2015-443 TOWN OF QUEENSBURY
s 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150443-42327 Date Issued: Tuesday,November 15, 2016
This is to certify that work requested to be done as shown by Permit Number P20150443-42327
has been completed.
Tax Map Number: 239.16-1-12
Location: 21 SIGNPOST RD
Owner: Anne Lennox
Applicant: Onsite Engineering
This structure may be occupied as a: Residential Septic Alteration
By Order of Town Board
TOWN OF QUEEN/S�BURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, G�WJkf/ �,vJ
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: P20150443 Application Number: A20150443
Tax Map No: 523400-239-016-0001-012-000-0000
Permission is hereby granted to: ANNE LENNOX
For property located at: 21 SIGN POST 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: ANNE LENNOX
Septic Alteration Residential
DEBORA IRWIN, DALE HAGER, JE Total Value
NANCY& EUGEN CLARK
87 ALTOMONT Rd
VOORHEESVILLE,NY 12186-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-443
Residential Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 21, 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 dat .)
Dated at the T n of ens ry4 day, September 21, 2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
SEPTIC DISPOSAL PERMIT (:)*e UseQnly
DATE /-/& 1.3 Received
2 *Sap M
TAXMAPID • 1 — k Permit Nc. X015- �taJ
PoS`1f2�. C ^� ` 0` • _ wiay log
LOCATION OF INSTALLATION e 69p r�/ Y ? .21.2 1j ,,.,�
APPLICANTE2/C Itiv2O ,k t: �. On51��e _Agi.4eeri y PHONE/E-MAIL 311- Zr?— 68c"
ADDRESS 0. 3OX 47 65. sy,,,A4e "Pr/ /32/-4--
INSTALLER/BUILDER:
3Z/ -INSTALLER/BUILDER: SW0 Qy S&j t^GGIVct 'Jtj/�vG PHONE/E-MAIL C70— -+4)("Z— 72`-6
ADDRESS: 7'' 47/,SCcloAiiG Za"e L-Xf: za4e Celoyzje
/ IVY /ZSf3
OWNER 11n/1e Levy)0)( PHONE/E-MAIL 513- -+6S--Zct 74-
Address .47/0LI'horii- Rocs) Vi,or17 ee5f/-/ei A/V /2-1%4
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: Li�l G ItuftOU lf'G P PHONE 3/3--- s¢` b 5 l/
RESIDENCE INFORMATION
Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow
1980 or older ?. //0 5 p Garbage grinder installed _Y C:n3P
1981-1991 Spa or Hot Tub installed —Y
1992-Present
PARCEL INFORMATION
Topography Flat rolling A Steep slope /,S-' %slope
Soil Nature Sand Loam Clay X Other
Groundwater At what depth? '0'>
Bedrock/Impervious Material At what depth?
Domestic Water Supply G,qk� Municipal Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate: £-AF'1 ID per minute per inch(test to be completed by licensed engineering/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank Size 14- 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
Alternative System Bed or other type?
Holding Tank System Total required capacity? Tank size #of tanks
NtS Irv4t C241e-u5 FooS)a.1.> - PPp1uc-e CV-Cc Taok
Notes: 1)Alarm system&associated electrical work must be inspected�by a Town apd 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 these and all requiremepts of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Print Name: A4c.2oo -s Date: 7-45--/S—
Signature:
—'6—/5
Signature: - /GC� ?- V G�'� Date:
Town of Queensbury Building&Codes Septic Disposal Permit July 2014
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manhelm,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No....................... M0
....................
Location,
Installanen-c;unsis
% .... .... ................................................ .........................
....................;............... .......................................................................................................................................
...........
...............................d..................................................
Inst
alled By..... .......
!..............................................Lic.No..............................
...................
i he 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-cauitiment or alterations,application shall be r raptly made for inspection.
speer
as a
lnspd1N11,jP11UR@F,W shall have the privilege of making i at
rules are violated, the Company shall have the right to redo 1- any time, and if its
'��this art
Date.,
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Marthelm,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. ......................................Cert. N2 40657 Cut-in Card No...........-........................
Owner......
..........*......
Location 0S ..........................................(
Installation Consisting of... ...faj-'A.xh:�.c 7......S.—Y.S.Zif-
...............
. .........
............................................ .................I............................................................................................
................................................................................................................................................I.......................
Installed By....6.6..... ..IUK�.....................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 makin$45-sj`fcthom; at any time, and if its
rules are violated,the Company shall have the right to e th' . ate. -
—A�116ZCSQ—
. .................rte.....-........................................................
Date.../zn ........... INSPECTOR7V !J�11
Member NARA,I.A.E.I.
