SEP-000586-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
RL Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: SEP-000586-2016 Date Issued: Tuesday,November 8, 2016
This is to certify that work requested to be done as shown by Permit Number SEP-000586-2016
has been completed.
Tax Map Number: 227.18-1-41
Location: 69 HANNEFORD RD
Owner: Torren Moore
Applicant: Torren Moore
This structure may be occupied as a: Residential Septic Alteration
By Order of Town Board
TOWN OF QUEENSSBBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, �yZY
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.
l 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-000586-2016
Tax Map No: 227.18-1-41
Permission is hereby granted to: Totren Moore
For property located at: 69 HANNEFORD RD
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: Torten Moore Septic Disposal $0.00
Owner Address: 69 HANNEFORD RD Total Value $0.00
Kattskill Bay,NY 12844
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Residential Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,September 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 beforjthe, nati,/date.)
Dated at the Town o Queens //W e ember 7,2016
SIGNED BY: /VJ date.)
the Town of Queensbury.
Director of Building&Code Enforcement
SEPTIC DISPOSAL PERMIT Office Use Only
DATE 8/30/2016 Received
Tax Map ID
TAX MAP ID 227.18-141 Permit No. �� ?1JIlp
69 HANNEFORD ROAD Permit Fee
LOCATION OFINSTALLATION Appro7at— 1Y)V43t kQ, Q1CI0
APPLICANT TORREN L.MOORE PHONE/E-MAIL 518-281-5089
ADDRESS 69 HANNEFORD ROAD,QUEENSBURY NY 12804
INSTALLER/BUILDER: TBD PHONE/E-MAIL
ADDRESS:
OWNER TORREN L.MOORE PHONE/E-MAIL 518-281-5089
Address 69HANNEFORD ROAD,QUEENSBURYNY12804�`�.�,��� �
-Ulu
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE" HUTCHINS ENGINEERING PHONE 518-745-0307
RESIDENCE INFORMATION
Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow
1980 or older Garbage grinder installed Y V N
1981.1991 Spa or Hot Tub installed Y 'N
1992-Present 2(DESIGN FOR 3) 110 330
PARCEL INFORMATION
Topography ' Flat rolling Steep slope _/o slope
Soil Nature Sand Loam _Clay _Other
Groundwater At what depth?>12"
Bedrock/impervious Material At what depth?12"
Domestic Water Supply ' LAKE WATER—Well(if well,water supply from any septic system absorption is_ft.)
Percolation Test Rate: 1-5 per minute per inch(test to be completed by licensed engineering/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank Size 1.000 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#2 stone Total length ft.;Each trench x
Seepage Pit with 93 stone How many: ;size
Alternative System Bed or other type? 15'x24'ABSORPTION BED
Holding Tank System Total required capacity? Tank size #of tanks
Notes: 1)Alarm system& associated electrical work must be inspected by a Town approved electrical inspection agency;2) We will no longer
allow systems to be covered until such time as an As-Built plan is received & approved. The installed system must match the septic system
layout on file–no exceptions.
DECLARATION: 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 abid�hese and all requirements f the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Print Name: t <3 a Date: 8/30/2016
Signature: Date: 8/30/2016
Town of Queensb- Building&Codes Septic Disposal Permit July 2014
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WASTEWATER SYSTEM OESION
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8 0'+1- 4p - 03 58 00 E BED,380 5F TOTAL 2"CU RT 2-BEDROOM RESIDENCE DESIGN TO 3-BEDROOM
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DESIGN FLOW 110 GPD BEDROOM °a .
