SEP-000775-2016 j' TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
i
_ Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: SEP-000775-2016 Date Issued: Tuesday,November 15, 2016
This is to certify that work requested to be done as shown by Permit Number SEP-000775-2016
has been completed.
Tax Map Number: 295.7-1-16
Location: 51 SARA JEN DR
Owner: Robert Ash
Applicant: Sanitary Sewer Service
This structure may be occupied as a: Residential Septic Alteration
By Order of Toxin Board
TOWN OF QUEENNSSBURY
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: SEP-000775-2016
Tax Map No: 295.7-1-16
Permission is hereby granted to: Sanitary Sewer Service
For property located at: 51 SARA JEN 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
Owner Name: Robert Ash Septic Disposal-Residential $0.00
Owner Address: 51 SARA JEN DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Sanitary Sewer Service
PO Box 224
Glens Falls,NY 12801
Plans&Specifications
Residential Septic Alteration
$40.00 PERMIT FEE PAID-TFBS PERMIT EXPIRES: Tuesday,November 7,2017
(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
A, Ver7,2016
)
Dated at the Town of eensbu ( / �c/lon
SIGNED BY: /•t1Jfor the Town of Queensbury.
Director of Building&Code Enforcement
SEMC DISPOSAL PERMr6 Office Use Oniv
Received
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Year Bulli ofi bedrooms A Gallons per bedroom =Total Daily Flow
1920 or alder e m I
1961-1991 Ot " stalled _
ig92-Present 7 1 6 16
196RGE1.INe:ORNATION BUI OPawfOUE
IVY
Topography Plat roll)ng _Steep slope _%slopeCODE
Sail Nature and _Loam _Clay _Other
Groundwater Atwhatdepth? /1,"
Bedrock Iimparvioue Material At what depth? ~
Domestic Water Supply -'�Z Municipal _Well(d well,water supply from any septic system absorption is_ft.)
Percolation Test Rate: per minute W ineh(testto be completed by licensed engineering/architect)
PROPOSED SySTMNr FOR NsiN CONSIRUC770N
Tank Size �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'Y2 310118 Total length fL;Each trench
Seepage Pit MM JS sten How many: size
AltemalftSystem Bed or other type? Zz X O
Holding Tank System Total required capacity? Tank size 4 of tanks _
NOtE9: 1)Alarm system&associated electrical worts must be Inspected by a Town approved electrical inspection agency;2)We will no longer
allow Systeme to be covered until such time as an AsBulft plan is received&approved. The Installed system must match the septic system
layout on Its—no exceptlons.
DECLARAiZON: 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 b these and alli , nts of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Print NaDate:
mes
Date: // 7
Town of Queensbury Building&Codas Septic Disposal Permit July 20i4
SEPTIC PLOT PLAN
I HAVE SEEN OR OBSERVED ALL OBJECTS
SUCH AS HOUSES, WELLS, TREES, FENCES, ETC
SHO TIS DOCUMENT I HAVE PERSONALLY
ME R E DIST FBl2TH BflIAGRAM. I
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SIGNATURE DATE
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295.7-1-16 SEP-000775-2016 E
Ash, Jr., Robert
51 Sara Jen Drive
Residential Septic Alteration
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Nov o r 2o�s
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4 TOWN OF QUEENSSURY
BUILDING&CODEg
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CENTER PROJECT
SERVICES
73 Sheridan Street, Glens Falls,NY 12801
Phone-518-796-2515
November 3, 2016
Project# 241
George Drellos
Sanitary Sewer Service
Queensbury,NY 12804
Re: Proposed Replacement Septic
51 Sara Jenn Drive, Queensbury,NY
Dear George:
At your request, we have reviewed your proposed replacement septic system design of the
existing 5 bedroom house at 51 Sara Jenn 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 550 GPD and a percolation rate of
1 to 5 minutes, you will need a minimum of 612 sf of absorption area. We recommend using 20
ft wide by 40 ft long absorption bed with 4 - 35 ft long laterals. The absorption system can be
constructed with the existing 1,500 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,
fhomas R. Center Jr, P.E. D E C E � d E
[Nov o7 zo,s D
TOWN OF QUEENSBURY
BUILDING d CODES