2010-468 lo
Town of Queensbury• Building&Codes Enforcement Office■742 Bay Road• Queensbury,NY 12804
DEEP HOLE/PERC TEST ECEPYIE
Request for Town Engineer Rev
SEP 2 1 2010
Property Owner: EO7 4"/417 Phone: TOWN OF QUEENSBURY
Property Owner's Jl /�, BUILDING & CODES
Address: I'6�Gf X67 ,41y t'W �C<r s`j ct`� /l1/ —
Location of Test: // �5 ,4i//�L Cr-t e% A of Tax ID#: 9' S.// / -6"
*Applicant's Engineer: ,�VlA C k its ee,-,yl Phone: 226 -2 Sj< 5--
Applicant's Agent: /CJ - C °j1/.Pi Phone:
Additional Notes: -P j /7/r f c r , e C✓ 5 7-i? y e" .
1. Reason for Request? New Septic System j Replacement Septic System Failed Septic System
Subdivision Site Plan Review
2.Are Wetlands present? X YES NO UNKNOWN
*Note: Applicant is required to engage an engineer for design and testing of the system. The Town
Engineer's responsibility is to witness system testing only.
PLOT PLAN: Plot plan, to scale, to be submitted with application
FEE SCHEDULE:
$200 Flat Fee Date Paid: £ ,. / O
Check No.:
b. OR Fee to be determined during To Be Determined:
Site Plan/Subdivision review process
SIGNATURE:
In carrying out the provisions of Article IV, the Local Board of Health or the enforcement officer may
engage the services of a qualified professional consultant for expert review and recommendation arising
from the carrying out of the provisions of Art. IV, including but not limited to the review of plans,
specifications and reports, attendance at inspections, dye tests, deep hole test pits, septic related deep
hole and percolation tests, system installations, and any other aspect of any matter contained in this Art.
IV, and any costs incurred in such review shall be paid to the Town by the owner of the property before
any approval can be granted under this Art. IV shall become effective within 30 days of presentment of an
invoice for same, whichever is sooner. Such costs shall not exceed $1,500 without prior written notice to
the party to be charged with same.
My signature below indicates I have thoroughly read and understand the instructions, agree to the
submission requirements and have completed the application. I also fully understand that additional
engineering fees may be necessary per Town of Queensbury Local Law 136-14D.
SIGNATURE OF APPLICANT: Date:
SIGNATURE OF AGENT: Date: 4a2/./ZP
Original (B&C File) Canary(Planning) Pink(Applicant) Gold (Town Clerk)
PF S78°39'
one
999-961 I R F
\ 1 15 TELE.
ELEC.
Ls �
240, 214 sq. ft. "o \
5.51 acres
N8 y ° 0-4*0---i—
`51,J� 105
MR
115
IRF
120
IRF
J
I " TREE
OAK
CLEARING
8" BIRCH
PARTIAL SITE PLAN
�i"-w
SOILS DATA
TEST PIT (HOLDEN AVE LOT)
0—X" TOP SOIL
X—X" X
X—XX" X
XX—XX" X
NO MOTTLING OR GROUNDWATER OBSERVED
STABILIZED PERCOLATION RATE — 1" IN X MINUTES X SECONDS
TEST PIT & PERC TEST BY NACE ENGINEERING — X/X/10
& OBSERVED AND APPROVED BY BARTON & LOGUDICE REPRESENTATIVE
MI SLOPE
OPE
1/4" PER FOOT
1000 GAL. SEPTIC TANK
BY FORT MILLER OR
EQUAL
PROVIDE 3" SAND OR -�000O(:0°O
PEA GRAVEL UNDER TANK
APPROXIMATE
FINISH GRADE
INLET do OUTLET
�o
MINIMUM 2x WIDTH
MAXIMUM 4x WIDTH
PiILeo :.►.
RECOMMEND ALL ACCESS
do CLEANOUT OPENINGS
BE RAISED TO 6" BELOW
FINISH GRADE.
SEPTIC TANKS
1. ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK
STATE DEPARTMENT OF HEALTH AND SHALL BE PRECAST CONCRETE
120 IRS AS MANUFACTURED BY FORT MILLER OR EQUIVALENT.
2. ALL STRUCTURES TO BE PLACED ON FIRM, COMPACT SAND OR
GRAVEL FOUNDATION. WHEREVER EXISTING FOUNDATION CONDITIONS
ARE UNSUITABLE, CRUSHED STONE SHALL BE PLACED AS
NECESSARY TO ACHIEVE A STABLE FOUNDATION.
