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TOWN OF QUEENSBURY
r 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000121-2015
Tax Map No: 309.15-1-57
Permission is hereby granted to: KATHLEEN BRIGGS
For property located at: 228 FIFTH ST
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 Address: Septic Disposal $0.00
Total Value $0.00
Contractor or Builders Name 1 Address Electrical Inspection Agency
Glen Batease
Plans&Specifications
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,October 17,2016
(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 J
Dated at the Town Queen ury; W y,October 21,2015
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
SEPTIC DISPOSAL APPLICATION Office Use Only
Received
DATE: U - -- - Tax Map ID
TAx MAP ID: G , �'' "" / d Permit No. 121-Z015
ZONE: LCT 19 2015 rxnit Fee 4D - t c�
TQ'ti N OF QUEEN,§,§ i.Ii Y
_t_
APPLICANT 1111
! PHONE/E-MAIL
ADDRESS / � e!Sx 0
INSTALLER/ PHONE/E-MAIL
BUILDER J�`'A l /�G' �/ g-�- 1 rV C?
OWNER p4 �GCNL�f n�
ADDRESS
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE:
PHONE/E-MAIL '11F 1�R%/_%l¢5"i�_� !°a 4<Z
RESIDENCE INFORMATION
Year Built #of bedrooms X gallons per bedroom =total Daily flow
1980 or older21 Garbage grinder installed Yes No
1981-1991 Spa or Hot Tub installed —Yes No
I992-Present
PARCEL INFORMATION
Topography Flat rolling Steep slope %Slope
Soil Nature Sand Loam Clay 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 engineer/architect)
PROPOSED SYSTEM FOR NEW COCTION
Tank sizetlo Q gado min.size 1,040 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub
System Absorption field with#2 stone Total length ft.;Each Trench 30 - 30 --
Seepage Pit with 43 stone How many: ;Size \
Alternative System Bed or other type:
-
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 known by or on behalf of an applicant, shall be void.I have read the regulations and agree to
abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
PRINT NAME: ru "`r A DATE: d
SIGNATURE: DATE:
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
1
The Quick4e Equalizer 36 Chamber
INFILTRATOR
water technologies
Quick4O Series
.00
LIP
The Quick4®Equalizer 36 Chamber fits in a 24" wide trench ;.
and is ideal for curved or straight systems. It features then
patent-pending Contour Swivel Connection- which permits `^� ,�.• -`` �
turns up to 15°, right or left. The MultiPort," endcap allows - -
multiple piping options and eliminates pipe fittings, The
chamber's four-foot length provides optimal installation
flexibility. "
Chamber Benefits:
•Advanced contouring connections swivel up to 15°,
right or left
• Latching mechanism allows for quick installation r r
• Compact nesting provides more trench length in an
equivalent stack height
• Four-foot chambers are easy to handle and install
•The Quick4 Equalizer 36 Chamber supports wheel loads � .w, i 4
of 16,000 lbs/axle with only 12" of cover
v�i v
• Certified by the International Association
of Plumbing and Mechanical Officials (IAPMO) (Uma 0
.�'
MultiFort Endcap Benefits:
•Tear-out seals on inlet ports provide a tight fit to the pipe " '•`
• Six molded-in inlets/outlets allow
for maximum piping flexibility
QuickV Series
• Fits on either end of the Quick4 Equalizer 36 Chamber Because installations
chambers, Eequipment
APPROVED in operation ` labor.
