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2014-349 TOWN OF QUEENSBURY FoW742 Bay Road,Qucensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20140349 Date Issued: Monday, August 11, 2014 This is to certify that work requested to be done as shown by Permit Number P20140349 has been completed. Tax Map Number: 523400-296-009-0002-052-000-0000 Location: 19 OAKWOOD Dr Owner: JAMES & SHIRLEY HARNEY Applicant: JAMES & SHIRLEY HARNEY 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 of Building& Code Enforcement Planning Board or Zoning Board of Appeals. 1� TOWN OF QUEENSBURY f � 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140349 Application Number: A20140349 Tax Map No: 523400-296-009-0002-052-000-0000 Permission is hereby granted to: JAMES & SHIRLEY HARNEY For property located at: 19 OAKWOOD 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: JAMES & SHIRLEY HARNEY 19 OAKWOOD Dr Septic Alteration Residential Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2014-349 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 Queensbury before the expiration date.) Dated at the Town f Que bu /d//Tu st 05,2014 SIGNET)BY for the Town of Queensbury. Director of Building&Code Enforcement 60-fuer _ _ z . 3 Septic Inspection4.-t rc s t b(t p Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ m Depart:t7\____� m/pm 742 Bay Rd., Queensbury,'N_Y -12804 Inspector's Initials: LL,, l7 NAME: t�=�fc�ey PERMIT N .: LOCATION: /Ct p.a It-t.006,Jj fl' INSPECT ON: . &"7 RECHECK: �^.�,, Comments and/or diaoram Soil Type: t / W /Clay Type of Water. Munidpal ell Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/- _Y N_N/A [150'to well required if NO] Absorption Field: Total length C C ft. C \'S\-) Length of each trench 5-Yr ft. Depth of trenches ft. Size of Stone 2i Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank c - —E5e j C . g d(TAIC Tank to Distribution Box " Distribution Box to Field/ Pit u` Opening Sealed: N End Cap N Inlet/Outlet Pipes&Baffles N Manholes 12'or less below grade _Y_N [provide extension collar if Yes] Y N Location/ Separations Foundation to tank ft. Foundation absorptionPts ft. Separation of Pits �ft. Conforms as per Plot Plan N Engineer Report and As-Built Y N ETU Maintenance Contract _Y_N provided Location of System on Property: Front ear Left Side Right Side Middle Front Middle Rear System Use St atuApproved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved LAPam Whitlng\20101,13updng Codes Forms\Inspecdon Forms\Septic Iron Repo t03 29 10.doc Jacr+ in-anneal-n, awt.rtt%M H Cc OffiCe Use Only Dam 0 — Z —/ ' Received �i Tax Map ID o�la, 7-c) -ss TAX MAP ID 9` /� n p�• ���,L6 E (Permit No. ,,,, /J //_3 y9 �? 0,4k 'oCd IrAv� —• ---i /111 t` lPr��/ LocATIONOF/NSTALLATION Approvals: v _ kJGo42J14 Illij� / 1111 � U APPLICANT JA-m e3 / l a/�rre j TOWN op n, PHONi/E-MAIL [y L cJ trUfLDING&COpEURY j ADDRESS ��(JJ/ al �(�tJ p©� tom/ y p INSTALLER/BUILDER: £3,V/-IA-r`I $Layer Dery/Y'e PHONE/E-MAIL ! ?A- 72-r7 ADDRESS: Pa S:35( 227 OWNER glom. //WJ / PHONE/E-MAIL Address /l b _ CONTACT PERSON FOR BUILDING&CODES COMPLIANCE' (�--CO rG e r i4L`J// PHONE 796 3764 RESIDENCE INFORMATION `J Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow 1980 or older t Garbage grinder installed _Y N."141N."141981-1991 ( 110 y V 0 Spa or Hot Tub installed _Y 1N 1992-Present PARCEL INFORMATION Topography K Flat rolling Steep slope %slope Soil Nature a Sand Loam Clay Other Groundwater At what depth? /1-4 Bedrock/Impervious Material At what depth? i"Al Domestic Water Supply Municipal Well(if well,water supply from any septic system absorption is ft.) Percolation Test Rate: / —SC per minute per inch(test to be completed by licensed engineering/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank Size /ZSt' 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 X (Alternative System (ied}other type? oZ o'X 30 ' 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 these and all regt{irement of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Print Name: ( ' i` IJJ Date: P—Z iy Signature: ��� Date: A--z-/V Town of Queensbury Building& Codes Septic Disposal Permit July 2014 is 5 CENTER PROJECT BP 13 y9 SERVICES 73 Sheridan Street, Glens Falls,NY 12801 Phone-518-796-2515 August 1, 2014 George Drellos Project# 197 Sanitary Sewer Services Luzeme Road Queensbury,NY 12804 r: Re: Proposed Replacement Septic t' ; James Harney- 19 Oakwood Drive, Queensbury, NY PI-J0 Dear George: At your request we have reviewed your proposed replacement septic system design of the existing 4 bedroom house at 19 Oakwood Drive 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, TOWN OF QUEM° I Thomas R. Center Jr, P.E. BUILDING & vt /� geviewed By. � - % Date: SEPTIC PLOT PLAN 1 HAVE SEEN OR OBSERVED ALL OBJECTS SUCH AS HOUSES, WELLS, TREES, FENCES, ETC SHOWN ON THIS OOCUMENT.I HAVE PERSONALLY MEAS' 0THE DISTANCE FORT HIS DIAGRAM. SIGNATURE DATE lia sr A,o 0 4 2014 J TOWN OF QUEENSBURY Ace BUILDING& CODES v r�y� ct 4,64.4r o cf l !� M k ?t^ fb C /NV — IIII — G 3 � . c J . of .s < (U CN a h.