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2010-282 TOWN OFQ UEENSBURY 742 Bay RoadQueensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20100282 Date Issued: Monday, June 28, 2010 This is to certify that work requested to be done as shown by Permit Number P20100282 has been completed. Tax Map Number. 523400-253-003-0001-041-000-0000 Location: 2 KNOLLS Rd Owner. JOHN & JAINE WARDLE Applicant: JOHN & JAINE WARDLE 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 (-DJ, 'dr 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100282 Application Number. A20100282 Tax Map No: 523400-253-003-0001-041-000-0000 Permission is hereby granted to: JOHN &JAINE WARDLE For property located at: 2 KNOLLS 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: JOHN &JAINE WARDLE 2 KNOLLS Rd Septic Alteration Residential QUEENSBURY, NY 12804-0000 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency SANITARY SEWER DAN DRELLOS PO BOX 224 GLENS FALLS NY Plans &Specifications 2010-282 SEPTIC ALTERATION RESIDENTIAL $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,June 09, 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 date.) Dated at the T o ee rye :.; .y,June 09, 2010 SIGNED BY # x4( 191 \ for the Town of Queensbury. Director of Building&Code Enforcement For an EPA homeowner's guide: http://www.epa.gov/npdes/pubs/homeowner guide long customize.gdf • OFFICE USE ONLY ' , 2513. 3 e l ---�11 pp�� •, TAX MAP NO. PERMIT NO. 10 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. f / C OWNER:Fe TOO/►1 vu` w )L E INSTALLER: h (TC�t� 5eA---e-r ADDRESS: 4 t� N 0 as' P ict at- ADDRESS: ) PHONE NOS. / PHONE NOS. LOCATION OF INSTALLATION: 2 jjtiv f LS .Dg,/L RESIDENCE YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW INFORMATION: BEDROOMS 1980 or older .. X 150 gallon per bedroom = 5'5'0 GARBAGE GRINM INSTALLED? U 1981 -1991 X 130 gallon per bedroom = F1992-present X 110 gallon per bedroom = SPA OR HOT TUB INSTALLED?____1 PARCEL INFORMATION: Nr ✓ 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: 1.1., / MUNICIPAL WELL (If well:water supply from any septic system absorption is:(i V`-' 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). TANK SIZE: / `30 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: o 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 •r other type? ' 6 S ❑ 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 QUESTIONS? CALL 761-8256 OR EMAIL to a.':- .V 'ese and all requirements of the Town of Queensbury codesCa.queensburv.net .nitary Sewage Disp. _ •rdinance.i, _ . VISIT OUR WEBSITE FOR MORE INFORMATION www.queensburv.net __ 0 - _____ /7 SI, . re o- -er- •n -s•onsi.le ate Town of Queensbury . Community Development Office • 742 Bay Road, Queensbury, NY 12804 1 >r Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: l /1(( am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: � ! NAME: __A ( ( ' /( , PERMIT NO.: • LOCATION: i c INSPECT ON: AI , 7 RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. 0. Well separation distance ft. Other wells: ft. V 4 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 Location/ Separations Foundation to tankft. 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 st m Use S t 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 Repor_03 29 10.doc Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ m epart: 4v) am/pm 742 Bay Rd., Queensbury,y,NY 12804 Inspector's Initials: V�� NAME: IV- v ti PERMIT NO.: 701.0 Z_ LOCATION: '2 toC.K. INSPECT ON: C RECHECK: Comments and/or diagram Soil Type: San' / Loam/Clay Type of Water: Munici =I/ Well Water Waterline se'1 ation distance ft. Well se . ation distance ft. Other wells* ft. Well Casing -n• h 50' + / Y N N/A a 01 Absorption ield: Total le 4th ft. j?_JTv Le 4 o each tr:nch ft. Dept of tre ches ft. S,e of tone ,tv5 _ 13/01 `' ` Seel -ge Pi : mber Size: x S --ne Size: P'• g Size Type Bulking to talk Tank to Dist buti. B. Distribution Box Fi=d/ P Openi g .