SEP-000439-2017 A `. TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Mr'
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: SEP-000439-2017 Date Issued: Tuesday, September 26, 2017
This is to certify that work requested to be done as shown by Permit Number SEP-000439-2017
has been completed.
Tax Map Number: 309.9-2-1
Location: 200 LUZERNE RD
Owner: Homestead Village
Applicant: Sanitary Sewer Service
This structure may be occupied as a: Residential Septic Alteration
1 Windsong Drive By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
17 )j W k—
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-000439-2017
Tax Map No: 309.9-2-1
Permission is hereby granted to: Sanitary Sewer Service
For property located at: 200 LUZERNE 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
Tvce of Construction
Owner Name: Homestead Village Septic Disposal-Residential $0.00
Owner Address: 200 Luzeme 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
I Windsong Drive
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 26,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensburybefore the a imtiAAon date.
Dated at the Town ueens ,V We n s ,July 26,2017
SIGNED BY: (GG,,,M���"'__����`�`I`/// for the Town of Queensbury.
Director of Building&Code Enforcement
SEPTIC DWPOSAL PERMIT Office Use On]
.�A7€ Received
Tax Map iD
aA.FMAPBQ Permit No. s -fi3`j »201
Permit Fee q�
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Appu6ANT / / 6t"�S RtiL V /PHONEI& AIr.
ADDRESS Go-/– G✓�/'�V�l S -yr ��/! y/�
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ADDRESS: V oX
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Address J -
C°ONTAO<PERSON FOR&U1L911Va,9 CODES 9OMPUArV09, QL9-X en'! E C
RMIB NC9INl:BA'BOdPIDNi
Y02TBuilt afbedl0oms x3adonspgrbednmm =TOW DNWFlow
JUL
1980 or older Gadbagegimderinstalled —Y 414
1981_1991 (jlJ j�J SpaorHotTubinstelled _YI N
7992-PresenC
F 4RGLt fNFragm- a–
Topography efroAing —SieePslope _%slope
Soil Nature 1Send _Loam _Clay _Other
Groundwater At what depth? r'
Bedrock I Impenique Material At whatdepthl
DomeSticWaterSupply ,:Munlcipai _WebCitweil,rmMrsupplyfremany sapttceystemabsorption is_1L)
Percolation Test I Rale: / -3 per m)nift per inch{issue be completed by licensed engineering/ambit
¢sen =�cv�-e�eFoa ArSw CaNSTauertoN
Tank Size &O071 gallons(minimum size 1,000 gallons,add 250 gallons to size for each garbage grinder or spa or hot tub)
Syst®m Type Absorption Haid with#2 alone Total length ft;Each trench S-V r , _
Seepage Pit with 118 stone How many: ske
AltamativeSystem Bed orcthertype?
Holding Tank System T01M required capacity? Tank size #of to lft
PLMO, 1)At=system m associated electrical work must be inspected by a Town approved electrical inspection agency,2)we will no longer
avow systems to be covered urdli such time as an As-Sulft plan is received&approved. The installed system must match the septic system
layout on His-no exesodons_
DECLARAZOM Any permit or approval granted which is based upon or is granted In reliance upon any material representation or
failure to make a material Tact or circumstance know by or on behalf of an applicant shad be void. I have read the regulations
and agree toabide byfb9s9 and aR[egtdid�}netrts of ills Town of Queensbury Sanitary Saw gga DI cast Ordinance.
Print Name: CC ��c j�K z./rs/
Signature: Date:
T
Town of Queensbury Buld)nq&Codas
Septic:Disposal Permit July 2014
INSPECTION REQUIREMENTS: BORING AND PERCOLATION TEST:
ASSUMED CONDITION BASED ON SITE EVALUATION
ENGINEER OF RECORD TO INSPECT TRENCHES PRIOR TO BACKFILLING.
