BOTH-000224-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000224-2016 Date Issued: Thursday, April 21, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000224-2016
has been completed.
Tax Map Number: 303.16-1-40
Location: 476 DIX AVE
Owner: Trustco Bank
Applicant: Odorless Sanitary Cleaners, Inc.
This structure may be occupied as a: Residential Septic Alteration
By Order of Town Board
TOWN
^OF QUEENSBBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
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 12804-5904 (518)761-8201
Building Community Development - & Codes (5I 8) 76I-8256
BUILDING PERMIT
Permit Number: BO T H-000224-2016
Tax Map No: 303.16-1-40
Permission is hereby granted to: Odorless Sanitary Cleaners, Inc,
For property located at: 476 DIX 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
Owner Name: Trustco Bank Septic Disposal $0.00
Owner Address: 'fatal Value 5x0,00
Contractor or Builder's Name/Address Electrical Inspection Agency
Odorless Sanitary Cleaners,Inc.
PO Box 1.249
Ballston Lake,NY 12019
Plans&Specifications
Residential Septic Alteration
40.00 PERMIT FEE PAID -TI IIS PERMIT EXPIRES: Friday,April 14, 2017
(ifa 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 k7for
Dated at the'town oftics , 2016
SIGNED BY; the T"own of Queensbury.
Director of Building&Code Enforcement
SEPTIC DISPOSAL PERMIT Office Use Q l
DATE
zoI6 Received
Tax Map ID
TAX MAPS IPS Permit No. yboT . L2-11 7-01�
�,� /� i �. Permit l=ee
Lc�carPcana OFtrsrar zarra Approvals:
AP>PLPCAPUT ti PNONE I E-mAPL
ADDRESS
INSTALLERIBiUILDER: ., _,. .. ..... PHONEIiE-mAPL
ADDRESS:
OWNER R 1 201 P',";jE-mAjL
Address TO �F 1 FlS"l IJ
BUN-DINGCODES
CONTACT PEF1 f?AJ Egg BUILDINGaha CODESE7AfPLI tIWCE: � �..r��N 7Z7„ HC7AAE -k
RESPDENcE INFORMATION � � �
Year Built ##of bedroorns X Gallons per bedroom =Total Daily Flow
1980 or older Garbage grinder installed YJ
1981-1991 Spa or Hot Tub installer) ®Y XN
1992-Present
PARCEL INFORMATION
Topography Flat rolling Steep slope %slope
Soil GJ'ature ,.Sand 'Loam Dlay Other
Groundwater At what depth?� _
Bedrock#Impervious Material At what depth?
Domestic Water Supply Municipal Well(if well, water supply from any septic system absorption is ft.)
Percolation Test Rate: per minute per inch(test to be completed by licensed engineering F architect)
PROPOSED SYSTEM FOR NEN CONSTRUCTION
Tank Size j 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 7 " ft.; Each trench__ x—4/-
_ ....v_
Seepage Pit with##8 stone Flow many: ;size
Alternative System Bed or other type?
Holding Tank System Total required capacity? _._Tank size.m_..___._..... ##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.
DECLARATIOW.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 It se and all requirements of the Town of Queensbury Sanitary Sewage Di s sal,Ordinance.
Print Name: � �+
Date: PI //
Signature: Date:
Town of Queensbury Building&Godes Septic Disposal Permit July 2014
1250 Gallon Dual Compartment Concrete Septic Tank
nn JSCALE: NONE
Riser with locking li
IJ X, FINISHED GRADE
MANHOLE COVER 6"MIN,12+M rx
CLEANOUT
PER FT. (MIN) / T 4 4" DIA. SOLID WALL PVC
4" SCH-40 PVCI a — — d (SCH.40) AT
W � INV. OF INLET 3" 6"b-IN � 1 8 PER FT (MIN.) WITH
X50
WITH WATER
R TIGHT FITTINGS INLET ABOVE INV. OF UTLE WATER TIGHT JOINTS
} ou rLE t
\ HDPE PIPE SEALS 16 18" HDPE PIPE SEALS
4" C.1. TEE ----�- _ 4" C.I. TEE
�\
��C16J'�
Nimins
A Ir18SN 110 -!n b!M®L PoiyioK Effluent Fitter
P, ,• w-
\ I --6" MIN. WALL THICKNESS
n f t �', t" ,4 FOR CONCRETEED IN PLACE
3" MIN. CLEAN a
i ?„ �� SAND OR PEA
7,q _.._,.6.., GRAVEL
FORT MILLER OR ACCEPTABLE EQUIVALENT
101F��
Standard Absorption System Sections
1
MOUND FOR SETTLEMENT
Ism I�w
6' MIN. F i'
12'MAX LOAM OR NATIVE BACKFILL
UNTREATED PAPER
24'M iX, I—OR
GEOTECH FABRIC
1
t 4' PERFORATED PIPE JOINT
0._ _` .O•(� �_ t w. �... -� W A
12
r TE R TIGHT
INT
--1 _ t 'MIN,
ASHED ROUND
•
OR CRUSHED
- ''STONE 3/4-1 1/2'D IA.
