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2006-099 01111144baki TOWN OFQUEENSBURY wow742 Ba Road Queensbury,NY 12804-5902 (518) 761-8201 Y ,Q rY� Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20060099 Date Issued: Tuesday, January 08, 2008 This is to certify that work requested to be done as shown by Permit Number P20060099 has been completed. Tax Map Number. 523400-301-019-0002-017-000-0000 Location: 36 QUEEN MARY Dr Owner: JOANNE M WILSON Applicant: JOANNE M WILSON 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 4/-1t.P.(la„,-/Pf,4 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 12804-5902 (518)761-8201 f� .4y Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060099 Application Number: A20060099 Tax Map No: 523400-301-019-0002-017-000-0000 Permission is hereby granted to: JOANNE M WILSON For property located at: 36 QUEEN MARY 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: JOANNE M WILSON 36 QUEEN MARY Dr Septic Alteration Residential Total Value QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency COOKS SEPTIC NY 12804-0000 Plans&Specifications 2006-099 SEPTIC ALTERATION $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,March 08, 2007 (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 Tow of Que sbu w/. arch 08, 2006 SIGNED BY ,�' \ for the Town of Queensbury. Director of Building&Code Enforcement r (( OFFICE USE ONLY ; TAX MAP NO,- 0,)C�--� 1 VV C c��. �ERMIT N0. � � PERMIT FEE �S- ' I APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLIC TION IS SUBJECT T EVIEW BEFOR SUANCE �j�F A VALID PERMIT. -- OWNER: OC,0?!it c CF 4i,f G/ S 6`6::c/f INSTALLER: C/d ./6--- fADDRESS: ADDRESS: I5Y A/ `/r -/7 Al PHONE NOS. PHONE NOS. ,Sl r- (o/J -- __O LOCATION OF INSTALLATION: .-c -` -r /-,_ �v ,42L,-,('-e -tA-y c 7 NO.OF I RESIDENCE INFORMATION: YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW GARBAGE GRINDER 1980 or older j X ; 150 gallon per bedroom = INSTALLED? 1981 -1991 X 130 gallon per bedroom = �" SPA OR HOT TUB 1992 present X 110 gallon per bedroom = INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE C— If Viz../-0 ✓ SOIL NATURE: SAND LOAM `- CLAY OTHER //ilk ✓ / r TOI ,., , ' 95 GROUNDWATER: AT WHAT DEPTH? (� BEDROCK/IMPERVIOU , ATERIAL: AT WHAT DEPTH? i_Dii`-G . ry,�..0 R i,,,�,COD Y ✓ DOMESTIC WATER SUPLY: MUNICIPAL � WELL E (IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. ) ✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH (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). Add 250 gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub. ✓ SEPTIC TANK: GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT. ✓ TOTAL SYSTEM LENGTH: FT. SEEPAGE PIT(S): HOW MANY? ✓ SIZE OF EACH FT. XFT. v. SIZE OF STONE TO BE USED: # S /DEPTH OR THICKNESS I FT. ✓ BED SYSTEM SIZE: X ✓ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE ✓ HOLDING TANK SYSTEM: (If required) NO. OF TANKS: /SIZE OF EACH ✓ GALLONS. /TOTAL CAPACITY. GAL. I NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN .i APPROVED ELECTRICAL INSPECTION AGENCY PLEASE REVIEW LIST PROVIDED. III 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 appF•ation and agree to abide by these and all requirements oft -_,,Tori of QUESTIONS? CALL 761-8256 OR EMAIL Que�bury . itary Sewage.Drp6 I 'a •Itl - codes C�;queensburv.net i / VISIT OUR WEBSITE FOR MORE INFORMATION www.queensburv.net S ,art—Ire-Of-Person Responsibl- Date 11,55Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 ^Z y3 v`- Septic Inspection Report Office No.