0-5' MEDIUM FINE SAND
NOTE. NO WATER OR MOTTLING
y) BASEMAP INFORMATION OBTAINED FROM PUBLICALLY AVAILABLE LEGEND:
RESOURCES AND DOES NOT REPRESENT AN ACTUAL FIELD MIN. DENOTES MINIMUM PERCOLATION RATE APPROXIMATELY ONE MINUTE
INSTRUMENT SURVEY. PVC DENOTES PLASTIC PIPE NOTE: SOIL CONDITIONS TO BE CONFIRMED BY P.E. PRIOR TO BACKFILLING SYSTEM.
SCH DENOTES SCHEDULE
WS DENOTES WATER SHUTOFF Z
EXISTING SANITARY STRUCTURES AND SEEPAGE DEVICES ARE
TO BE CRUSHED IN PLACE AND FILLED WITH NATIVE MATERIAL. CL
SEPTIC DESIGN : 0
APPLICATION RATE = 1 .2 GAL./SF/DAY
NORTH
�.....s..�... ...............
IT' COT 1 c'
PROPOSED 1,000 GALLON tt s
--- SEPTIC TANK �, �� � �� 3.)I,BEDROOMS AT 100 GALLONS/BEDROOM
(SEE DETAIL — SHEET 2) I; 11 t t CL
3
"� 00 GALLONS Q
�. *__f§fit}..,Ll CL
USE 1 ,000 GALLON PRECAST SEPTIC TANKS —
�� ;z}I ,' %. `° ',. :_.. _USE 3 LINES AT 50 FT. EACH (SPACED 6 FT. ON—CENTER)
PROPOSED 4" PVC _— _- m c m
SCH 40 AT 2% MIN. � � N
1p
PROPOSED 4" PVC SDR —35
(GASKETED BELL) AT 1Z MIN. ® ® �'ii
EX. CONSTRUCTION NOTES:
SHED SHED 1) CONSTRUCTION OF ABSORPTION FACILITIES SHALL NOT OCCUR WHEN THE GROUND IS FROZEN OR
THE SOIL MOISTURE CONTENT IS HIGH. IF A FRAGMENT OF SOIL FROM APPROXIMATELY NINE INCHES o
BELOW THE SURFACE CAN EASILY BE ROLLED INTO A RIBBON INSTEAD OF CRUMBLING, THE n
PROPOSED MOISTURE CONTENT IS TOO HIGH FOR CONSTRUCTION PURPOSES. OBVIOUSLY, SOME SILT OR CLAY o
DISTRIBUTION BOX iJE1 EX. MUST BE PRESENT FOR A RIBBON TO BE FORMED. N
(SEE DETAIL — SHEET 2) SHED _ N
EXISTING 2) TRENCH LOCATIONS AND DEPTHS SHOULD BE MARKED BY STAKES BEFORE TRENCHES ARE
\ MOBILE EXCAVATED. THE NATURAL SURFACE SHALL NOT BE SIGNIFICANTLY DISTURBED. IF THE SITE IS
HOME REGRADED OR SIMILARLY DISTURBED, THE SOIL SHALL BE ALLOWED TO STABILIZE (1.E., SETTLE rn
MOBTING
NATURALLY FOR A PERIOD OF AT LEAST SIX MONTHS, INCLUDING AT LEAST ONE FREEZE—THAW = a
FORMER SEPTIC HOME CYCLE) AND NEW PERCOLATION AND DEEP HOLE TESTS CONDUCTED. HEAVY EQUIPMENT USE IN THE
REPLACEMENT I DESIGNATED ABSORPTION SYSTEM AREA SHOULD BE MINIMIZED TO PREVENT SOIL PERMEABILITY o
(SEPTEMBER 2008) i i z REDUCTION DUE TO COMPACTION PLUS POSSIBLE TRENCH CAVE—IN AND DISTRIBUTION PIPE
MISALIGNMENT/BREAKAGE. o
I
o �' CHECK,
—
SHALLOW
FINAL RADE
G TRENCH EXCAVATION MAY BEGIN. TRENCH DEPTH SHALL BE AS
'-
A POSSIBLE, BUT NOT LESS THAN. 18 INCHES. TRENCHES SHALL BE EXCAVATD TO
PROPOSED i i DESIGN DEPTH WITH BOTTOMS PRACTICALLY LEVEL.