3. SEPTIC TANKS INSTALLED IN TRAFFIC AREAS SHALL BE EXTRA HEAVY
CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADING.
I
2" MAPLE
10" OAK
DESIGN FLOW - PROPOSED 4 BEDROOM HOUSE
INLET BAFFLE
MIN.OPSL E
1/8" PER FOOT
CONCRETE OR STONE
MARKER ABOVE ALL
BURRIED COVERS
RECOMMENDED.
12" MIN. COVER OVER
ALL STRUCTURES
MKI
X11 DISTRIBUTION BOX
BY FORT MILLER OR
EQUAL
N [ -
ALL OUTLET INVERTS
" �000�PEA TO BE SET AT
EXACTLY THE SAME
GRAVEL ELEVATION.
USE OF
DISTRIBUTION BOX ENCOURAGED) SPEED LEVELERS
N.T.S.
INSTALLATION OF DISPOSAL FIELDS
1. CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING,
AND SHALL BE IN ACCORDANCE WITH THE N.Y.S.
DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS, AND
ASTM F481-76 INSTALLATION OF THERMOPLASTIC PIPE AND
CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS.
2. NO HEAVY EQUIPMENT SHALL BE ALLOWED WITHIN THE LIMITS
OF THE DISPOSAL FIELDS AFTER PIPE INSTALLATION HAS BEGUN.
3. AFTER EXCAVATION 2' WIDE TRENCH TO THE DEPTHS REQUIRED,
THE WALLS AND FLOOR OF EACH TRENCH SHOULD BE CLEANED
AND RAKED TO ACHIEVE AN EVEN SURFACE AND TO LOOSEN
SMEARED SECTIONS OF TRENCH.
4. PLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND UNTREATED BUILDING
PAPER OR STRAW SHALL BE AS SHOWN, AND CARE SHALL BE
EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND
OTHER WASTE MATERIAL IN THE STONE AND PIPE.
5. THE PIPE SHOULD BE LAID AT THE GRADES AND TO THE
RELATIONSHIPS SHOWN ON THIS DRAWING, MAINTAINING STRAIGHT
CONTINUOUS GRADES WITHOUT SAGS, HUMPS, SEPARATED JOINTS
OR OTHER UNSUITABLE CONDITIONS. THE PIPE SHALL BE LAID
WITH THE HOLES DOWN IN ALL CASES.
6. ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL
AND TO DIVERT SURFACE RUNOFF FROM ADJACENT AREAS AWAY
FROM THE DISPOSAL FIELD.
7. REMOVE LEAVES, ROOTS, PLANTS AND ORGANIC DEBRIS. PLOW SURFACE PRIOR
TO SPREADING FILL MATERIAL
8. DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION FIELD AREA.
9. PLACE FILL AND ALLOW TO STABILIZE IN ACCORDANCE WITH NEW YORK STATE
DEPARTMENT OF HEALTH STANDARDS.
15% MAXIMUM
CROSS SLOPE
OVERFILL TO ALLOW ON SLOPED SITES
FOR SETTELMENT
- 4 BEDROOMS 0 110 GAL./DAY/BDRM = 440
SEPTIC TANK - USE 1,500 GALLON TANK
ABSORPTION FIELD - NEW ABSORPTION SYSTEMS TO BE MODIFIED SOIL ABSORPTION SYSTEM
SYSTEM.
- PERCOLATION RATE OF THE FILL MATERIAL SHALL BE 1 - 5 MINUTES PER INCH.
- ENGINEER TO PERFORM PERCOLATION TEST PRIOR TO CONSTRUCTION
OF NEW ABSORPTION FIELD TO CONFIRM PERCOLATION RATE OF SOIL.
- AT NYSDOH APPLICATION RATE 184 LF OF ABSORTION TRENCH REQUIRED.
- USE 4 LATERALS AT 50 LF EACH = 200 LF OF TRENCH TOTAL
OF ABSORPTION TRENCH REQUIRED.
BARRIER MATERIAL
12" MAX
Y MW. MEAME
7 7'
T -----
htnawim `4' PERFORATED PVC LATERAL,
SLOPE 1/16"-1/32" PER FT.
NOTES -
1. END OF ALL DISTRIBUTOR PIPES MUST
PLUGGED UNLESS INTERCONNECTED.
2. ALL LATERALS TO BE OF EQUAL LING
STANDARD ABSORPTION TRENCH PROFILE
4'-0"
2' MIN. ENDS
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EXCAVATE DOS71NG SOIL—
PRIOP TO FILL PLACEMENT
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RPTION TRENCH
TYPICAL DETAIL)
EARTH
YIMIN. FILL
UNTREATED BUILDING PAPEP,
OR GEOTEXTILE.