QuickSeries
W Quick4
Quick4 Equalizer 36 Chamber
12"
48„ _
n22" EFFECTIVE LENGTH
MultiPort EndCap
R
O O
12" 16"
O
6"
IM-3
FRONT VIEW SIDE VIEW TOP VIEW
INFILTRATOR WATER TECHNOLOOIES STANDARD LIMITED WARRANTY
Typical Trench View (a)The structural integrity of each chamber,endcap and other accessory manufactured by
Infiltrator C•Units"},when Installed and operated In a leachneld of an onsite septic system In
accordance with Infiltrator%Instructions,Is warranted to the orlginal purchaser;"Hider"j against
NATIVE BACKFILL TOPSOIL detective materials and workmanship for one year from the dais that the septic permit is Issued for
the septic system conldning the Units;provided,however,that if a septic permit is not required by
applicable law,the warranty period will begin upon the dale that installation of the septic system
COVERBY r€_ commences.To exercise its warranty rights,Holder must notify Infiltrator In writing at Its Corporate
+I i DESIGN rf I Headquarters in Old Saybrook,Connecticut within fifteen(l 5)days of the alleged defect,Infltrator
' will supply replacement Units for Unite determined by Infiltrator to be covered by this Limited
12" 1z" o 4 Warranty,Infiltrator's liability specifically excludes the cost of removal and/or installation
6"INVERT of the Units,
THE LIMITEDWARRANTY AND REMEDIES IN SUBPARAGRAPH ARE EXCLUSIVE,
THERE ARE NO OTHER WARRANTIES S WITHTT RESPECT TO THE UNITS,INCLUDING NO
22" SPACING PER CRD 22" T
r2C YNaE TRENCH} IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE
(c)This Limited Warranty shall be void If any part of the chamber system Is manufactured by
anyone ether than Infiltrator, The Limited Warranty does not extend to Incidental,consequential,
special or Indirect damages.Infiltrator shall not be liable for penalties or liquidated damages,
including loss of production and profits,labor and materials,overhead costs,or other losses or
1uicli:41�1 Equalizer 36 Chamberr expenses incurred by the Halder or any third party. Specifically excluded from Uri Warranty
coverage are damage to the Units due to ordinary wear and tear,alteration,accident,misuse,
Size 22"W x 53"L x 12"H abuse or neglect of the Ultlts;the Unite being subjected to vehicle traffic or other conditions which
(555 mm x 1346 mm x 305 mm) are not permitted by the Installation Instructions;failure to maintain the minimum ground covers
set forth In the Installation Instructions;the placement of Improper materials Into the system
Effective Length 48" (121 g mm) containing the Units;failure of the Units or the septic system due to Improper siting or Improper
sizing,excessive water usage,Improper grease disposal,or Improper operation;or any other
Louver Height 10" (254 mm) event not caused by Infiltrator. This Limited Warranty shall be void It the Holder fails to comply
with all of the terms set forth in 1hts Limited Warranty,Further,En no event shall Infiltrator be
Storage Capacity 32 gal (121 Q responsible for any loss or damage to the Holder,the Units,or any third party resulting from
Installation or shipment,or from any product liability claims of Holder or any third party.For this
Invert Height 6" (152 mm) Uni Warranty to apply,the Units must be installed In accordance with all site conditions
required by slate and local codes;all other applicable laws;and Infiltrator's installation instructions.
(d)No representative of Infiltrator has the authority to change or extend this Limited Warranty.
No warranty applies to any party other than the original Holder.
The above represents the Standard Limned Warranty offered by Infiltrator. A limited number of
4 Business Park Road states and counties have different warranty requirements. Any purchaser of Units should contact
P.O.Box 768 Infiltrator's Corporate Headquarters in Old Saybrook.Connecticut,prior to such purchase,to
Oid1611-577-7000
61 Saybrook,OT 06415
obtain a copy of the applicable warranty,and should carefully read that warrenty prior to the
N F I LT R AT O W 1-sea-2211-44436 866060 5T7-7001
purchase of Units.
LVUtor tE'chnologios www.infillratorwater.com
U.S.Patents`4,759,661;5,017.041;5,156,488:5.336,017:5.401,116:5.401,459:5,511,903:5,716,163;5.588,778;.9,839,844 Canadian Patents:1,329,959;2,004,564 Other patents pending.