3 LINES AT 50 FT. EA. m 4 o
2 ( I ) FOLLOWING EXCAVATION, THE TRENCH BOTTOMS]SHOULD BE GRADED BY HAND. HE BOTTOMS OF
(SEE DETAIL — SHEET ) THE TRENCHES SHOULD BE CHECKED BY A TRANSIT, ENGINEER'S LEVEL, OR CARPENTER'S LEVEL TO = i
ASSURE THAT EACH IS PRACTICALLY LEVEL. TRENCH BOTTOMS AND SIDEWALLS SHOULD BE Q
IMMEDIATELY RAKED AFTER FINAL GRADING ANDi AT LEAST SIX INCHES OF AGGREGATE PLACED IN
I I THE TRENCHES.
a
FILE C
0 5) GRAVITY DISTRIBUTOR PIPE SHALL BE CAREFULLY INSTALLED AT A SLOPE OF tis TO %32 /NCH PER
FOOT. PRESSURE OR DOSED DISTRIBUTOR PIPE SHALL BE INSTALLED LEVEL. GRADES SHALL BE
EXISTING TREES TO BE I �I I DETERMINED BY AN ENGINEER'S LEVEL, TRANSIT OR CARPENTER'S LEVEL. AN EASY METHOD OF o
REMOVED WHERE NECESSARY �"� I I I _ MEASURING THE %s INCH PER FOOT SLOPE FOR DISTRIBUTOR PIPE IS TO TAPE A %4 /NCH BLOCK TO
ONE END OF A STRAIGHT FOUR FOOT BOARD. BY PLACING THE BLOCKED END WITH THE BLOCK z
( ) FACING DOWN ON THE DOWNSTREAM TOP OF THE DISTRIBUTOR PIPE, A CARPENTER'S LEVEL CAN BETOWN OF O.0 — USED TO o
TE
USED WOULD
RESULT IN AY32 IT HE !li6 C
NCHPER FOOT SLOPE.H PER O ANOTHER METHOD USEDOT SLOPE. A !/iq INCHL�OKES AIBL SH THE GRADE OF = 3
jw � ' � � aY DISTRIBUTOR PIPE IS BY BATTER BOARDS. AGGREGATE SHALL BE INSTALLED IN THE TRENCHES TO
yl A DEPTH OF AT LEAST TWO INCHES ABOVE THE TOP OF THE DISTRIBUTOR PIPES. ADDITIONAL
'� j. +��� ti AGGREGATE MAY BE REQUIRED TO BRING THE TOP OF THE AGGREGATE TO WITHIN SIX TO 12 INCHES s�
LOT 3 LOT 2 PARKING ARCA + OF FINAL GRADE.
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s °
PARKING LOT 9 D !l_. o u 4 5. W
AREA i j 6) AFTER THE UPPER AGGREGATE IS PLACED IN THE TRENCHES, THE GEOTEXTILE, UNTREATED BUILDING v~
I PAPER, HAY OR STRAW IS TO BE IMMEDIATELY INSTALLED ON THE AGGREGATE AND THE TRENCH g
BACKFILLED WITH EXCAVATED SOIL. IF THE TRENCHES CANNOT BE IMMEDIATELY BACKFILLED, THE °
WOOD RAIL FENCE ' TRENCHES SHOULD BE TEMPORARILY COVERED WITH AN IMPERVIOUS MATERIAL, SUCH AS TREATED
----- --------------- 3 BUILDING PAPER TO PREVENT SIDEWALL COLLAPSE AND SILTATION INTO THE AGGREGATE. ?
