SEP-000168-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: SEP-000168-2017 Date Issued: Thursday, April 19, 2018
This is to certify that work requested to be done as shown by Permit Number SEP-000168-2017
has been completed.
Tax Map Number: 295.10-1-64
Location: 16 BONNER DR
Owner: Sue Pezzulo, JOSEPH PEZZULO
Applicant: Sue Pezzulo
This structure may be occupied as a: Residential Septic Alteration
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.
TOWN OF QUEENSBURY
OL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: SEP-000168-2017
Tax Map No: 295.10-2-6
Permission is hereby granted to: Sanitary Sewer Service
For property located at: 16 BONNER 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: Sue Pemlo Septic Disposal-Residential $0.00
Owner Address: 16 BONNER 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-TBIS PERMIT EXPIRES: Wednesday,April 18,2018
(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 ofeensb n �esdt17
SIGNED BY: (�/JR("/ r the Town of Queensbury.
Director of Building&Code Enforcement
SEP79C DISPOSAL PERMIT I� Office Use Onlv
je,e 4Il )b,oi7 Received
Tax Map ID
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APPLICANT .
ADDRESS �(pdf.0 OWN OF QUEENS pjNENT
1AISTAl1SRS-UrLOSR: FHONFIE-mon. 2W -e76a
ADDRESS: K s !r- A4, -
0 PHURVE-HAIL
Address
CONTACT PERSON FOR CUILGING a'r C,O®ES Q47ffPLIAi4G€: , �'• t OJ PF1QNE- �
GAN BENBFINFBA84d4IBN
Year Bullt #of bedmoms Y.Galfotrspor bedroom -Total Daily flow
I98Dorolder j /(J 3o Oarbagegrinderinstelled SY N
1991-1991 ( SpaortiotTubinstailed _YEN
1992-Present
PARCEL INFDR6llATION
Topography plat roll)ng _21famp slope _%slope
son Nature Sand _Lmn _Clay —Other
Groundwater Atwhat depth? ter'
Bedrock I ImperWoYS Material At what depth?
DomesticWatorSupply -'14-Murucipal _Wen(dwa watersuppiyframanyseptlosyatomabsotptionfs_8.)
Percolation Teri Rate: per minute Pet inch(test to bs t ompleted bY�icensed angineedng/archkect)
PROPOSED aVnTAWFOA NEUV CONSTi 17=10N
gallons(mnimumsize1,000gallons,add2WgallonsMsizeioreachgarbagegrinderorspaorhottub)
System Typo Absorption fietd Wr1h#2 stone TOW tango) it;Each trench
Sawaiii pit mm lis stone How many: -Size
Aftamativesystem 8edorothertype9 Z-9525" Lf"
Holding Tank System Total regafred eapaolyd Tanksfae ff oi;anks
Noyes• 1)Alamr syetern&associated efecvical work must be inspected by a Town approved 010amoal inspection agency;2)we will no longer
allow systema w us covered until such time as an As•audt plan[a raCeived&approved. The Installed system must match the Septic system
layout on 1116—no We"tons.
rpf;GLARAf70N: Any permit or approval granted which is based upon or is granted in reliance upon any material representation or
failure to rlalce a material Sect or Circumstance know by or on behalf of an applicant, shall be void. I have read the regulations
and agree to abide hyttrese and aU requireplerrts of the Town of Queensbury 8anbary Sawag¢Disposal Ordinaries.
e_ >e r Date: %-/7- 17
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(D � SOWN OF UE SEPTIC PLO PLAN
v O BUILDING & I HAVE SEEN OR OBSER D ALL OBJECTS
O O SUCH AS SES, WELLS, T EES, FENCES, ETC
a, Reviewed BySglIHIS DOCUMENT.I HAVE PP RRSONALLY
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O SIGNAT E DATE
—
CENTER PROJECT
SERVICES
73 Sheridan Street, Glens Falls,NY 12801
Phone-518-796-2515
April 12, 2017
Project#248
George Drellos
Sanitary Sewer Service
Queensbury,NY 12804
Re: Proposed Replacement Septic
16 Bonner Drive, Queensbury,NY
Dear George:
At your request, we have reviewed your proposed replacement septic system design of the
existing 3 bedroom house at 16 Bonner 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 330 GPD and a percolation rate of
1 to 5 minutes, you will need a minimum of 367 sf of absorption area. We recommend using 20
ft wide by 25 ft long absorption bed with 4 - 20 ft long laterals. The absorption system can be
constructed with a new 1,000 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.
� CC� C[E
APR 1 7 2017 D
TOWN OF QUEENSBURY
COMMUNITY DEVELOPMENT
295.10-1-64 SEP-000168-2017
Pezzulo, Sue
16 Bonner Drive
Residential Septic Alteration