(518)761-8256 Date Inspection request received: 3-144a-e31" Queensbury Building&Code Enforcement Arrive: 34, am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ,- NAME: S �n� PERMIT NO.: LOCATION: INSPECT ON: AIM. RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. / �r ,1 Well separation distance ft. ,Z;S/`// /Lai 02 J k(pv Other wells: ft. Absorption Field: Total length ft. /e¢ ,r I / 1 o ",/ Length of each trench ft. Depth of trenches ft. �/ef, sev„ Size of Stone J im,v 5 ��f' � d: �..�.� Seepage Pits: Number _ /1� �/ Size: x JX,„), `�h rr �.. S/'did, Stone Size: -- Syc/ Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit _ Opening Sealed: Y/N/Partial End Caps Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan —Y N Engineer Report and As-Built Y_N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected,please call the Building& Codes Office — Disapproved Last revised 1/6/05 Septic Inspection Report Office No. (518) 761-8256 Date Ins. -e•- •d: Queensbury Building &Code Enforcement Arrive: ions? ; Tart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Ini • COMAE NAME: `- )11 P: NO.: 9—Vc LOCATION: :3 _ vFF 10 N\1W OE SECT ON: 1 — -h6 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. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box 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. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y` N Engineer Report and As-Built Y_N Location of System on Property: Front Re r Left Side Right Side Middle Front Middle Rear System Use St) s: Approved 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 '- Do M , ')/1.' Septic Inspection Report Office No. (518) 761-8256 Date In .ectio -sue. rese ved• Queensbury Building&Code Enforcement Arrive: 1,i, fie 0 pm 1'.art: m� 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials NAME: _ .i E1, V'1 C��,,..‘A _GEAF�T pro NO.: x.00(0—octc LOCATION: ,(.0 CO 1/4.-) Et..;; MAi i ,Doo. SP CT ON: ,,3 —1.,-- -oto RECHECK: -Tht Comments and/or diagram Soil Typeygan , am/Clay _Type of ate : Mun�ici alj�Vell Water Waterline separation distance~ _ ft. Well separation distance _ ft. Other wells: ft. Absorption Field: Total length 1-� ft. Length of each trench 4 ,ft. Depth of trenches _ ?j ft. Size of Stone -At, V IT 's �ii� See - =mir — VIV's Size: f'' L) x_ \C. Stone Size: Piping Size Type Building to tank -65V0 iJc i f Tank to Distribution Bpx-� i1 6 `'17 R _ L. .k_V 4-, Distribution Box t'' 1-1M � 11 � ' ,t) " rv_i` 'b'11 ��r� Opening Seal Partial End Caps t V -0 b 'E`) cti;I Li' `4V -- \Q: Location/Separations Foundation to tank ,. --ft. Foundation to absorption ft. Separation of Pits ft.