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SEP-000167-2017 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-000167-2017 Date Issued: Monday, May 1, 2017 This is to certify that work requested to be done as shown by Permit Number SEP-000167-2017 has been completed. Tax Map Number: 301.12-2-19 Location: 15 COLONIAL CT Owner: Edward Sturman Applicant: Edward Sturman This structure may be occupied as a: Residential Septic Alteration By Order of Town Board TOWN OF QUEENSSBURY Issuance of this Certificate of Compliance DOES NOT relieve the � _�/�, 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 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: SEP-000167-2017 Tax Map No: 301.12-2-19 Permission is hereby granted to: Sanitary Sewer Service For property located at: 15 COLONIAL CT 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 Tvce of Construction Owner Name: Edward Starman Septic Disposal-Residential $0.00 Owner Address: 15 Colonial CT 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-TB7S 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:714U tion date.) Dated at the Town of ueensbu es y 17 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement SEpTOC DISPOSAL P>=RMrr sea1 u ID TAKRgAPV*t7 7 2017 O• 1&-7-16/7 /��, �// rrtit as `60' see 71BNB INspALta: sN 15 666 QUEENS IA 9: COMMUNITY DEVEL P NT APPLICA ddC4 1PHONY E-MAIL ADDRESS Ir n //� �D/u y(�/ ENSTa .�1Bu2eEA: ''(� " PSCC �lN/'vice PHONVE-!I IL l/O ��✓ ADDBEss: J / LZY /�•� 147 OMER � . PHONEJE-ru1AIL Address CONTACTPERSONFOR RUILRAW(9999MPLIAN9€r ��e r»en rPe jNFBP�R4GTlBN Year Built of bedrooms flallons par bedroom -Total Daily Flow 1980 or older Goibagegrinderinstalled 1981-1991 SpaorHotTubinsta9ed 1992-Present PARCELfNFORKA-WO Topography Wet rolBng _S'leep slope _96 slope Sol Nature Sand _team _Clay _Other Groundwater Atwhatdapth� NA Bedrook I Impervious Material At what depth?_77- Domestic Warr Supply _Municipal _Well(d wall,water supply from any septic system absorption is—it.) Percolation Test Rate: per minute per inch hast to be completed by licensed angineerIng I architect) PROPOSED CVSTIJV1 FOA NEIN CDNSTi7/1CT10N Tank Size g gallons(minimum size t,000 gallons,add 250 gallons to size for each garbage grinder ar spa or hot tub) System Type Absorption field with R stone Total length it;Each trench Seepage Fit wdh is atone How manT. size Alternative System Bed orothertype2 i f IV Holding Tank System Total required capacity? Tankafte a of tanks _ Notes,. 1)Alarm system&associated atecuicai work must be inspected by a Town approved areci ical inspection agency;21 we win no longer allow systems to be covered until such time as an As-sulk plan In reaelved&approved. The Installed system must match the septic system layout onfils-no exceptions YJSCLARAZON: 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 bythe��all re)�u of the Town of Queenebtn'y Sanitary Sewage DTep0eal Ordinance. Print Name: /JJ J Data. y i 7-1.7 signature: Date: �1-i7- i7 Town Of Queensbury Bulding&Codes Septic Disposal Permh 1ply 2o1a J i �9N r s I , � 1 l \ r yam! j r /1" JAZ pfli!?7feM�. I t 20 � � rn W p ;L7 CO -I m 01QO ca -n p ECEOVE � o a ^ f n o a m � Z. SPR 1 r 2011 c.> 0 O TOWN OF QUEENSBURY D n Q D COMMUNITY DEVELOPMEP'T D o ,= m ' � o SEPTIC PLOT PLAN W I HAVE SEEN OR OBSERVED ALL OBJECTS p H SUCH AS HOUSES,WELLS, TREES, FENCES, ETC —_g OCUMENT.I HAVE PERSONALLY 7 I MEASU E o /7 -f� V SIGNATU DATE N O r V CENTER PROJECT 0 SERVICES 73 Sheridan Street, Glens Falls,NY 12801 Phone-518-796-2515 April 12, 2017 Project#246 George Drellos Sanitary Sewer Service Queensbury,NY 12804 Re: Proposed Replacement Septic 15 Colonial Court, Queensbury,NY Dear George: At your request, we have reviewed your proposed replacement septic system design of the existing 3 bedroom house at 15 Colonial Court, 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 15 ft wide by 30 ft long absorption bed with 3 - 25 ft long laterals. The absorption system can be constructed with the existing 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. ECL PR 1 7 2G'.r' D TOWN OF OUEENSBURY COMMUNITY DEVELOPMENT 301.12-2-19 SEP 167-2017 Edward & Cathy Sturman 15 Colonial Court Res. Septic Alteration