LATERAL SECTION LONGITUDINAL SECTION
24' min.TO SEASONAL GROUNDWATER, GRADE TRENCH BOTTOM LEVEL, SET
IMPERMEABLE LAYER PERFORATED PIPE AT 1/32'-1/16' PER
SEPT f- PLAN -
FILE COPY
i i HAVE SEEN OR OBSERVED ALL OBJECTS
SUCH AS HOUSES,WELLS,TREES,FENCES,ETC
SHOWN N THIS n�JCUMENT.I HAVE PERSONALLY
MEASt -O THE r' Y CE SET FORTH ON THIS D�OF/a�Iri.�
TOWN OF QU'F�' ' DATE
SIG AT il} '
BUILDING & !.OI`
Reviewed By® -
Soil Data: An on-site investigation was performed by this engineer.
r
Date: ... Test Pit® 0-14” Black Sand Loam
14"-24" Yellow medium Sand
24"-48"+ Med-Coarse Brown Sand .
Percolation Tests: 0:48, 1:02, 1:10 min/inch
Design Data: Replacement Standard Absorption System.
Designed using N.Y.D.O.H. "Individual Residential Wastewater Treatment System Design
p Handbook,2012",N.Y.S.D.E.C. "Design Standards for Wastewater Treatment Works",
Appendix 75a,and Available updates.
M50E-VTIO/J 50t5TFA
III �ti/. 5��� I ' = zo
1)Design flow is based on 4-bedroom dwelling, 110 gal per bedroom ,for a total design flow of 44 0
gal/day.
SOT• A Cqu p i r-V• M-S E0 0/) TYPICAL P R E C A S T DISTRIBUTION B®X 2)Based on a percolation rate of 1-5 min/inch, 184 ft of laterals are required. Use 4 x 50' laterals for
5� F A 10 b TY C r--7_.� S _ a total length of 200'.
3)Install new 1250 Gallon Seamless Concrete Septic Tank,installation of polylok p1-122
} FORT MILLER,OR ACCEPTABLE EQUIVALENT effluent filter required.
NOT TO SCALEFINIsHD GRADE3)Use t or distribution box, speed levelers required,by Guardian or
equivalent.
4)No roof drains, swimming pool backwash,water softener backwash or hot tub drains shall be
303.16-1-40 BOTH-000224-20` 6 connected to this system.
Trustco Bank
12'MAX
476 Dix Avenue
Residential Septic Alteration Maintenance:
t o I o l 0 1)System components to be inspected regularly.
�• 2)Septic tank to be pumped(minimum)every two years to avoid solids carry over.
BAFFLE ;. 3)Failure to maintain system components will cause early system failure.
Title: Replacement Standard < INLET _
WWW D KOF NE k, 2' DROP (MIN — – -BAFFLE OUTLETT
'S Y BETWEEN INVERT OUTLET INLET There is no actual or implied guarantee as to this systems long-terns function.
Absorption System. �P �`�� �� ! OF INLET PIPE 30—
O O _
�/ AND INVERTS OF SPEED LEVELERS
#476 Dix Ave Queensbury, N. 1 I _ REQUIRED IN _
("�/ y: OUTLET PIPES MIN.
Wayne D. Kant, P.E.PLLC 1 ' J 1 4/ fy ,. OUTLETS OUTLE�
'.-{�
.Date: April 13, 2016
2732 Touareuna Road
LACE
ON MIN..:
O
F
Amsterdam N.Y. 12010 Drawn by: Wayne Kant OF SAND �I y� I r yIrqSECTIONAL VIEV OR PEA GRAVEL
518.842.5220 Scale. AS Shown
r
DIX
N.Y.S. License #070962 Isi
ODORLESS SANITARY CLEANERS, INC.
(518) 399-3482
P.O.Box 1249
Ballston Lake, NY 12019 Fax: (518)384-4019
I'K AS BUILT
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