"15 ro:
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lk
�•,.r,.d'� ENGINEERING PLLC
September 16, 2015
Town of Queensbury
Attn: Mr. David Hatin, Director of Building & Code Enforcement
742 Bay Road
Queensbury, New York 12804
RE: Onsite Wastewater Treatment System Design
Lennox Cottage
21 Sign Post Road
Queensbury,New York 12845
Dear Mr. Hatin:
Attached please find two copies of the Onsite Wastewater Treatment System (OWTS)
design drawings for 21 Sign Post Road, Queensbury, New York. These drawings specify
the installation of a Clarus ZF450 Fusion to replace an existing septic tank. This
treatment unit is an NSF Standard 40 approved Class I system with a daily design flow of
450 gpd.
Please call if you have any questions.
Sincerel ;
Eric E. Murdock, P.E.
cEllV_
cc: Mrs. Anne Lennox, Owner SEP 21 2015
.Fa EENSBUR
BUILDING&CODES
P.O. Box 6265, Syracuse, New York 13217 • Phone (31 5) 254-6891
www.onsite-engineering.us
c
SEP 2 1 2m
OF QUEEN513URY
r'3°CODES
--CODES
SITE LOCATION MAP
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BUILDI"'IG & G
Reviewed By,
Date: --z
INDEX OF DRAWINGS
FIGURE 1 — SITE LOCATION MAP & DRAWINGS INDEX
FIGURE 2 — REPLACEMENT ONSITE WASTEWATER TREATMENT SYSTEM
FIGURE 3 — SELECTED DETAILS
FIGURE 4 — SYSTEM SPECIFICATIONS & GENERAL NOTES
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FILE NUMBER
EEM2015-057
DATE
09-15-2015
FIGURE NO.
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--CODES
SITE LOCATION MAP
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p''J
BUILDI"'IG & G
Reviewed By,
Date: --z
INDEX OF DRAWINGS
FIGURE 1 — SITE LOCATION MAP & DRAWINGS INDEX
FIGURE 2 — REPLACEMENT ONSITE WASTEWATER TREATMENT SYSTEM
FIGURE 3 — SELECTED DETAILS
FIGURE 4 — SYSTEM SPECIFICATIONS & GENERAL NOTES
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FILE NUMBER
EEM2015-057
DATE
09-15-2015
FIGURE NO.
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LAKE GEORGE
NEIGHBOR
RESIDENCE
(NO BASEMENT)
0
ul
EXISTING
DRY WELL
I
3 BEDROOM
RESIDENCE
(NO BASEMENT)
00
FUSION ZF450 UNIT
SEE SPECS & DETAILS
UV LIGHT
DISINFECTION UNIT
SEE SPECS & DETAILS
PROPERTY LINE
ONSITE WASTEWATER TREATMENT SYS-rEM PLAN OVERALL PLAN
1 " = 20'-0"
THIS PLAN INCLUDES INFORMATION PERTAINING TO
REPLACING AN EXISTING LEGACY SEPTIC TANK WITH AN
ENHANCED TREATMENT UNIT AT AN EXISTING 3 BEDROOM
COTTAGE. THIS SYSTEM WILL HANDLE ALL THE
WASTEWATER GENERATED AT THE COTTAGE. NO ADDITIONAL
BEDROOMS ARE BEING PROPOSED.
THIS DESIGN SPECIFIES THE INSTALLATIONOF A CLARUS
FUSION ZF450 ENHANCED TREATMENT UNIT. THE FUSION ZF
450 IS AN NSF STANDARD 40 APPROVED' CLASS I SYSTEM
WITH A 450 GPD TREATMENT CAPACITY. GRAVITY FLOW
THROUGH THE FUSION CONTINUES THROUGH AN ULTRA
VIOLET LIGHT TO AN EXISTING DRY WELL.:
DESIGN FLOW 110 GALLONS PER BEDROOM X 3 BEDROOMS =
330 GALLONS PER DAY; NO GARBAGE GRINDER. NO
ADDITIONAL BEDROOMS SHALL BE ADDED.'
DRINKING WATER IS SUPPLIED TO THE COTTAGE FROM LAKE
GEORGE. NO ONSITE DRINKING WATER SUPPLY WELLS ARE
KNOWN TO BE LOCATED WITHIN 100' FROM THE EXISTING
SEPTIC SYSTEM.
CONSTRUCTION SHALL BE UNDER THE SUPERVISION OF THE
PROFESSIONAL ENGINEER CERTIFYING THAT THE SYSTEM WAS
INSTALLED IN SUBSTANTIAL ACCORDANCE WITH THE
APPROVED DOCUMENTS. THESE PLANS HAVE BEEN
PREPARED FOR THE USE BY THE CURRENT PROPERTY
OWNER. UNAUTHORIZED ALTERATION OR ADDITION OF
THESE PLANS IS A VIOLATION OF THE NEW YORK STATE
EDUCATION LAW ARTICLE 145, SECTION 7209,
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NUMBER
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DATE
09--'15-2015
FIGURE NO.