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SYSTEM DESIGN FLOW - 330 GPD °`' r<:
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s SEPTIC TANK 1000 GAL PR CAT N R IE 6,,
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FROM LAKE GEORGE
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\ , SYSTEM INSTALLATION NOTES
O K ®�0�� v PRdn.SDR-�r�DPE FORCEMAIN TEST PTT '
' r CONSTRUCTION SHALL BE AS SHOWN"ON THIS DRAWING AND 1N 'ACCORDANCE WITH THE N.YS DEPARTMENT OF
/ PROP.HOUSE SEWER \ TP-1 - 6/30/16 BY TOM HUTCHINS P.E.
r "v1 C� „ HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS AND ASTM 1=481 INSTALLA77ON OF 'THERMOPLASTIC. PIPE AND =
i; / _ PROP.1,000 GALLON PUMP 0-12 SILTY FINE SAND, COBBLES & CORRUGATED TUBING IN SEPTIC TANK.LEACH FIELDS. � . . . .
EXISTING,LAKE WATER,sUPPLY �� � / STATION . � + ' I BOULDERS
- LINE.LOCATION APPROXIMATE. / c�� C, In, - as ,
, I C? 12 . - LED_ GE AFTER EXCAVATION OF 15' WIDE X 24' LONG ABSORPTION BED TO THE'DEPTHS"REQUIRED, THE WALLS AND FLOOR
- I, / �d* ® BR G� \ SHALL BE CLEANED AND RAKED 1N ORDER TO LOOSEN SMEARED AREAS OF SOIL.
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PLACEMENT OF CRUSHED STONE, PERFORATED .PIPE AND FILTER FABRIC SHALL BE AS SHOWN,.AND CARE SHALL.
N 88°08'00"E `: I A -PROP.EFFLUENT SEWER \ \ .
/ 15 .� BE EXERCISED 'r0 AVOID INCLUSION OF FINE GRAINED SOILS AND WASTE MATERIAL IN THE STONE AND'PIPE.
8.0'+/- / 21.4 �,� ® I I PROP.1,000 GALLON SEPTIC TANK [ .
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ExISrING EPrTC I sErBACK >.�('?:,_�r,,.1,',:_4.,ll,�,,: 1;:; ,,<_<%':'....r.:. r>;:.<:,>_<.'_._r;'> :.<,_,a,'" THE PIPE SHOULD BE LAID AT THE GRADES INDICATED MAINTAINING STRAIGHT CONTINUOUS GRADES" WITHOUT
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- � (? ,='<'.';"(' OND171ONS. PIPE SHALL BE LAID "WITH HOLES DOWN _
® S88°0800':E 222.13 a;,. �;. ,i._'_.:...; :._:,-.-,„ I, �...<.. .:.,.:;I. 1N ALL CU SES. SEPARATED JOINTS, OR OTHER UNSUITABLE C
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FUTURE PATIO _.. _.., 'a, `rJ f � ,, .x♦ 2.5-_t.. .
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ar �r ""r ',, %J % ( ,".*, .; ,r , �r �r a ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED "RAINFALL AND DIVERT 'SURFACE RUNOFF AWAY FROM THE .
®a 1/q�� p®rY �pyq� pyy - tj�;' { -� < �,�<< ,_}- --LIMIT of 15x24 .
AaJ�,�6/PATER ed/ ST I-I 1 LAN 1,�' Tei i ! 'r r '�. 'r r<� '- ;. r , r J
-.: it :; !',.zi "",a\�; r:', r3''Y,,;:?,I;:<I .,t_`, ..' DISPOSAL FIELD. -
- SCALE: 1 =20 ,_(, . ,-,',-. . -;. STONE BED . .
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Nov. 4. 201612:§2P MDIA No. 5336 P. 4/5
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
axttirB..sd that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Date:
Ty Moore 10/28/2016
Occupant: Septic Pum Location:
P p 69 Hannaford Road
Occupancy:ingle Family Dwg, Queensbury,Warren Co. NY
Applicant:I
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Rob Lanfear Excavating
143 Flat Rock Road
Lake George NY 1284.5'.'.'