Infiltrator,Equalizer.Ouli and SideWindar are registered trademarks of Infiltrator Water Technologies.rnTitpaiior Is a registered trademark in France.Inthrator WaterTechnotogles Is a registered trademark In
Mexico.
Contour,Microl.eaching,Po1y4uH,ChamberSpacer,MtiaPort.PosiLpok,OuickW.QuickPoay,SWI-oc:k and StraightLock are trademarks of Infiltrator Water Tachrtolvgies.
PolyLok is a trademark of Poly Lok,Inc.TUF-TITS is a registered trademark of TUF•TfTE,INC.Ultra-Rlb Is a trademark of IPEX Inc.
0 2013 Infiltrator Water Technologies,LLC.All rights reserved.Printed In U.S.A. Ong 0813
Contact •r Water Technologies' Technical S- - • for 1-800-221-4436
GRAVELLESS and ALTERNATE AGGREGATE PRODUCTS February 2015
The NYS Department of Health has determined that the following products comply with 10 NYCRR Appendix 75-A.
This Department does not approve proprietary products, but will review products as a courtesy.
Manufacturer Product Trench Length Design
(75-A: Tables 4A or 4B)1,2
Advanced Drainage Systems(ADS) GEO-Flow Pipe Leaching System 25%
www.ads-vii3e.com GEO-Flow otextile sand filters stem 6.0 ftz/ft rating
Cultec Contractor EZ-24 Chamber 1:1
www.cultcc.com Contractor 100 Chamber 25%
Contractor 125 Chamber 25%
Eljen Corporation Geotextile Sand Filter(Type B) 6.0 ft2/ft rating
www.elien.com Geotextile Sand Filter(Model A425) 6.0 ftZ/ft rating
Infiltrator Systems ATL System 25%
www.infiltratorsystems.com ATL Geotextile Sand Filter System 6.0 ftz/ft rating
Equalizer 24 1:1
Quick 4 Equalizer 24 1:1
Quick4 Equalizer 24 HD 1:1
Quick4 Equalizer 24 LP 1:1
Quick 4 Equalizer 36 25%
Quick4 Plus Equalizer 36 LP 1:1
Quick4 Standard 25%
Quick4 Plus Standard 25%
Quick4 Plus Standard LP 25%
High Capacity H-20 25%
EZ Flow 1202H 1:1
EZ Flow 1203T 25%
EZ Flow 1003T 25%
BioDiffuser 15"Narrow(Bio 2) 1:1
BioDiffuser 22"Narrow(Bio 3) 25%
ARC 18 Chamber* 1:1
*ARC Chambers may be marketed as ARC 24 Chamber* 25%
Advanced Drainage Systems(ADS) ARC 36 Chamber* 25%
products;ADS is owned by Infiltrator. ARC 36 HC Chamber* 25%
ARC 36 HC H-20 Chamber* 25%
BioDiffuser i 1" Standard(34"wide) 25%
BioDiffuser 16"High Capacity H-20 25%
Flowtech by Infiltrator: FTS 122H-1 1:1
Flowtech by Infiltrator: FTS 123T-1 25%
Flowtech by Infiltrator: FTS 103T-1 25%
Geomatrix LLC GST Leaching System 1:1
www.p-eomatj,ixsy5tems.com
Presby Environmental Enviro-Septic System 25%
www.presbyeeo.com AES geotextile sand filter system 6.0 ft'/ft rating
Modern Landfill Tire Derived Aggregate(TDA)3 1:1
www.modernco oration.com
Casing,Inc. Tire Derived Aggregate(TDA)' 1:1
Jini.fabrizioa,casingsinc.com
' Reductions in total linear feet based on criteria in Appendix 75-A, subsection 75-A.8(c)
z The trench length reductions are not applicable at properties located within the New York City Watershed
The TDA product meets criteria established in Section 75-A.8(b)(3)(v)
Note: The above last is not an endorsement of any of the products by the NYS Department of Health, nor is it intended
to represent a comprehensive list of all products that comply with 10 NYCRR Appendix 75-A. This list will be
occasionally updated as new product specifications are reviewed. The use of these products may be subject to
approvals by local government agencies, including local health departments, watersheds or other local agencies.