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nim nld nrA AIA
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1) DIMENSIONS T AND 'E' ARE TO THE BOTTOM OF THE INLET/OUTLET PIPE.
2) THE OVERALL HEIGHT DIMENSION 'H' IS TO THE TOP OF THE NARROW
ADAPTER RING. NOT THE RISER LID.
3) A RISER COVER COMES STANDARD. ADDITIONAL RISERS ARE
PURCHASED SEPERATEL.Y.
EXCAVATING DIMENSIONS
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F ISIO°N 450
1 7'-1'
1 Y -Ir
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FUSION 450 - DIMENSIONS & EXCAVATION DETAILS
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FUSION 450 - AIR PUMP (DETAILS
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TYPICAL. RMER CONFIGURATION
DECOPATNE ROCK COWMPAWN
AIR PUMP DETAILS
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NUMBER
EEM2015-057
DATE
09-15-2015
FIGURE N0,
P[N�OA| /`/lN�TOU�T|/lN W�T[�
\JL-|YL|\/�L CONSTRUCTION |\i/\, | |\�|� |q\J | L-^� !
!
RADE
ALL ELECTRICAL WORK SHALL BE COMPLETED BY A QUALIFIED ELECTR|OAN IN COMPLIANCE WITHll
�(
THE NATIONAL ELECTRIC CODE, STATE CODE, AND LOCAL CODES,
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NO ROOF DRAINS, FOOTING DRAINS, OR WATER SOFTENING BACKWASH!SHALL BE CONNECTED TO _j
ELECTRICAL JUNCTION BOX '''� SYSTEM.
ANY CURTAIN DRAINS MUST BE 115 FEET FROM THE DISPERSAL FIELD.: Lo 0 x EL
o4"0 SCHD 40RISER LANDSCAPE - INSTALLER SHALL, TO THE EXTENT PRACTICAL, LIMIT DISTURBANCE TO THE �.o < 0
LL
EXISTING VEGETATION INCLUDING MATURE TREES. SOME TREE REMOVAL MAY BE NECESSARY
C14 HOWEVER, NO TREES SHALL BE REMOVED WITHOUT THE OWNER'S EXPLICIT CONSENT. ALL III Z ca ry
AREAS DISTURBED BY THIS CONSTRUCTION SHALL BE COVERED WITH A MINIMUM OF 4 WZW6
INLET OUTLET OF TOPSOIL AND PROPERLY SEEDED TO GRASS AND MULCHED. U)
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SETTLING OF FINISHED LANDSCAPING IS LIKELY TO OCCUR ANU MAY REQUIRE REGRADING IN A z
4"0 SCHD 40 TYP' ` YEAR
SILT FENCE AND STRAW BALES SHALL BE INSTALLED AS NEEDED TO PREVENT SOIL FROM
-`-'0N �x�n/m� urr a//�
CHAMBER
THE CONTRACTOR -''-- --- DIG
-�—UTILITIESSITE PRIOR
-� �-''-'K` --- -- --' AND HAVE THE
PROPERTY OWNER LOCATE ANY ANY CONSTRUCTION
ACTIVITIES. ANY UNDERGROUND ELECTRICAL UTILITIES IN THE VICINITY OF THE 0WTS DISPERSAL
FIELD SHALL BE RELOCATED AS NEEDED AT THE DISCRETION OF THE|OWTS INSTALLER.
MAINTENANCE SHALL BE PERFORMED BY ONSITE SALES & SERVICE, LLC. |N ACCORDANCE WITH
00 Lj
THE EQUIPMENT MANUFACTURES RECOMMENDATIONS OUTLINED IN THEiH0WEOVVNER'S MANUAL
DOCUMENT CL0056, DATED 2012). ONSITE SALES "� SE0VK�E. LLC. HAS BEEN
||\/ LIGHT
[\|��|k|[-['/`-[|/\KJ ||KJ|l- F\C�7l\|| `RA|NED TO PERFORM INSTALLATION, OPERATION &u MAINTENANCE BY!THE EQUIPMENT
\�Y L_i\7||| DISINFECTION ��|�|| L/L_|/�|L MANUFACTURE AND IS AN AUTHORIZED SERVICE PROVIDER.0 00
�
NTS ALL SYSTEM COMPONENTS SHALL BE INSTALLED, OPERATED, AND MAINTAINED IN ACCORDANCE
WITH EQUIPMENT MANUFACTURES RECOMMENDATIONS, DESIGN DRAWINGS, AND ALL STATE AND LLj
�\/�T[k� ��[�`|[|[`�T|[l��
LOCAL REGULATIONS.
