Cl) ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? > t311 a' CD 2 V. DOMESTIC WATER SUPLY: MUNICIPAL WELL/4— (If well wafer pPf* sep is sysem ab iso V. PERCOLATION TEST: RATE IS 8 PER MIINUTE PER INCH[mph] (Test to be completed by a licensed professional engineer or architect) .>E344 ,1-..pE.- _z©_\ 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: GALLON (MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: ❑ABSORPTION FIELD(WITH NO.2 STONE) Total length ft. Each trench X ❑ SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size? ALTERNATIVE SYSTEM Bed or other type? EL-JE,N j Z4SYX I ) - Z-SL--F 1....A.1 QAL ❑ HOLDING 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 read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL anitary Sewage Disposal Ordinance. codes(a.queensburv.net L 1•AS%tca It-W-11 ature of Person Responsible Date VISIT OUR WEBSITE FOR MORE INFORMATION www.queensburv.net - - �.; `'fes •• =��:.i!,••-_-t-_:.4..„ �\.•- ,�--- ==�`� <• .0 -\ v.� . _ 1".�;-� _ tlt� � �•4:11§:',;','/..- 4 «SSL i•L e4� - - '�+��\ S ('a e` - `•`• "�4u• :`I! 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'':ilk_' ! 4 + e4;�� V ''` 25096 ' '° 9 �1f1;`.,. sl{'-,•1,I E C E a V E , p. rr}7.�.'1,''•- 9i �'' -v2 D Ins Date: 6/28/12 , ., py,.A. ;ippl#:L09253 ; .0;. t"rs v NOV��� 5 2�7� J .;d - i.` I1;. ''',....i$19 ,f �'''l'' o- TOWN OF QUEENSBURY a� 00i7t _ ELECTRICA!M hICATE m,-6�t11i �qe``«� ' /Yz4.--:::4-. = Septic Inspection Repo Office No. (518) 761-8256 Date Ins.: ion • �� - ed: Queensbury Building &Code Enforcement Arrive: ' A r/ ' •-part: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia s: – NAME: l)B C 1 5 9 t \ •ERMIT NO.: I \ -5(o LOCATION: \lo'T\T` t L�y l E ,INSPECT ON: (O -75-1 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. Well Casing Length 50' +/ - Y N N/A [150'to well required if NO] 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 Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: _Y—N End Cap ._Y N Inlet/Outlet Pipes&Baffles Y_N Manholes 12"or less below grade _Y_N '" [provide extension collar if Yes] Y N AS BUIL I Location/ Separations Foundation to tank _ . Foundation to absorption ft. \ 13 Separation of Pits ft. Conforms as per Plot Plan N \CSL Engineer Report and As-Built Y N ETU Maintenance Contract _Y_ N provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear st-m Use Stat 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 29 10.doc ,1,5e(4_ fIV1IVIIIlHF JUN 25 2012 IIIIIIIIIIII ENVIRONMENTAL DESIGN PARTNERSHIP,LLP June 22, 2012 Town of Queensbury Community Development Department 742 Bay Road Queensbury.NY 12804 Attn: Dave Hatin, Director of Buildings&Codes Re: Currie/Tuttle Residence-Replacement Wastewater System Dear Dave: In compliance with application approvals granted by the Town of Queensbury I offer the following regarding the referenced project. The design plan reviewed and approved by the Town as associated with the wastewater system application is as follows: Proposed Replacement Wastewater System for the Tuttle/Currie Residence 16 Tuttle Lane Town of Queensbury • Sheet 1: Wastewater System Plan June 28, 2011 • Sheet 2: Design Details&Notes June 28,2011 During the course of construction I was on the job site to observe key components of the system installation by Ellsworth& Son Excavating. It should be noted that the system has been installed at the location as indicated on the design plan although the septic tank and pump tank have been slightly revised. The septic tank now runs parallel to the house and the pump tank is a 5"diameter precast concrete structure. These changes were made in consideration of the presence of rock and were made with my knowledge and authorization. These revisions are now reflected in the attached `as-built' drawing. All other aspects of the work were constructed as designed and using the materials as specified. Based on my inspection of the system installation it is my opinion that the wastewater system is in compliance with the intent of the approved design plan and is ready for operation. Please contact me should you require any further information. Sincerely, ENI1114 TAACZ:e.er'e Dennis MacElroy,PE • - Attachment cc: Julie Currie 900 Route 146, Clifton Park, New York 12065 phone(518)371-7621 -fax(518)371-9540 SITE