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Joseph A_Holmes..;:'
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Equipment:
1 -Septic Pump&Control
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This ceNficate spot;"to the electrical wiring to the electrical equipment listed Immediately null and void. This oerfigCale applies only to the use,occupancy and
above and she installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
Inspection. No Warranty is expressed or implied as to the maohanical safety.Bfii. of the properly indicated above,this MnlflCate shall be immediately null and void,
ciency of fitness of the equipment for any pardwler purpose. This certificate shall In Ina event that this oenlgoats becomes invalid based upon the above Conditions,
ce valid Por a period of one year from the above nosed dale. Should the elecVleal this certificate may be revalidated upon relnspectlon oy Middle Department
system to vArioh NIS Certificate applies be 8ttefetl in any way,including but not limit- Inspection Agency,Inc. An application for InspMon must be submioetl to Middle
ed to,the Introduction of eddlGonal elednral equipment flnNor Na replacement of Department Inspecllon AgenCy, Inc. to initiate the inapeClidn and revalitletion
any of the components installed es of the aoove noted date.this CerAfo516 shall be process, q fee Will be charged for Nis seMte.
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WASTEWATER SYSTEM DESIGN t
S 80°36'E �,�80°36 �_ _ S 88° NEW 15 X24'ABSORPTION - /,
��.E Nos°5$'E - -aoo-'E BED,360 SF TOTAL 12"�cuLVERT 2-BEDROOM RESIDENCE (DESIGN TD 3-BEDROOM)
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a. ® / DESIGN FLOW - 110 GPD/BEDROOM11 I t. { z __
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r ® � ® ?22 _ / k SYSTEM DESIGN FLOW - 330 GPD � .
XO pl i SEPTIC TANK '- 1000 GAL PRECAST CONCRETE �1
sFre / / rNrERMITTENTORAINAGE PUMP STATION - i000 GAL PRECAST CONCRETE
124'+I-ALONG SHORE ' ACI{ �-
' CHANNEL _1
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® A �..,,,, - .._ S 03°W APPLICATION RATE: .95 GPD/SF, BASED ON 1-5 MIN/IN
WATER SUPPLY ', ® � I x -10.0' tt
DO FROM LAKE GEORGE `_ 1 ''! ® PERCOLATION RATE �
L'K TOP OF m® I g r ''I ® 22"HEMLOCKS 1 ,
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1,T I % >, >1 �� `�'�, = 346 SF :::
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a 11 L�. ';V al NEW DIST. ,m 9+ ABSORPTION BED AREA PROVIQM = 15 x24' = 360 SF - 1
DOC • w ` �� 4:%. :J Box \- , F ti'�
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"� �� ������� p POTABLE WATER SUPPLY IS LAKE SUPPLY ` ` �~
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IN w w w w w 0 v � MAINTAIN 10 SEPARATION FROM WATERLINE TO ALL ';.t ;,tu
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XorjSE ST I 4 \ "y I O\P ` � - SITE LOCATION---� ` i
AIRS 01"ATI N MAP
i Q�� 2®"HEML®CK SITE SOILS A TA
N �
Doc - �S°�`'043 U NEW SDR-9 HDPE FORCEMArN\ ` ! SYSTEM INSTALLATION NOTES
TEST PIT
1 �-� V 33' , I 1 , j CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING AND IN ACCORDANCE WITH THE N.Y.S. DEPARTMENT OF
22 NEW HOUSE \ � TP-1 - 6/30/16 BY TOM HUTCHINS, P.E. HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS AND .ASTM F481 INSTALLATION OF THERMOPLASTIC PIPE AND
1� I NEW 1,000 GALLON PUMP w '� -4 0-12" - SILTY FINE SAND, COBBLES & -
- EXISTING LAKE WATER SUPPLY 4t� STATION II { BOULDERS CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS.
