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2012-105 ..41114A4 TOWN OF QUEENSBURY r742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20120105 Date Issued: Friday, April 13, 2012 This is to certify that work requested to be done as shown by Permit Number P20120105 has been completed. Tax Map Number: 523400-304-017-0001-035-000-0000 Location: 86 BOULEVARD Owner: JOHN & CAROL PLUDE Applicant: JOHN & CAROL PLUDE 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 property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director r`'' & .de '? `ent Planning Board or Zoning Board of Appeals. 00` TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120105 Application Number: A20120105 Tax Map No: 523400-304-017-0001-035-000-0000 Permission is hereby granted to: JOHN & CAROL PLUDE For property located at: 86 BOULEVARD 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& CAROL PLUDE Septic Alteration Residential 86 BOULEVARD Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2012-105 $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,March 28, 2013 (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 To ueens ; �J s • ,March 28, 2012 / `moi SIGNED BY 4 for the Town of Queensbury. Director of Building&Code Enforcement 1.)D ECEdWIE7`, 11 MAR 19 2012 ,, ,}::_ Community Development Office — Town of Queensbury • 742 Bay Road • Queer sburTjp'I, OFoQUHi I3SBURY BUILDING & CODES Office Use Only TAX MAP NO. .I —/ --3 5 PERMIT NO. 0,--/C95. PERMIT FEE VO ' 00 APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK--RKBEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER: —� :h ir d-'(,C•.ra r _.r1" l v C7 t INSTALLER: ] l 1—t...-7c- 1 a-►5 4C, /I1c..1')c.vl i ` ADDRESS: gb ge d/�y'c.;'C _�J►�Ccnf�jtd,y ADDRESS: �.J05 i2 �• cC.) (J4re--T o1C�i Nlr iz bb PHONE NOS._ B p PHONE NOS. U 3'–t7 7D 7 LOCATION OF INSTALLATION: g6 g) ✓/, Q,l t. :-.f bvcy,1V•✓ I Zso V RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) _ GARBAGE GRINDER 1980 or older X 150 = INSTALLED? -- 1981 -1991 X 130 = SPA OR HOT TUB 1992-present L� X 110 = /1 a INSTALLED? --'� PARCEL INFORMATION: / J ✓ TOPOGRAPHY: FLAT ROLLING )1 STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND 1( LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT[ DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL /� WELL (If well:water supply from any septic system absorption is: ft) ✓ PERCOLATION TEST: RATE IS 3 PER MIINUTE PER INCH[mph (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: `iDf 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: ❑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 or other type? 6/4i vc J/rii C`j4,.,..zrrJ iiity ❑ 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 to abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 7614256 OR EMAIL Sani SewageejDI Ordiinaann e. l codesAqueensbury.net '�.! Dis �t` " " /� /Z VISIT OUR WEBSITE FOR MORE INFORMATION Si atu a of er Responsible Date www.queensbury.net Frid6z L Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: — 7"'" Queensbury Building &Code Enforcement Arrive: am/ m part: '._ am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: • NAME: Pi L!C e PERMIT NO.: J —�d S LOCATION: to J3 ) r_ INSPECT ON: 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. '1`'�1 Well Casing Length 50' + / - Y N N/A ` Absorption Field: Total length ft. EzC ,LJ-/ -A--- Length of each trenchft. Depth of trenches c ft. Size of Stone ik Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank � - Tank to Distribution Box 4,- Distribution ,-Distribution Box to Field / Pit Opening Sealed: _Y N End Cap Y N Inlet/Outlet Pipes &Baffles —Y— N Location/ Separations • Foundation to tank ft. gX.1 9 17 Foundation to absorption ("1 ft. Separation of Pits ►_ ft. Conforms as per Plot Plan N Engineer Report and As-Built ( N Location of System.efl-Property: Front Rea Left Side Right Side Middle Front Middle Rear S to i Use...i : el •pproved 41111 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 A o° jaiin" (r -1-1 3.