LOCATION MAP SCALE: 1" _ 2000 SOILS ANALYSIS SOILS INVESTIGATIONS WERE CONDUCTED AT THE SITE OF THE PROPOSED WASTEWATER SYSTEM ON JUNE 6, 2011 BY DENNIS MACELROY, PE. IN COMPLIANCE WITH THE TOWN OF QUEENSBURY REQUIREMENTS TWO TEST PITS WERE EXCAVATED AND TWO PERCOLATION TESTS WERE RUN TO CONFIRM THE SUITABILITY OF A REPLACEMENT WASTEWATER SYSTEM ON THE EAST SIDE OF THE EXISTING TUTTLE RESIDENCE. TEST PIT RESULTS ARE AS FOLLOWS. REFER TO THE SITE PLAN FOR THE APPROXIMATE LOCATION OF THE INDIVIDUAL TEST PITS. T.P. 11 0-6" GRAVELLY SAND 6-28" LOAMY SAND, BROWN/YELLOWISH BROWN SOME COBBLES 28-72" LOAMY SAND, LIGHT BROWN ROCK AT SOUTH END OF TRENCH AT 60" NO OBSERVATION OR INDICATION OF GROUNDWATER TABLE T. P. 2 0-6" GRAVELLY SAND 6-28 " LOAMY SAND, YELLOWISH BROWN WITH SOME COBBLES 28-75" LOAMY SAND, LIGHT BROWN FIRMER WITH DEPTH NO OBSERVATION OR INDICATION OF GROUNDWATER TABLE, NO LEDGE PERCOLATION TESTS WERE CONDUCTED ON JUNE 20, 2011 BY DENNIS MACELROY, PE WITH THE FOLLOWING RESULTS, REFER TO THE SITE PLAN FOR APPROXIMATE TEST LOCATIONS. P. T # 1 - 5 MIN./INCH P. T #2 - 8 MIN./INCH TIMBER WALL NOTES: 1. THE WATER SUPPLY FOR THIS RESIDENCE IS TAKEN FROM LAKE GEORGE. 2. ADJACENT PROPORTIES ALSO USE LAKE GEORGE FOR THEIR WATER SUPPLY. NO WELLS EXIST WITHIN 150' OF THE PROPOSED ABSORPTION FIELD. 3, THIS PLAN PROPOSES A REVISED ABSORPTION FIELD FROM A DESIGN PLAN ORIGINALLY APPROVED IN MARCH 1984. HOUSE -�----- / ' ' Ute, 7/ ry1 r"T' SILT FENCE } (TYP) y PRECAST CONCRETE / DISTRIBUTION BOX 1 1 41 f I ABSORPTION FIELD IN BED CONFIGURATION Willi LATERALS OF 28 LF EACH. I - TORT9L OOP I � P oco Ve i l tom" / 25 2012 TOWhi O+OiJEEh iI BUILDING & CG MAP REFERENCE.• THE SITE LAYOUT, PROPERTY LINES AND TOPOGRAPHY WERE OBTAINED / FROM THE MAP TITILED 'MAP OF LANDS OF H.CROSWELL AND DORIS E. TUTTLE" BB COULTER & McCORMACK LICENSED LAND SURVEYORS DATES FEBRUARY 7 1984 I i I I� j O 0 00 W C\2 Z W z W � -D z 0 O z JNZ w W x J>w - AW > W E., (2) M y W W w ZLo I0 w N W a }� W i--� Z w W Z baa w JZU Q0 LCL Z a z �!, Z�� w w� W� �-4 zoo � W � Q � M Z� Z O F-' o it W W � z Q '; Z Er� o Z19Z �� Waw LTJ W LL]N m W z Q II ~ U W J LLJ Q I- LLJW O w � _ C/I U) O 0 O • U W Of =00000.) 00 LL]N z Q II ~ U W u LLJ f a v N CD 0 N 0 z 4i J H H i z J 3 A W -rh ,rsd.63t ( 3 Septic Inspection Report Office No. (518) 761-8256 Date Inspecti q ��' Dated: Queensbury Building &Code Enforcement Arrive: A =-70 a, /p am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial40..-i NAME: 6 U cr lire. PER b IT NO.: — — y s LOCATION: 1 fp Lt-M- . IV AP ► :•ECT ON: CO -/y-/,3\ RECHECK: Comments and/or diagram Soil Type* Loam / Clay Type of Water: icipal/ Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/ - Y N N/A Absorption Field: Total length _ ft. Length of each trenches ft. Depth of trenches a ft. Size of Stone SeelefelliEster Size: L40 x_,.J.D_ Stone Size: L ViD ‘VL:. ` �� Piping Size Type Building to tank 9.t C F c ?rank to Distribution Box tl J s),\,k‘rJ Distribution Box to Field/ Pit Opening Sealed: N ` - ;�., 4 End Cap N \ ,J Inlet/Outlet Pipes&Baffles Y N fLliSt7a �� Location/ Separations �'\ • Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan _Y Engineer Report and As-Built Y _ N --' t eE , V V ` ?..6 _ Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear • \N — \— +UCS Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc ?Iffe, 3 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: l I 1 / )i)1 Queensbury Building&Code Enforcement Arrive: 3,i( am/plol,Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: L.LITh PERMIT NO.: Il[)-€ , cel g LOCATION: to. i ( -L.. INSPECT ON: 11 M tx0yRECHECK: 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. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] _ 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 j7, Building to tank �'` ?`(6%;/71:wif% Tank to Distribution Box / Distribution Box to Field/ Pit Opening Sealed: Y,N End Cap Y_N Inlet/Outlet Pipes&Baffles Y_N Manholes 12"or less below grade Y_.,_.N kJ§ [provide extension collar if Yes] Y N prohI G� - x4 yam,., Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built _Y—N ETU Maintenance Contract _Y N provided 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 L:\Pam Whiting\2010\Building Codes Forms\Inspection Fonns\Septic Inspection Report_03 29 10.doc