ws SEPTIC.PLOT PLAN 7) THE EARTH BACKFILL IS TO BE MOUNDED SLIGHTLY ABOVE THE ORIGINAL GROUND LEVEL (I.E., NOT
\ I HAVE SEEN OR OBSERVED ALL OBJECTS COMPACTED) TO ALLOW FOR SETTLING. FOLLOWING SETTLEMENT, THE ENTIRE AREA SHOULD BE z
w w SUCH AS HOUSES, WELLS, TREES, FEtV(;ES, ETC GRADED WITHOUT THE USE OF HEAVY EQUIPMENT AND SEEDED WITH GRASS. HEAVY EQUIPMENT
— SHALL NOT ENTER THE ABSORPTION FACILITY AREA OR THE PROPOSED EXPANSION AREA AFTER THE
w, w ti w w, w w �.\ SHOIr" " HIS DOCUMENT I HAVE PERSONALLY SUBSURFACE SEWAGE TREATMENT SYSTEM HAS BEEN CONSTRUCTED. m
WINDSONGmaw
DRI '� Co�� i ME; URF HE DI r N-Un T FORRTTN?�' IAGRAM. W
°�o w, ��o \\ A MINIMUM HORIZONTAL SEPARATION OF 10 FEET SHOULD EXIST BETWEEN THE HOUSE SEWER AND °
ANY WATERLINE. WHERE LINES MUST CROSS, THE WATER SERVICE LINE SHALL BE AT LEAST 12 °
Q \ i SIGNATURE DATE INCHES ABOVE THE HOUSE SEWER. IF A WATER LINE MUST PASS BELOW THE HOUSE SEWER, THE - w
VERTICAL SEPARATION MUST BE AT LEAST 18 INCHES.
`a(1) a 9) ROOF, FOOTING, GARAGE, CELLAR AND SURFACE WATER DRAINAGE MUST BE EXCLUDED FROM THE '
o a
36 SYSTEM. WATER SOFTENER, WATER RECHARGE AND BACKWASH WASTES NORMALLY ARE NOT TO BE
° I ° DISCHARGED TO THE SYSTEM UNLESS A SEPARATE SUBSURFACE DISCHARGE TO AN AREA 250 FEET
FROM WELLS OR WATER COURSES IS UNAVAILABLE.
i i I w
i
ti
SHEET I Off"
0
SEPTIC
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0
Q
NOTE: IN DRIVE
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�IVB y' _ N
MOBILE HOME UNITS TO BE PLACED WITH A Tr o
c� %k17 tij, f' o
HOMESTEAD VILLAur—
MINIMUM 10 FT. HORIZONTAL SEPARATION. �=� TO INN OF QUEENSBURY WARREN COUNTY, NEW YORK
THE LOCATION OF THE WATER SERVICE MUS , ;GALE, 7 99 — 20'
TJULY 14, 2077
BE VERIFIED BY CONTRACTOR PRIOR TO ENVlR0l
LLP
CONSTRUCTION TO CONFIRM PROPER SEPARATION , ��'�t� `� `�' �
900 ROUTE 146 CLIFTON PARK, N.Y. 12065 (518) 371 -7621
DISTANCE FROM TILE FIELD (MINIMUM 10 FEET)
ENGINEERING LANDSCAPE CHIT CTU SURVEYING
MICHAEL S. McNAMARA P.E. 71,029
k
HEAVY DUTY MANHOLE FRAME _
FINISH GRADE AND COVER BY CAMPBELL OR EQUAL
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ACCESS ExrENslo rIIIIIIII I�IIIIIIUIIIIirI
III-1111- I=IIII— N III=__— —
GRADE
SEALALTIC -IIII- �� IIII= L 2MHI.DRAAS RPE
FORT MILLER OR EQUAL
NO TL: I I (AS REQUIRED)
I, PIPE JOINTS TO BE SEALED WITH INLET I I OUTLET
ASPHALTIC MATERIALS OR EQUIVALENT. 4" OR I 3" MIN.
l2" MIN REMOVABLE COV R BLDG. SEWER �l— I IFA�
NVERT ELEVATIONS OF ALL 7 OUTLET PIPES MUST BE EQUAL. /�� = � WATER TIGHT JOINT (TYP.)
SANITARY � v_ PARGE W/NON—SHRINK GROUT a,
• , . . .
�• I z C MIN. INSIDE 8c OUT
00
THE SLOPE OF OUTLET PIPES TEE w 4" — Q
BETWEEN THE DISTRIBUTION BOX ALL JOINTS BELO
° FULL p SANITARY TEE »O»
. AND THE DISTRIBUTOR LATERALS LIQUID LEVEL To BE BITUMINOUS
BAFFLE SHOULD BE I/8" PER FOOT. WATERTIGHT AND INTERIOR
LEAKAGE TESTED p
COAT Q p
° PRIOR TO BACKFILLING KOP 300M I I BAFFLE WITH _
- INVERT OR EQUAL 4"X18" MIN.
