2012-232 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120232 Application Number: A20120232
Tax Map No: 523400-302-017-0004-014-000-0000
Permission is hereby granted to: MARK MAHONEY
For property located at: 14 RESERVOIR Dr
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: MARK MAHONEY Septic Alteration Residential
LISA SAX Total Value
14 RESERVOIR Dr
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2012
Residential Septic Alteration
$40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, May 10,2013
(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 Town of ensbury;� Thursday, May 10, 2012
SIGNED BY for the Town of Queensbury.
Director of Building& Co•74 nf•N,-ment
_ * i ' i!; 1 i —, I.
iI
I
Community Development Office
�, 1-;.,i !. 2012
— Town of Queensbury • 742 Bay Road • Queensbury, [Jew YorK. 1?804, , ,
ElUILDING& CODES
Office Use Only
TAX MAP NO. 30 'S I'1***4-1-1.c1 PERMIT NO._I PERMIT FEE /__
APPROVALS: ZONING TOWN CLERK
APPLICATION FOR SEPTIC DISPOSAL SYSTEM ERMIT: A PERMIT MUST BE OBTAINED
BEFORE WORK BEGINS.APPLICATION/ IS SUBJECT TO REVIEW FORE ISSUANCE A VALID PE MIT.
OWNER:L�S:9 x- lel/ M/�e INSTALLER: _ ni .�.f.0 LA_(MAack �
ADDRESS:_I Lf Ae $ Q g-00(� 'P� ADDRESS: e J . it 22 Li Gj c
PHONE NOS. 3a / --9( PHONE NOS. J
3 19 " C� C" r --_
LOCATION OF INSTALLATION: I cr A efe(Iva [,L.:P jL
RESIDENCE INFORMATION:
NO. COMPUTATION
YEAR BUILT X = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GRINE,lb
1980 or older . X 150 = gc. bINSTALLED?1981 -1991 X 130 = SPA OR HOT TUB/t )p
1992-present X 110 = INSTALLED? r _
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE
I SOIL NATURE: SAND v LOAM CLAY OTHER
I GROUNDWATER: AT WHAT DEPTH?
I BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? _
I DOMESTIC WATER SUPLY: MUNICIPAL_'WELL (If well:water supply from any septic system absorption is: ft)
I PERCOLATION TEST: RATE IS PER MIINUTE PER INCH[mpi] (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-� edin a Planning Board approved subdivision).
TANK SIZE:1 a� 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?
\LTERNATIVE SYSTE Bed r other type? 2.<= • h 'i _
❑ 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 ha read the e•u . '.ns with respect to this application and agree to
ide y these�•d - r-•uirem-n of the Town of uee bury QUESTIONS? CALL 761-8256 OR EMAIL
snit Sew..=.e s•n Res onsi; ce. � codes(aCALL 76 -8256 et
g ure of Pers•n Responsible Date VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
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Reviewed By: •• /�' �
Date: / 6 raij
CENTER PROJECT
SERVICES
73 Sheridan Street, Glens Falls, NY 12801
Phone-518-796-2515
May 8, 2012
=r :1 Project# 156
Dan Drellos j )` I
Sanitary Sewer Services 11 (, ; MAY 1 U
2017.
Luzeme Road �_.....
Queensbury' NY •12804 ' ` ° '� : - _
vBEltE.nlplr, 1
17.CN
Re: Proposed Replacement Septic
Sax/Mahoney Residence— 14 Reservoir Road,Queensbury,NY
Dear Dan:
At your request we have reviewed your proposed replacement septic system design at the site of
the existing 3 bedroom house of at 14 Reservoir Road 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 450 GPD and a percolation rate of
1 to 5 minutes, you will need 500 square feet of absorptive area. We recommend using a 20 ft
wide by 25 ft long absorption bed with 4 — 20 foot long laterals, which will provide 500 sf of
absorptive area. The absorption bed can be constructed with the new 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 DigitaDN:cnlly=l7omaz Cned entter,c Thomas
eCentcr
Engirbeerlog.no.
wo.n.l--tcenter36@yahoo.cciJs
Center mDuty.2012.05.091646:57-04'00'
Thomas R. Center Jr,P.E.