-. Y''.5// 7- 1'7'1w, to IP_ Ig C- /distil 4 t itiy 1,1 0-€ e cre:+1 ci•-"j 01, , ?t,..4 C., ccij �0 6 bo d,316 - - - 86 11�d - NI = �, eco f0 ►'n's1 • 0 ti c.c•A456vrr, ffL3ci re I .u,t�i t_,e �►J afcds' a , - orr�5 M+ D y, ,d. I ,Q � c, I--4,/,-/-1-0 5',4,/, 3,—,5 c.,)Ir 15 /2/Q� � A I. vie r I3 v✓ AP5 h4k).72)c r5, w;-1—t7 1 ) I I-0' I ib° ' kr)tier c i 4 i CAA,4 e r � �G d v6 f OP; i'� tO rit( mi I pi)) , I //// e.4 - 1/-. l38 i '61) 4 1 n , p r 's-�,nf t C s �- ti. _ (,)> 6 f $c �'ic f� 4 "- #S6 1 D �f 1 u it C - +9 L'1. r U+ 1. rn n- -- a f„..inilic,n, ...:k AL 0...r insfl 1 c+ yI r� i cwt 4-t .1 C 4 c) r, .cn �n cv -. , • , TOWN OF QUEENSBURY BUILDING & .i,� �'' Reviewed By. . �!��, ,y - Date: 3 L6 / XA/74-7.7) V,E "& /314WZ --- ,54-1//N4- f/KTORr--R5 RK. ENGINEERING, PLLC — �--�, . Civil Engineering . Structural Design . Structural Inspection . Sanitary Engineering Percolation & Deep Pit Test Report for Septic System Evaluation saao9 '2 JNlallns 86 Boulevard -� `Mol Town of Queensbury • Warren County, New York Tax Map ID: SBL 304.17-1-35 EA112j3H March 20, 2012 NT Project Location • a 01 � 86SBL Boulevard 304.17-1-35 t :. 01 O; g Perc Tests& Deep 1 Test Pit location 111111 �r 111 L, 1111111101:\ lot ni RK Engineering,PLLC 225 Ruggles Road Saratoga Springs,New York 12866 Cell:518.817.0099 Office:518.581.3893 e-mail:RyanRiper@RKengineering.us Septc System Percolation Test Town of Queensbury. Warren County, New York Introduction The purpose of the project is to evaluate the soil conditions for a proposed septic system installation. The proposed site will be evaluated to comply with the NYS Department of Health design criteria and township requirements. On March 20, 2012 a deep test pit was excavated in the location of the proposed septic absorption field. Two percolation test holes were excavated to perform the percolation tests. Results of the percolation test for the site are used to establish maximum soil load rating and to provide design information for use in determining the approximate size of the absorption field system. This report is NOT an approved design of a septic system. RK Engineering is not providing septic system design as scope of services. Soil Profile for Deep Test Pit Depth Soil Description 0"-16" dark Sand Topsoil 16"-65" Brown granular Sand No ground water or mottling observed in hole Photos of deep test pit and percolation test holes. • �, +y .r l'. � �( _! s .t:: :;.-t `i -fir•. .1 ‘, ' A 1• a w i Deep Test Pit and Perc holes(background) - ' =r Deep Test Pit aENGINEERING,PLLC Seotic System Percolation Test Town of Queensbury, Warren County, New York Percolation Test Results: Perc Test-1 Perc Test-2 Percolation Rate Percolation Rate Number of Runs (min/in) Number of Runs (min/in) 1 1 m:15s 1 1 m:25s 2 1 m:22s 2 1 m:37s 3 1 m:25s 3 1 m:45s 4 - 4 5 _ - 5 Stabilized Perc 1-5 min/in Stabilized Perc 1-5 min/in Range for Design Range for Design These percolation tests were completed to determine the relative design loading rates for a leach field on the property site based on a location of the proposed absorption field. Figure 1: Typical Percolation Test Hole Detail .-MEASLW EMENT DEVICE (STAKE OR LATHI GRIOIN GROUND NAILS ' NOTE, ILS T HOLE WAS PRE-SOAKED PRIOR 10 RECORDING PERCOLATION RATES PERCOLATION TEST HOLE DETAIL SCALE, NONE General Recommendations: The following conclusions can be drawn from the field investigations of the site: • Field observations and tests found suitable soil conditions for a conventional absorption on-site waste water treatment system. • The existing site topography is relatively level. If you have any questions, please call RK Engineering. Phone: 518.581.3893 RK Engineering, PLLC - y. / Ryan K. Riper, PE ENGINEERING,PLLC ( ( ( �rn { fy �J • 4 eCrdjtdc-iOki ri ?ii.dJC, - - , - - — Re Z1✓d , 1o( ),,r N . 6)06.(03 Lt.,r -, AJ,1/. rL43u9, 4 II V Zed'too,,,s, 1-11-161 yi,c1. I 1-44 --f- i-c l 3 it,)0. liere . Igir 'di> . . O5 c j/i 7 /5-6` keeopl 4 t ilk r tiR ver ,, pS eh iib r I'f f tJ -1-4 / I i J©v ` 141 vIL.h, C 1 ;,�cr 4e r�a G i ak; /Id rot-/ I I) I it f, 138 ' -g6-1.0" i or Gi3.41 . S h f c&s .I- 0 r 5 _ �' tp/ Ug C . 5ci hc 1---coig ? -= �. �,'- ecD 4 N W.. E2)—.' ,, \. 11..el)71 /. AjCw 6::+J + E c, �v �7- i �j / ! -.1 ./,� x x ((''�� LI- 0 L ) CL t v cD O1� ,..` "TJ 1D Z. m CD�o N � f c*t rz,ls i4RC ), G,1-(r) P ,.,,c/ =,. �- n vV r« ._... cu c ro TOWN OF QUEENSBURY rr'�'v LVd' • BUILDING & CODES P - PT c-) _ Reviewed By: .4.0� Date: 3 Atir/1-- Wi-a 73 W'" Y 1.1J/(7, 54 V/Av& T/1CTU/ES