SYSTEM .� | �_w| `�| �_��|| |\�/1| |\/|v`/ '` '
CONSTRUCTION SHALL BE UNDER THE SUPERVISION OF THE PROFESSIONAL ENGINEER
UNCOVER AND PUMP OUT EXISTING SEPTIC TANK. REMOVE THE UD AND DECOMMISSION CERTIFYING THAT THE SYSTEM WAS INSTALLED IN SUBSTANTIAL ACCORDANCE WITH THE06
EXISTING TANK.APPR0VED DOCUMENTS.ou
INSTALL FUSION ZF 450 AT THE LOCATION SHOWN ON FIGURE 2 IN ACCORDANCE WITH NO GUARANTEE AS TO THE FUNCTIONALITY OR LIFE EXPECTANCY DF !THE 8WTS \SWARRANTED
! '
MANUFACTURES WRITTEN INSTALLATION INSTRUCTIONS FOUND IN CLARUS DOCUMENTOR |WpUED BY THE ENGINEER.
CL0058' DATED 2012. TREATMENT TANK SHALL BE PLACED ON 6" LAYER OF WASHED
BROKEN STONE (1/4 - 1/2 INCH DIAMETER) LEVELED TO WITHIN 1/8-INCH SIDE TO SIDE THIS SEPTIC SYSTEM IS DESIGNED FOR USE WITH BIODEGRADABLE PRODUCTS ONLY, USE OF
AND END TO END. TANK EXCAVATION SHALL EXTEND 12-18" LONGER AND WIDER THAN ANY OTHER PRODUCTS MAY CAUSE PREMATURE FAILURE.
TANK. FUSION 450 TANK MEASURES 85'1- X 44'VV X 82'H. SUITABLE GRANULAR
MATERIAL SHALL BE PLACED ON THE SIDES OF THE FUSION UNIT TO BRING THE CoxxEC||mG Mx|EmxL/rxuuuC| DEFICIENCIES /S THE RESPONSIBILITY OF THE 0 LJJ 00 ui
SURROUNDING GROUND TO GRADE. INSTALL THE FUSION WITH ONE 6-INCH RISER TO MANUFACTURE/SUPPLIER. WORKMANSHIP IS THE RESPONSIBILITY UF
BRING THE LIDS TO GRADE. UNDERSIGNED ENGINEER DOES NOT GUARANTEE OR WARRANTEE EITHER
INSTALL ONE DEDICATED 115 VOLT, 20 AWP ISOLATED ELECTRIC CIRCUIT FROM THE MAIN THE ENTIRE WASTEWATER TREATMENT SYSTEM INCLUDING |8mnSnp S.
ELECTRICAL SERVICE TO FUSION PANEL INSTALL A GROUND FAULT INTERRUPTER /�F|) AND LIDS SHALL BE INSTALLED WATER-TIGHT. THE SYSTEM MAY uE/ TESTED FOR WATER
EXTERIOR OUTLET INSIDE THE RISER WHERE THE COMPRESSOR IS LOCATED. ` ' TIGHTNESS. CONTRACTOR WILL RE-INSTALL ANY EQUIPMENT/COMPONENT THAT IS NOT FOUND
TO BE WATER TIGHT. TANKS SHALL BE INSTALLED AS NEEDED (T0 BE DETERMINED BY THE
co
FUSION EFFLUENT SHALL BE PIPED THROUGH A 4" DIAMETER SCHEDULE 40 PVC WITH INSTALLER) TO RESIST BUOYANCY, !
' |
NTS LAID AT MINIMUM GRADE OF 1/8 INCH PER FOOT INTO �N �cn
EX ELL. SPECIFIED EQUIPMENT AND MATERIALS MAY BE REPLACED ' WITH ENGINEER—APPROVED
30 1
FILE NUMBER
EQUIVALENT EQUIPMENT OR MATERIALS. PROPOSALS FOR PRODUCTS� SEEKING
o APPROVED-EQUAL STATUS SHALL BE SUBMITTED TO THE ENGINEER FOR REVIEW,
� THESE PLANS HAVE BEEN PREPARED FOR THE USE BY THE CURRENT PROPERTY OWNER. DATE
UNAUTHORIZED ALTERATION OR ADDITION OF THESE PLANS IS A VIOLATION OF THE NEW YORK 09-15-2015
STATE EDUCATION LAW ARTICLE 145, SECTION 7209. |FIGURE NO.
0?99��
� "�
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