SEP-000405-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761.8201
at Community Development-Building& Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: SEP-000405-2017 Date Issued: Thursday, July 20,2017
This is to certify that work requested to be done as shown by Permit Number SEP-000405-2017
has been completed.
Tax Map Number: 308.14-1-65
Location: 17 TRIPHAMMER RD
Owner: Stuart Field
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, /(T
Variance,or other issues and conditions as a result of approvals by the
Planning Board or Zoning Board of Appeals. Director ofBuilding&Code Enforcement
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-000405-2017
Tax Map No: 308.14-1-65
Permission is hereby granted to: Sanitary Sewer Service
For property located at: 17 TRIPHAMMER 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: Stuart Field Septic Disposal-Residential $0.00
Owner Address: 17 Triphammer RD 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: Tuesday,July 10,2018
(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 exx .ration
JJJ date.)
Dated at the Town o Queensb ; // //Mo ,2017
SIGNED BY: I /� k7for the Town of Queensbury.
Director of Building&Code Enforcement
SEPTIC DISPOSAL PERMIT Office Use Only
DATE Received
Tax Map ID 3 U� !y -/ -
TAX MAP Permit No. EP-S/0 a 1 _
Permit Fee
Lpw7oNOFINSTALLAT/ONC ///� Approvals:
APPLICANT sJ �Ll�A- I� /''L�LV PHONE/E-MAIL
ADDRESS / 7 A,,n{�-
lNMerrees_a_mner /'7 NI r4 /'// E'�v/C�/ P
HONE/E-MAIL -
ADDRESS: Oar
OPHONE/E-MAIL U
Address 7-/ F%�1 � f� TOV�Pd OF OUEE ISBURY
MENT
CONTACT PERSON FOR BUILOINO&COM COMMA Nr - /' /' d f PHONE �
RESIDENCE INFORMATION
Year Built #of bedrooms X Gallons per bedroom =Total Dally Flow
1980 or older Garbage grinder installed
1981-1991 /'/0 rf 0 Spa or Hot Tub installed
1992-Present
PARCEL INFORMATION
Topography Flat rolling _Steep slope _%slope
Soil Nature Sand _Loam —Clay _Other
Groundwater At what depth?
Bedrock/Impervious Material At what depth? 1
Domestic Water Supply Municipal _Well(it well,water supply from any septi system absorption is_ft.)
Percolation Test Rate: /,�per minute per inch(test to be completed by licensed engineering/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank Size
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 Pd with#3 stone How many: _;size
Alternative System Bad or other type?
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-Bulb plan Is received&approved. The installed system must match the septic system
layout on file-no exceptions.
Q=AgAnw. Any permit or approval granted which is based upon or is granted in reliance upon any material representation or
failure to make a material fad or circumstance know by or on behalf of an applicant, shall be void. 1 have read the regulations
and agree to abid y these a all renuirements of the Town of Queensbury Sanitary Sewage D'sposaI Ordinance.
Print Name: rG� /_ _ Date: - '17
Signature: Date: /
Town of Queensbury Building&Codes Septic Disposal Permit July 2014
_ PERMIT PLOT PLAN
I HAVE PERSONALLY MEASURED THE DISTANCE
.-
308.14-1-65 SEP-000405-2017 FROM THE PROPERTY LINES TO THE
' Field Stuart PR OSED STS)OR SIGN(S)
91-
17 Triphammer Road (JO7 7SIGNAIURL DATE
Residential Septic Alteration
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TOWN OF O ! 1 _
i / BUILDING & - -r.
] Dol r Reviewed By
p Date: --
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CENTER PROJECT
SERVICES
73 Sheridan Street, Glens Falls,NY 12801
Phone-518-796-2515
July 5,2017
Project#259
George Drellos
Sanitary Sewer Service
Queensbury,NY 12804
Re: Proposed Replacement Septic
17 Triphammer Rd, Queensbury,NY
Dear George:
At your request, we have reviewed your proposed replacement septic system design of the
existing 4 bedroom house at 17 Triphammer Road 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 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.
' EJULOl 2017
TOWN OF Q_ _UEENSBURY
BUILDING & CODES