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� ORATED
LATERAL
6" MIN.
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3/4" TO 1 1/2"
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CRUSHED STONE
24' MIN.
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GROOUMAMNDWAWOELELEVVNALATION
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SEP 21 2010
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STANDARD ABSORPTION TRENCH SECTION
TOWN OF QUEENSBURY
BUILDING & CODES
OKu
- 4 BEDROOMS 0 110 GAL./DAY/BDRM = 440
SEPTIC TANK - USE 1,500 GALLON TANK
ABSORPTION FIELD - NEW ABSORPTION SYSTEMS TO BE MODIFIED SOIL ABSORPTION SYSTEM
SYSTEM.
- PERCOLATION RATE OF THE FILL MATERIAL SHALL BE 1 - 5 MINUTES PER INCH.
- ENGINEER TO PERFORM PERCOLATION TEST PRIOR TO CONSTRUCTION
OF NEW ABSORPTION FIELD TO CONFIRM PERCOLATION RATE OF SOIL.
- AT NYSDOH APPLICATION RATE 184 LF OF ABSORTION TRENCH REQUIRED.
- USE 4 LATERALS AT 50 LF EACH = 200 LF OF TRENCH TOTAL
OF ABSORPTION TRENCH REQUIRED.
BARRIER MATERIAL
12" MAX
Y MW. MEAME
7 7'
T -----
htnawim `4' PERFORATED PVC LATERAL,
SLOPE 1/16"-1/32" PER FT.
NOTES -
1. END OF ALL DISTRIBUTOR PIPES MUST
PLUGGED UNLESS INTERCONNECTED.
2. ALL LATERALS TO BE OF EQUAL LING
STANDARD ABSORPTION TRENCH PROFILE
4'-0"
2' MIN. ENDS
L l
EXCAVATE DOS71NG SOIL—
PRIOP TO FILL PLACEMENT
Lu
RPTION TRENCH
TYPICAL DETAIL)
TOPSOIL (6" min.). SEED AND m
MULCH SEPTIC SYSTEM AND ALL m
DISTURBED AREAS IMMEDIATELY
AFTER INSTALLING SYSTEM
4" MIN.
CAREFULLYFO
FILL MATERIAL, ME]l GRADED LOAMY SAND.
OR WELL GRAIMY SMD GRAVELS, CONTAINING A MINIMUM OF
IOX SILTS OR NO ORGANIC DEBRIS, AND NO SOLID OBJECTS
LARGER THAN r DIAMETER. IN PLACE PERCOLATION RATE OF 5 TO
15 MIMIUTES. ACT FNL IN 6" UJFTS WITH LOW GROUND PRESSURE
TRACK DOZER. IN-PLACE PERCOLATION RATE SHALL BE VERIFIED
BY ENGINEER AFTER PLACEMENT OF FILL AND BEFORE SYSTEM IS INSTALLED.
MODIFIED SOIL SYSTEM DETAIL
NOT TO SCALE
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SPACE FOR FUTURE TRENCH [�
IF READ. (5OX REPLACEMENT) i
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Date: NOVEMBER 16,
SCALE — AS NOTED
49231
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6" MIN.
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SEP 21 2010
TOWN OF QUEENSBURY
BUILDING & CODES
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TOPSOIL (6" min.). SEED AND m
MULCH SEPTIC SYSTEM AND ALL m
DISTURBED AREAS IMMEDIATELY
AFTER INSTALLING SYSTEM
4" MIN.
CAREFULLYFO
FILL MATERIAL, ME]l GRADED LOAMY SAND.
OR WELL GRAIMY SMD GRAVELS, CONTAINING A MINIMUM OF
IOX SILTS OR NO ORGANIC DEBRIS, AND NO SOLID OBJECTS
LARGER THAN r DIAMETER. IN PLACE PERCOLATION RATE OF 5 TO
15 MIMIUTES. ACT FNL IN 6" UJFTS WITH LOW GROUND PRESSURE
TRACK DOZER. IN-PLACE PERCOLATION RATE SHALL BE VERIFIED
BY ENGINEER AFTER PLACEMENT OF FILL AND BEFORE SYSTEM IS INSTALLED.
MODIFIED SOIL SYSTEM DETAIL
NOT TO SCALE
O C7
W ti o
SPACE FOR FUTURE TRENCH [�
IF READ. (5OX REPLACEMENT) i
F
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O
w
Date: NOVEMBER 16,
SCALE — AS NOTED
49231
SHEET 1 OF 1
DWG. NO.
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