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2010-157 .4�` TOWN OFQ UEENSBURY 742 Ba Road Queensbury,NY 12804-5902 1 y , (5 8)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20100157 Date Issued: Tuesday, January 25, 2011 This is to certify that work requested to be done as shown by Permit Number P20100157 has been completed. Tax Map Number: 523400-302-018-0002-069-000-0000 Location: 18 HUGHES Ct Owner: RICHARD & MARY GARRETT JR Applicant RICHARD & MARY GARRETT JR This structure may be occupied as a: Septic Alteration Residential By Order of Town Boatel TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, 'V a- ..''� Variance, or other issues and conditions as a result of approvals by the Director of Building&Code4nforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY fi742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100157 Application Number. A20100157 Tax Map No: 523400-302-018-0002-069-000-0000 Permission is hereby granted to: RICHARD & MARY GARRETT JR For property located at: 18 HUGHES Ct 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: RICHARD &MARY GARRETT JR 18 HUGHES Ct Septic Alteration Residential QUEENSBURY, NY 12804 Total Value Contractor or Builder's Name/ Address Electrical Inspection Agency MORNING STAR SEPTIC Plans &Specifications 2010-157 septic alteration residential $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,April 16, 2011 (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•.te.) Dated at the T(6Cvn o ee u � •ay,April 16, 2010 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement 302.. ./Y-2 — 67 OFFICE........................................................... USE ONLY .% r � --. . /)_,, ERMIT FEE x.•�= ; ' PERMIT NO. V ' APPROVALS: ZONING____________. # TAX MAP NO G TOWN CLERK ' % ' -`� ?0tl APPLI ... ---------t CATION FOR SEPTIC DISPOSAL I .•'_ ,; , --- A PERMIT MUST BE OBTAINED BEFORE WORK SYSTEM PERMIT: PERMIT. )-� /� BEGINS.APpLAN IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID 4 OWNER: 1" ,,,� °t alt /y' . .A'. .�C INSTALLER: ADDRESS: : ' �u-'�S/ ill/// < ADDRESS: /, a , I A 1 PHONE NOS._ 22 2/? PHONE NOS.•_ -Zct,G ') 4(LI P(31 LOCATION OF INSTALLATION: zr .�.... 1 (-7E • YEAR BUILT NO.OF X COMPUTATION= BEDROOMS RESIDENCE INFORMATION: 1980 or older = TOTAL DAILY FLOW X 150 gallon per bedroom GARBAGE GRINDER 1991 X 130 gallon per bedroom 'ill-- 33 e) INSTALLED? 1981 1992-present X 110 gallon per bedroom SPA OR HOT TUB INSTALLED? PARCEL INFORMATION: __�_ ✓ TOPOGRAPHY: Folling Steep slope ✓ SOIL NAT RE: %Slope Sand Loam Clay__ Other ✓ GROUNDWATER: At what depth? -1 4 "_ ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? ✓ DOMESTIC WATER SUPLY: Municipal Well (It,well: Water supply from any septic ✓ PERCOLATION TEST: Rate is �J� °jz_cD system absorption is---.._ft.) per minute 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 a TANK SIZE: approved subdivision). T `—f__GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tan each garbage grinder, spa or whirlpool tub. k for SYSTEM TYPE: ❑ ABSORPTION FIELD (WITH NO. 2 STONE) Total length ft. ❑ SEEPAGE PIT(S) (WITH N0. 