TABLE 6C
ADJUSTED REQUIRED LENGTH OF ABSORPTION TRENCH
FOR STANDARD DAILY DESIGN FLOWS
QUALIFYING OPEN-BOTTOM GRAVELLESS CHAMBERS' OR
GRAVELLESS MEDIA-WRAPPED CORRUGATED PIPE SAND-LINED SYSTEMSZ
(FEET)
(BASED UPON A TWO 2) FEET WIDE TRENCH)
Percolation Application Flow Rate(gallons per day)
Rate Rate 2 bedrooms 3 bedrooms 4 bedrooms 5 bedrooms 6 bedrooms
{min/inch} (gal/day/ft') X20 260 300 330 390 450 440 520 600 550 650 750 660 780 900
-5 1.20 69 81 94 103 122 141 138 163 188 172 203 234 206 244 281
6-7 1.00 83 98 113 124 146 169 165 195 225 206 244 281 248 293 338
8- 10 0,90 92 108 125 138 163 188 183 217 250 1 229 271 313 275 325 375
11 - 15 0.80 103 122 141 155 183 1 211 206 1 244 281 258 1 305 352 1 309 366 422.
16-20 0,70 118 139 161 177 209 241 236 279 321 295 348 402 354 418 482
21 -30 0.60 138 163 188 206 244 281 275 325 375 344 406 469 413 -188 563
31 -45 0.50 165 195 225 248 293 338 330 390 1 450 413 488 563 495 11 585 675
46-60 0.45 183, 217 250 275 325 375 367 433 1500 458 542 625 550 650 750
25%Trench length reduction per f\ppendix 75-A.8(c)(3)(i)
25%,Trench length reduction per Appendix 75-A.8(c)(3)(H)
"Trenches shall be equal in length. If necessary,the total trench length ol'each lateral shall be rounded up to create equal
trench lengths,
TABLE 6D
ADJUSTED REQUIRED LENGTH OF ABSORPTION TRENCH
FOR STANDARD DAILY DESIGN FLOWS
GRAVELLESS GEOTEXTILE SAND FILTER SYSTEMS'
(FEET)
(BASED UPON A FOUR (4) FEET WIDE TRENCH)
Percolation Application Flow Rate(gallons per day)
Rate Rate 2 bedrooms 3 bedrooms 4 bedrooms 5 bedrooms 6 bedrooms
(min/inch) (gal/day/ft') 220 260 300 330 390 450 440 520 600 550 650 750 660 780 900
1 -5 1.20 31 36 42 46 54 63 61 72 83 76 90 104 92 108 125
6-7 1.00 37 43 50 55 65 75 73 87 100 92 108 125 110 130 150
8- 10 0.90 41 48 56 1 61 72 1 83 81 96 111 102 120 139 122 144 167
11 - 15 0.80 46 54 1 63 1 69 81 1 94 92 1 108 1 125 115 135 156 138 163 188
16-20 0.70 52 62 71 79 93 107 105 124 143 1 131 155 1 179 157 186 214
21 -30 0.60 61 72 83 92 108 125 122 144 167 153 181 208 183 217 250
31 -45 0.50 73 87 IN 110 130 150 147 173 200 183 217 250 220 260 300
46-60 0.45 81 96 111 122 144 167 163 193 322 304 241 278 244 289 333
Trench bottom sizing criteria of six(6) ft-1 foot of trench per Appendix 75-A.8(c)(3)(iii)
Trenches shall be equal in length.If necessary,the total trench length of each lateral shall be rounded up to create equal
trench lengths.
157
Queensbury W- ■ Map
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228 FIFTH STREET EXT,
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SEPTIC ALTERATION #r
Map is for GENERAL REFERENCE ONLY.
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