SEP-000296-2017 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-000296-2017 Date Issued: Wednesday, June 7, 2017
This is to certify that work requested to be done as shown by Permit Number SEP-000296-2017
has been completed.
Tax Map Number: 301.12-1-37
Location: 41 HELEN DR
Owner: Diana Kupillas
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
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
OL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: SEP-000296-2017
Tax Map No: 301.12-1-37
Permission is hereby granted to: Sanitary Sewer Service
For property located at: 41 HELEN 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
Tyke of Construction
Owner Name: Diana Kupillas Septic Disposal-Residential $0.00
Owner Address: 41 Helen 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
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 2,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of eensb n �riday J ne
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
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1950 or older Garoage grinder installed _Y N
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Topography �tatro)ling _Slaspafope _`vaslope
Sol Nature I c Sand _Lawn —Clay _Other
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DOM"Hewalar uppty Imicipsi _W611(dw6ll,taalorsupptyfromttrprsepticsyatemabsotpHonis_�.)
PecmiaHort Teat Rata: __L_pa?hVft1te iterfth(teatto be completed by licensed engineering 1 archflect)
pacpasm C•rnW_FDS AY MJ C9N$TiiL,r"TrON
TanK Size /Ove Sailons(minimum size i,000 gallons,add 250 gallons to size for each garbage grinder or spa or hottub)
System Type, AhmrpHon Reid With#2 stone Total length ft;Eachtrench z
gaapsga P@ taRf►6S siBrie How many :size
Agemativeslstem Sedorotherlype4
HoidingTank Systetn Total required cap aoV Tank size ffoftanlm_
Nafoa, 1)pignn system&amoctated electrics[wotK must be inapeoted by a Town approved elacu W inspection agency;2)We will no longer
auow eyctems w be coveted until such time as an As-BWk plan is received&approved. The installed system must match 1he aepdc system
tayaut on lug-no excepuonz.
pmelfloq :_Any permit or approval granted which is based upon or is granted in reliance upon any material representation or
fs)lum to make a MateTiai fact Of oiroumstance know by or on behalf of an appifoant, shall be void. I have read the regulations
and agree 10 abide bYA�u d al acts of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Print Namees (( �, ul Date: d-/-/77
Signature:
Date: 7 _ /
Town OT Queensbury adding&Codes SeptiCDlspasal Permft JWy 2n1A
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301.12-1-37 SEP-000296-2017
Kupellas, Diana
41 Helen Drive
Residential Septic Alteration
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Date:
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TOWN OF QUEENSBURY C7
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Based on our limited examination,compliance z o
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full compliance with the Building Codes of m
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SERVICESCENTER PROJECT
73 Sheridan Street, Glens Falls,NY 12801
Phone-518-796-2515
May 27, 2017
Project#255
George Drellos
Sanitary Sewer Service
Queensbury,NY 12804
Re: Proposed Replacement Septic
41 Helen Drive, Queensbury,NY
Dear George:
At your request, we have reviewed your proposed replacement septic system design of the
existing 5 bedroom house at 41 Helen 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 579 sf of absorption area. We recommend using 20
ft wide by 30 ft long absorption bed with 4 - 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.
JUN