3 STONE Each trench X � • BedHow many? x�`�iLTERNATIVE SYSTEMSize? or other type? . A t y El HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? ', NOTE: ALARM., :...:.................:...::.:.:.:.:.:.:.::.:.:...:.........:.....:.:.....:...:...:.:..::.:.....:.....:.:......:....::.:...:.. ' SYSTEM ANDASSOCIATED• • APPROVED ELECTRICALELECTRICAL WORK MUST BE INSPECTED• : .•."`""•""""" "' ' INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. BYYA TOWN For your protection, .::..:....:.:.....:...:. ... . ................... .... . please note that pursuant to Section 136-29 of the Code of the TAW" „f r,..,.___._ permit or approval granted which is haecrl :_ Septic Inspection Report Office No. (518) 761-8256 Date Inspection - - Queensbury Building&Code Enforcement Arrive: - •- - : -rt ar� 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia . 15% - NAME: Q� 'TT P RMIT NO.: t r3 k /,‘ LOCATION: 1c?) '-\ NSPECT ON: -�-4 - 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 w,N Manholes 12"or less below grade Y—N [provide extension collar if Yes] Y—N Location/ Separations Foundation to tank ft. � BUILT Foundation to absorption ,ft. i Separation of Pits . Confo •• . :-rPlot P • • _ _N El." --r R-•• a•• Byilt� Y N aintenanc' •r • - _Y_N provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear m Use Sta : Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Fors\Inspection Forms\Septic Inspection Report03 29 10.doc c j l G. Peter Jensen 17 West Road South Glens Falls New York 12803 (518) 798—3859 April 20, 2010 To Whom It May Concern: I have designed(plan 10-0403) and observed the installation of the septic system for Dr. Richard&Mary Garrett at 18 Hughes Court, Town of Queensbury, Warren County,New York. It would appear that the installation is within the intent of the design documents. To the best of my knowledge and belief, no field conditions were encountered that would require a re-design of the septic system. To the best of my knowledge and belief all of the distance separation requirements have been met. Sincerely, yC '"t_ 0.FIED AqC G. Peter,Xensen ��\45��ER 4/,11‘ Q' CY ! 4 a * P026020 �- OF NEN. C y s I �4 0 -T E: cab /, SEASONAL HIGH GROUND WATER WAS 08615 RV 90 AT APPROXIMATELY 3/b„ BELOW SURFAG6, PLrPtC6;..ATI0N RATE aF E'X 15TING SOIL- WA;J LESS 'rt4A N /- l'1 INure , REMOVE SOIL TO A 0EPTH OIC' 3 PEAT iN AB508PTnON AALrA A N 0 TAPER - /MPORT .5-/0 MI INV715 PICA aPL.AT/Ohl RATE± FILL. TJ G RE ATIC 4' O€F'Y`I} APSCbn P; 1ON ARIIE-Iq 7APE: P TZ> E9tI5TINCs CvRA0If A -r RA7W OF 3 I-1DRI XD TAL- TD 1 V15:P,"1CAL, - PRDv10E 'TOPSOIL. AND :�!,Eja�o 'r -D GRASS All. ARRA$ VIS'TUR MED, POP OVICIS F I L.L. AS NIECSxSSAR,Y TD FPRDvjWf! LFFC'I-.I11mwT P►Ie►C COVICK, Z, REMOVE ANID RESET EXISTING SEPT14, 7 -AN){ ?U PROVIOff GRAVr-ry FLOW 70 AgSO R F-rlON AREA, 3, rRAISE PIPINta W/TNIN RESIDENCe AS REQU ►REpi 41 L AUNDIgY, 51 �;,nNNt:T L=xtZ77/N,,�1, KITCHEN SINK pRA1N ry ExISTltvc� PA TH RODM DRAIN, 6, CAP EA1571N& LAL)NORY 0/ 1TC-1-4EPI COMMOW ORA) -4 AT FOUNDATION WALL. 7= 3 BEDROOM RESIDENCE- 330 GPO I=LaW RAie IN 5oIL- WIT4 A 5- 10 MINUTB, PE8G0I-AT'Ie>t,4 RA ra REQIJI ►RES bU t_IN,FT, ELJEN TYPF"B* IN DRAW! UNITS- 60 L.IN.FT, PROV II�Ea, 15- SET SEPTIC TANK AND plSiRtt3U' 0t,4 SOS( LEVEL, 1%, INSTALL SF'EEI) ADJ U STEFi- IN 0IS—rK1t341Ti0N SOX, 10, US -15 ONLY SC3WO PIPE WITH -r'&HT JOINTS BE-rW EEN R9 61 015 N r^ S AND SEPTIC 7 -AN K) F-, 15 TWEEN SEPTIC. TANK ANO t71S'rRISUTION 16CX Ati= eF_'*WEEN DISTRISUTION BOX AND BF-0vINNINry OF AZS0RPT'10N 'TRENCH. 