-.led. Y_N 0-‘6(1°a G� nd Cap ^_Y N Inlet/Outlet Pipes . Baffles Y N Location/ Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y_ /�_ N fagiReer Repe t and As-Built JG Y N Location of System on Prope : Front ORearLeft Sid Right Side Middle Front Middle Rear 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 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 1/I 1 -a Permit No. C. r. t= Cert. N2 1018 2 Cut-in Card No Owner CQ O 0 PCZ(— Location ?krIC L- ,feD(s...1 ccE-`y Installation Consisting of....5fele ,042 (-414 / d'C'0--T °G c pr, ref c-7-> Installed By k s � YC Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of ing inspections at any time, and if its rules are violated,the Company shall have the right t pcYo t certi at Date.."f `/0 INSPECTOR Member (if :O0 /O —1 Z / vr5c-(?_ Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensb ry, NY 2804 Inspector's Initials: e ;, t,T)_ I NAME: PERMIT NO.: LOCATION: Z !tio S pr' INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand/ / 1- Type of Water: Municipal/,fir Waterline separation • t:nce 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 fit? ft. Length of each trench ft. Depth of trenches ft. Z _ a, Size of Stone Seepage Pits: Number Size: i..1/7� Stone Size: Piping ieType 4 Building to tank � 7 Tank to Distribution Box / A � 1•-13"->7Z Distribution Box to Field/ Pit 'VZ-3k Opening Sealed: _N End Cap _N Inlet/Outlet Pipes&Baffles Y � V/ Manholes 12" ,or less below grade _Y e N [provide extension collar if Yes] Y N t))//L-, Location/ Separations ir Foundation to tank ft. F/QCtik)5g-TZ-- k. Foundation to absorption .' . Separation of Pits J& ; . Conforms as per Plot Plan _ Engineer Report and As-Built _Y V 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: _V 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 Ilk ., C',,,k:J 1.? ILer,--‘7 ,••• .„..I Ai--t i , - s V,, * . • i F - TH "i !' „ et/t li l'' I ' 11. Jiff) a ( _ -0 .......I. till #(1) i I ti p . la It, , , -._1:0 . •,0,. . . I --;\ -, i • .L a -_- --_- - - - _- - - s' _ ___ -- _ J -. - 3 Y _ ---- - - I ---, - ir , >,,, „ 0 >1 e6 1. -� :._ &eel+O ,abs@fVCd�EN- elieve�I saw evident d, ; - - ---7- f'j ' SCtSkiSP.�YY@5f£ "S, etc., ___ ._-._ ._ ,;t; m a-t-l;s document ent false-represent--that-! have , ' ierr:,naiiy measured--the-distances-set crth-€rn the diagram -- - L7 .z .1 0.) [ f(��dI< rCI } -, SIGNATURE DATE � I } E f I g I fi i - - 1- - 1- -- Tovf U . t t F F-.., ..;1. a x py O ,4411r .--_. - --_. - - - SSS - - __ - ---- -- - - --T 7- x p I - - 7 Lea - . NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury, NY 12804 Phone-518-745-4400 Fax -518-792-851 May 29, 2010 Project#49312 Dave Hatin Code Enforcement Officer Town of Queensbury 742 Bay Road Queensbury,NY 12804 Re: Wardle—2 Knolls Drive—Replacement Septic System Dear Dave: On April 29, 2010, we performed a deep soil test pit and percolation test at the Wardle residence located at 2 Knolls Drive in Queensbury. The tests were performed to the northeast of the existing residence in the location where construction of a replacement leach field is proposed. The current 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 Percolation Test 0 —4" Tosoil Stabilization percolation rate - 1" in 5 min., 53 sec. 4 — 18" Loamy Silty Sand 18—63" Silty Sand with trace Clay Mottling observed at 26" Groundwater observed at 53" The 12 inch deep hole was presoaked and the test was run 7 times; at a depth of 24 inches, until it stabilized with three consecutive runs of 5:07, 5:31 and 5:53 respectively. The design flow for this 5 bedroom residence at 110 gpd per bedroom (550 gpd design flow), requires 688 sf of absorption bed. The replacement absorption system should be constructed as a shallow bed system and shall be no deeper than 4 inches into the existing soil. The absorption system will consist of the a new 1,500 gallon septic tank, a new pump station w/ force main, a new distribution box and 20 ft wide by 35 ft long absorption bed with 4 — 30 foot long absorption laterals located to the northeast of the existing residence. Please call me if you have any questions. Sincerely, Thomas R. Center Jr, P.E.