LINE.LOCATION APPROX%MATE. � �� ® f
y a # 12" - LEDGE AFTER EXCAVATION OF 15' WIDE X 24' LONG ABSORPTION BED TO THE DEPTHS REQUIRED, THE WALLS AND FLOOR
J _ �G� / BR G� \ ! SHALL BE CLEANED AND RAKED IN ORDER TO LOOSEN SMEARED AREAS OF,SOIL.
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N$8°08'00"E - �! 35' NEW EFFLUENT SEWER , � ,
PLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND FILTER FABRIC-SHALL BE AS SHOWN, AND CARE SHALL
8.0'+� '- - . 21.4 J 4 _ 1 15 BE EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND WASTE MATERIAL IN THE STONE AND PIPE.
a /^ INEW 1,000 GALLON SEPTIC TANK -
,.mo- EXISTING EPTIC -- 10 P.L. \ �� _
\� - L ATION
SETBACK ,' �"`,\ �'.. THE PIPE SHOULD BE LAID AT THE GRADES INDICATED, MAINTAINING STRAIGHT CONTINUOUS GRADES WITHOUT
SYSTEM C f e
I <�; _:" _., \ \_. \�17 \_,,`\%, SAGS, HUMPS, SEPARATED JOINTS, OR OTHER UNSUITABLE CONDITIONS. PIPE SHALL BE LAID WITH HOLES DOWN
N00°19'11"E / 1. 0"E 222.13'
I
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- 16.460*19'1 � 1 I FUTURE PAT%O ;{' IN ALL CASES.
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t _ , „I ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED -RAINFALL AND DIVERT SURFACE RUNOFF AWAY FROM THE
, WASTEWATER SYSTEM PLAN ! \;.:; _; \ \ r > LIMIT OF 15 x24' .
SCALE: 1'=20' � STONE BED DISPOSAL FIELD.
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"' _ \'I DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORP770N AREA AFTER PIPING HAS BEEN INSTALLED.
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THE WASTEWATER TREATMENT SYSTEM IS DESIGNED AND APPROVED:.BASED UPON THE INSTALLATION OF WATER
CONSERVING FIXTURES AND A DESIGN FLOW OF 110 GPD PER BEDROOM, THE SYSTEM IS .NOT DESIGNED TO
\ \' 4" PERFORATED PVC LATERALS
";' '. \ ' \ \ , \ ACCOMMODATE EXTREME WATER USE FIXTURES, SUCH AS JACUZZI-TYPE SPA TUBS OR WATER TREATMENT
-�-1'-w-3' y-- W- 15' BED WIDTH �- + 3' 6.7' ® ,i "_' "' - "' INSTALLED NEAR LEVEL IN
I 24 .' `, `<:' k;' `;; :```; ;; ,'- ,:;; �';;- ;{ = EQUIPMENT. THE INSTALLATION OF NON-CONSERVING WATER FIXTURES OR EXTREME WATER USE FIXTURES IS
2 5' BED CONFIGURATION
-0 �- - '�`,,� ' _`, "'x -+ - "� CONTRARY TO THE APPROVAL OF THIS WASTEWATER TREATMENT SYSTEM.
RETAINING STONES - TYP. FILTER FABRIC, TENCATE MIRAFI BACKFILL MATERIAL AS NEEDED l �_, \ ;'<< \;, Q. ,'; \
AROUND PERIMETER OF 14ON OR EQUIVALENT TO ESTABLISH GRADES I 1 `,," r; "-
FILL
'- '`'v ROOF, FOOTING, GARAGE, CELLAR AND SURFACE WATER DRAINAGE MUST BE EXCLUDED FROM THE WASTEWATER
1.5'x24' CRUSHED STONE 4" MIN. TOPSOIL. SEED, ;..� "�i < ,%:
ABSORPTION BED MULCH & ESTABLISH TURF WASTEWATER !SYSTEM FILL MATERIAL ` r i �=
SYSTEMf /F_ F I � *�,�� �,t! .11, , 1.t�t : -t!"� L�.,;^; ,��, I .
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