11• Ivo PORTION OF SEPTIC SYSTIILM SHAL-L. PE WITHIN 10'44- ANY PfRO PERT`I LINE, 12, NO OPEN PORTION Or SEI°TrIC SYSTEM DIS i Ri eLdT►Dr.I sox OR ASSORPTIDN AREA - SHALL $E WITHIN /00' O F ANY WLLLj LARI, S-rRV`AM, f2O"P CSR W6'rLAN01 13+ INSTALL-ATiON MOST 136 11v5PEC.T`F-0 PRIOR, Tp covgRINv BY -rwe BUILDINa iNsPZ�TDIR OF' T/fir' -rDwN pF D t 5 T F7R0M A "N C E M TO EX15-r/Nw 1 I BEDRD©Irl I ' REsIr�ENCrE �i _ 1 i 4!'o SUI. t© PIPE• P1716H ¢APER FDD — _ __.�__ j.. -rAP ER R E MDV E R E S E 1 EX IST, N G SEP I L •� l iR P'TI Q fel AREA �I 4"y6 ,PIPe ON ELJEN GRAVITY FLOW ,r 4"4f WL -FD PIPE PI-%iI4 pER FOOT �, a - TYP11? 8' I N DRAIN UNrM I tD►S-MICS JT/UN BOX-- Ilk, �-! ENL] I:Af= I» -_ -49 F MIN' 1 FART PLOT PL -AN SC -ALE /"- 2,0' I_ Uj i BAFFL-E H Z; DI TRI►3UT!ON RZ)x PLAI-i N TS 00 N REMOVEABLE t nVIaR Q I NLE-r BAFFi.EE OUTLET lop f ,4 - CRUSHED STONE ('-"-1 2 D3 RIr J`f I0r,) M0x ET N T-5 _..__T_.=__ ____.-S-ID I"tIN PERCOLATION RA-rLr PILL Z 4"0 PCRFrOAATED PIPE -LAID LF -VEL E WITH HOLES 0,5,e 7 0'GL.0G0-, _ GEO TEXTIi-e FA15MIC EI JIr N TYPE"&' 1rQ-ORAIN UNITS ' LAID LEVL'i. CONCMET& SANG 1 j TRENCH SECTION N TS G" �IN , 0 0 0 0 -- F-LJEN TYPt-- '$' I DRAIN UNIT$ Q -# CONCREll ►ND i 4 � �U 1� �1---.-_.__-.-- 5-10 MIN. ,1:3rRCDLATIOrt RATE FILL i C A P P E R FO R AT E D P 1 PC I33 _ TRENCH END DETAIL wo NTS c� . 14' 4 2' BUILT TOP r>O I L I ---�,� ----, R::U L A`i►D H RAM FILL -.+ r'E l.L t I rIi U 0 1 _ - =; TOWN OF QU y A BUILDING & S rT. N , HIGH ' to 1? 11r t f� WATL R LEVE eVlf�WeCl B ..- ,� Dated 17 1�%Gl Atte M is s Violation of the Lew for any Parton, I, Unia" Acting Under the Direction of a c� , �' •„ LicenSed ArcNiect, to Atter any Portion of This -A Document in any way. It any Portion of this a . i; k Document is so Alter -ad, the Attering Architect �..� i $halt Affix to th8 i'ortiUn soAltered his Seal and the Notation 'Altered By" f=ollowed by his Signature and the Date of Such ANeration, &nes a Spec0c DeacrVtio'n nI the Alteration. MORNING STAR ��AT�!' S`I/C FOR G. PETER JENSEN 0P.Aw o - 37 WEST ROAD PLA IJ n� TE SQ L EF r SOUTH GLENS F=ALLS ------___ _ ---s -_ ____ ___._____.-_ --- NEW NEW YORK 12603 1p-wz r APR i L 10 AS N 4TED SEPTIC TANK_ OUTLET MH Iq-7 2-3' e, 01S'''f?Ife,I.)TIOIN 15OX 3A'-9 L� TRENCH M 1 __ 4Sf^t__0 END r'REJVGttF 50=(�— 3ST rQ EX15-r/Nw 1 I BEDRD©Irl I ' REsIr�ENCrE �i _ 1 i 4!'o SUI. t© PIPE• P1716H ¢APER FDD — _ __.�__ j.. -rAP ER R E MDV E R E S E 1 EX IST, N G SEP I L •� l iR P'TI Q fel AREA �I 4"y6 ,PIPe ON ELJEN GRAVITY FLOW ,r 4"4f WL -FD PIPE PI-%iI4 pER FOOT �, a - TYP11? 8' I N DRAIN UNrM I tD►S-MICS JT/UN BOX-- Ilk, �-! ENL] I:Af= I» -_ -49 F MIN' 1 FART PLOT PL -AN SC -ALE /"- 2,0' I_ Uj i BAFFL-E H Z; DI TRI►3UT!ON RZ)x PLAI-i N TS 00 N REMOVEABLE t nVIaR Q I NLE-r BAFFi.EE OUTLET lop f ,4 - CRUSHED STONE ('-"-1 2 D3 RIr J`f I0r,) M0x ET N T-5 _..