� Conforms as per PI J-lnff —.- Y t/' Engineer Rep d A.s-Built Y r Location of System on Property: 7 Front Rear Left Side Right Side L ; 7 * Middle Front Middle Rear System Use Status: ;proved artial Approved and needs to be re-inspected, please call the Building& Codes Office Disapproved Last revised 1/6/05 / L.j).../. - \., .c.......3.,.... _ ea\ .... ip ‘ . ... ---_____----_._ ., ,„ ...„......y.. 1, , \ \ \ \ .----- /I/ I , . • . - \ \ ; --- \ : ,...... , • ,.,_,. 06 Y:9 \ ---------- '0 h . - . .4........ \ . 1 ,...t• ,.„- ,,\, i_ ___„4,......: \. Y.Y ,, ! \ -0101.- --- P 1 ''' ,.,,,,,,:•,,f., ..-- ' `-----.----- .0,-< r 3. ...........„..,- / tit 17°47 \.\---- . • ..:---!--, - ---_ \ I ,--' \,_':---.2.__T---,_ •-,o, . -----t.----------;___:--__— . 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"r: % \-4 \ to awrimeme. — ...4 ' S \ .•i '• \ \ 1 0 \ NOTE • A • WATER HIT AT 9'BELOYl'G ADE�,4/STAL�T- AIA. - -__ DRYWELL WITH 5'EFFECT/YE DEPTH. \- \ WATER HIT AT 9.BELOir6RADE: INSTALL 5-B'O'A. DRYIVELL WTI/ 5'EFFELT/YE. DEPTH, \ • . WATER HIT AT 6'BELOW GRADE: /NSTALL /600-SQ.FT. © LEACH/NG BED - (25'x 64) \ O wATE,2 'lir Ar /O' BELOIY Ge9D4= /NJTALL /(000 .14.FT L LEACf1/N6 13F '-.125'x 642 • \ Oii;4TEe WIT AT//'5EL0{?G,e 4DE: /NJTALL 340 JQ,FT. LeA(,,y4IG sED IS_x_3lo)..._ - _ \ ,r, . 1rti.4. c+ \ . t A D .S-IG\ DAIL SINGLE DUPLEX SYSTEM . • \ ,_. DESIGN FLOW - 2 - 2 BEDROOM U>)LITS X 300 G ' DESIGN F LOW - 600 GAL . /DAY . • ALLOW 20% FLOW REDUCTION FOR t. ITER SAVER L • REVISED DESIGN FLOW = 600 GPD x4 . 8 REVISED DESIGN FLOW = 480 GAL ./DAY • APPLICATION RATE 1 . 2 GAi . 'S . F /DAY X 0 ACCESS PLUGAPPLICATION RATE 0 . 9 GAL . /S. F ./DAY ABSORPTION AREA REQUIRED = 480 GAL . /DA I--FINISH GRADE 0 . 9 GAL . /E . ABSORPTION AREA REQUIRED - 534 S . F . _ \.i.:.:1 ,P ,.,c = �� ' USE - 15 ' X 36 ' ABSORPTION BED ri•-•� } `._TOP-SeASTING E• ! i"'#--- SERVICE BOX Y- t • CURB STOP 1. • i I /-- • \ ,� WATER LINE . ,. I \ • : fMVrMI *! . R I ~ VAZ/E s> t i tIp? ty ` � Gr • oc FRO N• SC,•G FIFE i BEG EcnT:CTP.NY.OR �`— t s FT. p0�1NG CtlAI•`BF 1 , I i �N BOX---7i 1 _� 1 i p!STR!BUT1G s `_f ' I SD..`: 1� ACCt1!QNA� 9 "2a��.^ 27.FT LL AROuNO BED. (7-:.-11.-- C IlfS bot pift v AI I.A N ill <4 cli 46r/i( •F.rs� G! f . FrLT=•'e iG - 1 r% AVER:C,E BACy.F!L� VAR/E.5 ! P 7 `� • r'i �.. — '-4:y`fi''`'' �y-OF STONE q••OF 570Nc .p._��E—�Z� .,...____-_____:_____—.----____.e /,`.'"'N\ • � 1 TOTAL \*------1 It,..1::::., - '..- iG 4_ . . ) . I 0 -2\ ,FX-A.- �'�C• ::-- .:/.•..-217-- --- -"*. r f'`: :•‘-j-74.**:'7,`.. ••••..)../ —1--- :-- ---0 0(6. -‘q6/ g•OF S70.----"-Ne.....: TphE� e ":�:: vY.t f ~ • _EDr_ :..-Dg \ c„ 6,,,i:L'CL AR072006 TOWN UI- ci,;;��-,�lttURY TIOti BUILDING AND CODE NOT TO SCALE TF 89 • PE& Azure ✓-A5 bt seen or observed,or believe I saw evidence of, �.• "1 have all objects such as houses,wells,trees,fences, etc.,shown on this docum ' repro, ioc ,, .he diagra i A Al easur•, the di • person � � ,�\ _ �} �/�'/ SfGNATURE 2511% 41.t,a 7. [i .1. _S3G". D a c: SINGLE DUPLEX SYSTEM! /DF,I' /�` r11•1 — 2 - 2 BEDROOM UNITS X 300 GAL .T T