2014-350 tf. TOWN OF QUEENSBURY
vra742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140350 Date Issued: Wednesday, August 13, 2014
This is to certify that work requested to be done as shown by Permit Number P20140350
has been completed.
Tax Map Number: 523400-315-007-0002-050-000-0000
Location: 93 HUDSON POINTE Blvd
Owner: RAYMOND & ELAINE CONLEY
Applicant: RAYMOND & ELAINE CONLEY
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 C��awwvsss���f/ i � /�-�
property owner of the responsibility for compliance with Site Plan, 1`l
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
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
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Community Development- Building& Codes (518)761-82.56
BUILDING PERMIT
Permit Number: P20140350 Application Number: A20140350
Tax Map No: 523400-315-007-0002-050-000-0000
Permission is hereby granted to: RAYMOND & ELAINE CONLEY
For property located at: 93 HUDSON POINTE Blvd
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: RAYMOND &ELAINE CONLEY
93 HUDSON POINTE Blvd Septic Alteration Residential
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
SANITARY SEWER
GEORGE DRELLOS 792-7257
PO BOX 224
GLENS FALLS NY
Plans&Specifications
2014-350
Res. Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 05,2015
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbu before the expp tion date.)
Dated at the Town f Que n hur16;/ /( T , ugust 05, 2014
SIGNED BY for the Town of Queensbury.
Director of Building& Code Enforcement
SEPTIC DISPUSALPtHMII Office Use Only
aux P— Z e/y Received
I D E c Tau] !M p D,-- --c3 /51 7 - �- &9
TAX MAP ID rJ. ��/
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�ocAT1ON OFlNSTALunON e kit: (Appr I I (1
TOWN OI- Lit rE.NSBURY I
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APPLICANT ( N`t / n P-HONE/E-MAIL
ADDRESS 92 R, c1
r 4/M- 1ESO Cele Vic 1
INSTALLER/BUILDER: SA-'-J �> Jer Senn(r PHONE/E-MAIL 77e 7Z.J-7
ADDRESS: Po /.707- 22,i ,44^'J /`7p-/../ /1/ /2t0/
OWNERPHONE/E-MAIL
Address
CONTACT
_ �v �/n/
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: Geer-9 r'__ l/ACX o-/ PHONE79c 76 Y160
RESIDENCE INFORMATION U
Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow
1980 or older Garbage grinder installed _Y �N
1981-1991 Spa or Hot Tub installed _Y 041
1992-Present y /70 y0
PARCEL INFORMATION
Topography DC Flat rolling Steep slope %slope
Soil Nature l Sand Loam Clay Other
Groundwater At what depth? - /-1.4
Bedrock/Impervious Material At what depth? N/4
Domestic Water Supply Municipal Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate: /--5-- per minute per inch(test to be completed by licensed engineering/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank Size /2-S-0 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 ft.; Each trench x
Seepage Pit with#3 stone How many: ;size
Alternative System Bed other type? -C 0 'gc 3a 7
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 know by or on behalf of an applicant, shall be void. I have read the regulations
and agree to abide by theseyesand all requ' ement of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Print Name: ,__'1 , " rg Date: —1—//
Signature: Date: i-L -i9
Town of Queensbury Building&Codes Septic Disposal Permit July 2014
Town of Queensbury Building & Code Enforcement 1 La-L. II I,2O
Office ?i1. (518)761-8256
Septic Inspection Report
Inspection request received:
Name: C/1�C3`t•-Akef� ���] Jam/Inspected on: - �
Location: 9 3 I I: piAUt\rt/� i3 f�+rrive: • : a •.m.
Permit No.: / G' -3 5D Inspector's Initials: re
torn •ents andlor dia•ram
Soil Typ . San .•• - layir
Type of Wat- : unicipa - Water
Waterline c•- - - • ance ft.
Well separation distance ft
Other wells' ft.
Well Casing Length 50'+I- Y N NIA
[150'to well required if NO]
Absorption Field: Total length t t ft.
Length of each trench 103-7-5-ft. -
Depth of trenches 7.— 3 ft.
Size of Stone -may
Seepage Pits' Number
Size: x
Stone Size:
Piping Size Type .
Building to tank kr. ,C..,%•\ LAO E-3-%kiV
Tank to Distribution Box q4 40 R -,6—
Distribution
,-Distribution Box to Field/Pit 1-0 1702—7 S to 1-l' OR-36--Wv_F
Opening Sealed: �r N
End Cap Y v41- LO °Qac)
Inlet/Outlet Pipes&Baffles `/ N
Manholes 12"or less below grade ✓Y N/
[provide extension collar if Yes] Y
Location/Separations
Foundation to tank CL,ft t
Foundation to absorption i l ft. 9Ao� 7
Separation of Pits ft. 7 v
Conforms as per Plot Plan '".Y N
Engineer Report and As-Built Y_N
ETU Maintenance Contract provided Y N
Location of System on Property:
Front Re Left Side Right Side Middle Front Middle Rear
S stem Use Stat :
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Septic Inspection Report
s • 4 SEPTIC PLOLLAN
I HAVE SEEN OR OBSERVED ALL OBJECTS
SUCH AS HOUSES, WELLS,TREES, FENCES, ETC
SHOWN ON THIS DOCUMENT,I HAVE PERSONALLY
ME RED THE DISTA )E SET FF RR ON THIS DIAGRAM.
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TOWN OF QUEENSBURY
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CENTER PROJECT 13 e 14-iJ3 61)
SERVICES
73 Sheridan Street, Glens Falls,NY 12801
Phone-518-796-2515
July 31, 2014
Project#196
George Drellos
Sanitary Sewer Services
Luzeme Road s iiI
Queensbury,NY 12804 € L ii ' L J 0 4 2014
a s
Re: Proposed Replacement Septic
Ray Conley—93 Hudson Point Boulevard, Queensbury,ICY" - --"-"'`"'`- ` ' --
Dear George:
At your request we have reviewed your proposed replacement septic system design of the
existing 4 bedroom house at 93 Hudson Point Boulevard 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 440 GPD and a percolation rate of
1 to 5 minutes, you will need 489 square feet of absorptive area. We recommend using a 20 ft
wide by 30 ft long absorption bed with 4 — 25 foot long laterals, which will provide 600 sf of
absorptive area. The absorption bed can be constructed with the existing 1,250 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 R. Center Jr, P.E.
TOWN OF GiU� 4v' �Ol ,
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I HAVE SEEN OR OBSERVED ALL OBJECTS
SUCH AS HOUSES,WELLS, TREES, FENCES, ETC
101
SHOWN ON THIS DOCUMENT.I HAVE PERSONALLY
EDTHEDISTAN -SETFO'T *MINIS DIAGRAM.
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DATE
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1 6. TOW OF QUEENSBURY
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