__T_.=__ ____.-S-ID I"tIN PERCOLATION RA-rLr PILL Z 4"0 PCRFrOAATED PIPE -LAID LF -VEL E WITH HOLES 0,5,e 7 0'GL.0G0-, _ GEO TEXTIi-e FA15MIC EI JIr N TYPE"&' 1rQ-ORAIN UNITS ' LAID LEVL'i. CONCMET& SANG 1 j TRENCH SECTION N TS G" �IN , 0 0 0 0 -- F-LJEN TYPt-- '$' I DRAIN UNIT$ Q -# CONCREll ►ND i 4 � �U 1� �1---.-_.__-.-- 5-10 MIN. ,1:3rRCDLATIOrt RATE FILL i C A P P E R FO R AT E D P 1 PC I33 _ TRENCH END DETAIL wo NTS c� . 14' 4 2' BUILT TOP r>O I L I ---�,� ----, R::U L A`i►D H RAM FILL -.+ r'E l.L t I rIi U 0 1 _ - =; TOWN OF QU y A BUILDING & S rT. N , HIGH ' to 1? 11r t f� WATL R LEVE eVlf�WeCl B ..- ,� Dated 17 1�%Gl Atte M is s Violation of the Lew for any Parton, I, Unia" Acting Under the Direction of a c� , �' •„ LicenSed ArcNiect, to Atter any Portion of This -A Document in any way. It any Portion of this a . i; k Document is so Alter -ad, the Attering Architect �..� i $halt Affix to th8 i'ortiUn soAltered his Seal and the Notation 'Altered By" f=ollowed by his Signature and the Date of Such ANeration, &nes a Spec0c DeacrVtio'n nI the Alteration. MORNING STAR ��AT�!' S`I/C FOR G. PETER JENSEN 0P.Aw o - 37 WEST ROAD PLA IJ n� TE SQ L EF r SOUTH GLENS F=ALLS ------___ _ ---s -_ ____ ___._____.-_ --- NEW NEW YORK 12603 1p-wz r APR i L 10 AS N 4TED 1 Twf lz d5,101 -e. Septic Inspection Report Office No. (518) 761-8256 Date Inspectio • - ., (2-0 t G Queensbury Budding&Code Enforcement Arrive: r �� �.•= rt: __, baa pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Ini NAME: G►`if r PE' /NO,: /s LOCATION: ( k v� L, P s Codi- I • - ON: D RECHECK: Comments and/or diagram Soil Ty. ;:r:► m/ Clay Type of Water cip,' Well Water Wat- i'ne •-ration distance � ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length ((k) ft. Length of each trench Ip ft. Depth of trenches (C 3 1 ft, bNckm- Size of Stone t ‘< %S) Seepage Pits: Number Size: t x "72— Stone t2Stone Size: Piping Size Type Building to tank t'k i k _ �) t--0 Tank to Distribution Box " • {L� Distribution Box to Field/ Pit " t ��~ � `,j 01(1‘<t Opening Sealed: 221 N End Cap ✓ _N Inlet/Outlet Pipes&Baffles Y—N Location/Separations • Foundation to tank tU ft. c� Foundation to absorption ' AP ft. Se.-ration of Pits ,,ditr� Conforms as •-r Plot Plan Ilinlierar 1S16 2A)\Cr_ En.ineer Re..rt and As-Built Location of System on Property: Front Rear Left Side Right fiddle Fro Middle Rear 7_-n - �S Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Offic Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc [ —.. .. . „t. ,e7x71.1,ave '-‘,4 I 1.-4 t I.. „ ,,,, j , .__........._. . „. ., ,..,, ........,,,2- i 0 . ..-O-_ _ _ .A. ,, ... ? .. ,..., t',`:.i '24' - -7.*„.,z''. •, ',(tl,.:1, !': f :;:i, af c.a. r r\‘‘, C.:, ,, cg. '.11,704 0,d :.- 541, '~; i'17.Lfd "•:;: ite..1 -...;' ” ''''. `.1. ,t' ..,,,::i f-k .., i f".1 :/ ,3,1,',i i, 0 t" 6 le 6.,, (A ,?..,',.,ei'5'7-, ":i 4 ..:::.;;k ..! "- •• ;.,3, ',,s,' '2,-''''' ',...-! ..-, J..4!.70.1 8.:41 t ;,.: ,', „.:i., ":'..,:i;,-,i 1 '1,..' '.,:''',,.,t; .... ..:, 1,;,•.'07,'t „ . 1 1 I i - .. ... . . . 1 .