SEP-000199-2017 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-000199-2017 Date Issued: Tuesday, May 9, 2017
This is to certify that work requested to be done as shown by Permit Number SEP-000199-2017
has been completed.
Tax Map Number: 295.15-1-43
Location: 12 MOORWOOD DR
Owner: JARED OLSON
Applicant: Sanitary Sewer Service
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 J41t
property owner of the responsibility for compliance with Site Plan, r,
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-000199-2017
Tax Map No: 295.15-143
Permission is hereby granted to: Sanitary Sewer Service
For property located at: 12 MOORWOOD 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: JARED OLSON Septic Disposal-Residential $0.00
Owner Address: 12 Mootwood 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
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,May 2,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the exRration date.)
Dated at the Town o ueensb ue ,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
SEP7C UMPOSA L PERMOT Office use only Q 1 f1&01`,,
Received D
a € Tax Map 11 W9 Jill
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ADDRESS 12
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ADDRESS. PCV &se Zy! C9 le NS f74�G � 1Zec2/
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CONTACT PERSON FOR MUff.171Nr$B 99M 9OMPLIAN= - � T � ` "` PHONE L!-3/60
e/HFNBFINFBWAPdPIBN
Year Built 901 bedrooms x 3adonsperbedmom =ToWDadyFlow
19.0 or older Garbage grinder instelled
1961-1991 �� Spa or tiotTub installed _Y, N
1992-Present
PARCEL INPOrdMd77ON
Topography _Platroding _Sleepslope _%slope
Sof Nature _Sand —Loam _clay _Other
Groundwater At what do
Bedrock 1ImperAousMadill At what depth 9
Iv r7
Domestic Water Supply Municipal _Well(d well,water supply fmm any septic system absorption is
Percolation Test Rate: / _perminuta par inch pootte be completed by fioensed angmwring 1 architect)
PpOPOSEo SMEW!FOR NEW EON3TRUCTioN
Tanlc Size O 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 f2 stone Total length ft;Each trench
Seepage P'Pi with 48 time How many-- -slime
Aitemattve-system Sedorothertype?
Holding Tank System Total required capacity? —Tank Efts of Wft_
ll no longer
Alarm
electrical
k must be tropeated by a Town
allow syat roe to peicovered undlsuch time as an approved
Sulft plan 10 MCB ved&approved. The Installed syetemcmust match ithe s eiptic system
layout on life—no excapdons
QwwA7ow Any permft or approval granted which is based upon or is granted in reliance upon any material representation or
failure to malte a mateliaf race or circumatamce know by or on behalf of an applicant, shall be void. I have read the regulations
and agree to abide byt Band an req�treme o of the Town of Queensbury sanO ry Sewage po coal`Ordinance.
Print Name:
9ignature: �/ Date:
TSeptic Disposal permit daily 2014
Town of Queensbury 13dding&Codas
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295.15-1-43 SEP-000199-2017
Olson, Jarod
12 Moorwood Drive
Residential Septic Alteration -
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Date:
CENTER PROJECT
SERVICES
73 Sheridan Street, Glens Falls, NY 12801
Phone-518-796-2515
April 26, 2017
Project#249
George Drellos
Sanitary Sewer Service
Queensbury, NY 12804
Re: Proposed Replacement Septic
12 Moorewood Drive, Queensbury, NY
Dear George:
At your request, we have reviewed your proposed replacement septic system design of the
existing 4 bedroom house at 12 Moorewood 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 a minimum of 489 sf of absorption area. We recommend using 20
ft wide by 30 R long absorption bed with 4 - 25 R long laterals. The absorption system 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,
f6
KAPR
CdThomas R. Center Jr, P.E. 7 i3 liJ1/of SPBII<EF6MURY
011M�1 .C5f 9t)
295.15-1-43 SEP-000199-2017
Olson, Jarod
12 Moorwood Drive
Residential Septic Alteration