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2015-248 TOWN OF QUEENSBURY ��rQueensbury,NY 12804-5902 (518) 761-8201 742 Bay Road,Q �' Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20150248 Date Issued: Thursday, July 02, 2015 This is to certify that work requested to be done as shown by Permit Number P20150248 has been completed. Tax Map Number: 523400-301-008-0002-086-000-0000 Location: 32 HILLCREST Ave Owner: ROGER & MARGO GUGLIELMO Applicant: ROGER& MARGO GUGLIELMO 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 4 ‘175t 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 eaki 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150248 Application Number: A20150248 Tax Map No: 523400-301-008-0002-086-000-0000 Permission is hereby granted to: ROGER& MARGO GUGLIELMO For property located at: 32 HILLCREST Ave 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: ROGER& MARGO GUGLIELMO Septic Alteration Residential 32 HILLCREST Ave Total Value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency SANITARY SEWER GEORGE DRELLOS 792-7257 PO BOX 224 GLENS FALLS NY Plans&Specifications 2015-248 Residential septic alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,June 12,2016 (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 n of een ry� ///; ;�/ , une 12,2015 SIGNED BY � \ for the Town of Queensbury. Director of Building&Code Enforcement SEPTIC DISPOSAL PERMIT Office Use Only DATReceived k-51-----Ell Tax Map ID t,b —2- TAX MAP ID Permit No. Is,\`�- `a tJ 1 0 2015 Pe File a� fes/ LOCATION OF INSTALLATION 3)-41164 Approvals: 0 OF C:ucL rm"NG&G,----- C�APPLICANT ©9 e r C9-LL ` v PHONE/E-MAIL 7/ Z - 3 0 c ADDRESS 3A I-6 /(c✓`P S-t- D/z- INSTALLER/BUIL DER: S,47 + 0 S - '-1 , Jeti' PHONE/E-MAIL / ADDRESS: Po , /J U xZ7 Y 4:'A--i f,24 OWNER /�, PHONE/E-MAIL Address 3t /I-/ ` (c i C5+ ig CONTACT PERSON FOR BUILDING&CODES COMPLIANCE; ac0 1 e b Aar PHONE / 9'1-VU RESIDENCE INFORMATION Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow 1980 or older Garbage grinder installed _Y ,CN 1981-1991 Spa or Hot Tub installed ._Y.X N 1992-Present /70 330 PARCEL INFORMATION Topography Flat rolling Steep slope %slope Soil Nature Sand Loam Clay Other Groundwater At what depth? /"/l Bedrock/Impervious Material At what depth? /1-'Vi Domestic Water Supply ;)4-Municipal Well(if well,water supply from any septic system absorption is ft.) Percolation Test Rate: __/- -5 per minute per inch(test to be completed by licensed engineering/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank Size /O V gallons(minimum size 1,000 gallons,add 250 gallons to size for each garbage grinder or spa or hot tub) System Type Absorption field with#2 stone Total length ft.:Each trench x Seepage Pit with#3 stone How many: :size - j"`)(_ Alternative System Bed or other type? /-5---Y-- :3c Holding Tank System Total required capacity? Tank size #of tanks Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will no longer allow systems to be covered until such time as an As-Built plan is received&approved. The installed system must match the septic system layout on file-no exceptions. DECLARATION: Any permit or approval granted which is based upon or is granted in reliance upon any material representation or failure to make a material fact or circumstance know by or on behalf of an applicant, shall be void. I have read the regulations and agree to abide by th, e and all r irem of the Town of Queensbury Sanitary Sewage Disposaprdinance. Print Name: C � Date: Ic f 4 / Signature: v,�E` ' `� Date: 6 10 --/1- Town of Queensbury Building&Codes Septic Disposal Permit July 2014 f Queensbury Building & Code Enforcement rtio S-e TO + 1 -z— . (518) 761-8256 Z. (518) 761-8256 I ( ' Septic Inspection Report Inspection request received: //// S i Name: G I �J� t AA 0 Inspected on: -S— Location: Location: 7) fr-1 . 1 C 1' F S Av-I i E Arrive: �L, / n ..m. Permit No.: I Inspector's Initials: .A Ar Co r ments and/or dia•ram Soil Type: Sand/Loam/Clay Type of Wat ici j ILWater � a2 CC,1-VS? Waterline se ara on 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 'z ft. Length of each trench Depth of trenches . ft. Size of Stone Seepage Pits: Number Size: Lemur\ (776? \<x 7 Stone Size: Piping Size Type Building to tank Tank to Distribution Box 11 Distribution Box to Field/Pit :e<0� \--k" hD�3� � `��Opening Sealed: N/ End Cap Y •/ c 4: L_AzYC:Re 7 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 tank V4-AF�N ft. ‘t Foundation to absorption 2.1)!--/D"ft. Separation of Pits ft. Conforms as per Plot Plan N Engineer Report and As-Built Y N7:7. ETU Maintenance Contract provided Y N gyp' tk > Location of S stem on Prose : Front R- Left Side Right Sid- ..dle Front Middle Rear S stem Use Sta .s: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report C14) TOWN OF QUE S'�''ij prr BUILDING & •D " � '�''/� . -- 2 HAVE SEEN OR PLOT PLAN 71 •D. SUCH AS HOUSES OBSERVED TREE ALL, - RBD eviewed By � �%� SHOb'VN ON THIS WELLS, T OBJECTS Date: DOCUM BEES, FENCES, ETC "'�� EDTHEDISTgN� ENT► / ..w,. HAVE PERSON El F.• ALLY0, ,EcEriek-- 5 ►�•� ON THIS DIAGRAM, o�rE a�� e )-- TOWN s�1� 10 2015 S TOWN OF QUEENSBURY BUILDING& CODES q k, 1,°24:4 ". Cti '� evi IE COPY . Lt) CAt t ye ei i GI1-1 6 Os- j D. ---J ) 1 Y. a • 6.1i If 1 creJ ,. Dr°r CENTER PROJECT SERVICES 73 Sheridan Street, Glens Falls,NY 12801 Phone-518-796-2515 June 9, 2015 Project# 213 George Drellos Sanitary Sewer Services Luzeme Road Queensbury,NY 12804 FILE COPY Re: Proposed Replacement Septic 32 Hillcrest Ave., Queensbury,NY Dear George: At your request we have reviewed your proposed replacement septic system design of the existing 3 bedroom house at 32 Hillcrest Ave. in Queensbury. As per our conversation the residence has an existing failed septic system. We have reviewed the proposed replacement septic system design and we agree that a standard absorption bed is acceptable. Based upon a design flow rate of 330 GPD and a percolation rate of 1 to 5 minutes, you will need a minimum of 367 sf of absorption area. We recommend using 15 ft wide by 30 ft long absorption bed with 3 - 25 ft long laterals. The absorption system can be constructed with the existing 1,000 gallon septic tank, new distribution box, and 4 inch diameter perforated pipe and stone. Please feel free to contact me at 796-2515 if you have any questions and that you for your assistance with this request. Sincerely, Thomas R. Center Jr, P.E.