INLET K2"MIN
ELEV. I I MAY NOT BE
_. I I
REQUIRED
v *1 - -
O O OUTLET CONTRACTOR TO USE SPEED LEVELERS 6" TO 12" LAYER
a`. AS SUPPLIED BY FORT MILLER TO PEA GRAVEL OR
2"`5, USH
EQUALIZE FLOW. E DD NED STONE
° . — SECTION VIEW B
a .. � ••. � •. . . 24" I.D. TAPERED
" •- - .
NOTE:
INLET INVERT IS 3" ABOVE PLUG (TYP.)
12" MIN ASPHALTIC (2" MIN.)
CLEAN SAND OR PEA GRAVEL SEAL
I iA THE SLOPE OF THE OUTLET PIPE
BETWEEN THE SEPTIC TANK AND THE
I DISTRIBUTION BOX TO BE %4" PER FT.
`2 DISTRIBUTION BOX
. , , ..
INLET � OUTLET
NOT �,.
O SCALE I I
ocoll
THE SLOPE OF THE INLET PIPE
BETWEEN THE RESIDENTIAL UNIT AND I BAFFLE NOTE:
THE SEPTIC TANK TO BE %4" PER FT. I I MAY NOT BE BAFFLE NOT REQUIRED FOR
I II REQUIRED TANKS LESS THAN 10 FT. LENGTH
»D» �I o
�I N
PLAN VIEW N
OUTSIDE
TANK SIZE MIN. LIQUID DEPTH "A" TANK DIMENSIONS "B"X"C" "O" "I" HEIGHT
3
1000 GAL. 5'-0" 4'-3" x 8'-2" 5'-6" 5'-9" 6'-8"
0
2I
TOPSOIL FOR BEETLING lSEPTIC TANK (HEAVY TANK)
. .. ...... ..... .. . W_...��,__w..... ,....... ... . . �.. ........... .. .. .. ,, ... ....... -
=1111=IIII= -1111 =IIII—�II1I 1�—IIII=IIII TERRATEX NO 2 NONWOVEN ' h NOT TO SCALE SORT FILLER OR EQUAL �I
z IIII CONSTRUCTION FABRIC OR I
-)I EARTH IIII EARTH IIII UNTREATED BUILDING PAPER ~
N BACKFILL -IIII—) BACKFILL I=IIII`OR STRAW ZI
III—I II=IIII: !—IIII- III—IIII= a
= =IIII= =IIII= =IIII=1 =IIII= f �'
TOP OF AGGREGATE _ zbo`�'
4" PVC MIN. _ W
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RAKE ANY PERFORATION JOINT w
TO BE WITHINN-
6"-12' OF SURFACE - �
z SMEARED
� TRENCH �,...,.�. . ... . ..L1P.. ...
z O WALLS
0002
as
~ 24" CRUSHED STONE OR
24 GROUNDWATER BEDROCK WASHED GRAVEL = e
MIN OR IMPERVIOUS LAYER 3/4" TO lye"
I
Q
ti
CROSS SECTIONAL VIEW LONGITUDINAL VIEW W
= o
T
TERRATEX NO. 2 NONWOVEN CONSTRUCTION FABRIC z
UNTREATED BUILDING PAPER OR PERMEABLE w
=I I I—�lily GEOTEXTILE OR 4" LAYER OF STRAW
II w
IIII=II — iI—�I�IIIIIIIIII�II=IIIIII-
_
O
cl
. .. 2' MIN'
FLOW 00 o 0 0 0 0 0 0 0 �}•...0... 0 O PROVIDE CAPS a
ON LINE ENDS
O� OO00 � O w
Q pp w
_
SLOPE PIPE X."-Yu" PEIt FT.
a
SPACING OF ABSORPTION TRENCH 6' O.C.
TRENCH BOTTOM TO BE NEAR
LEVEL AND RAKED z
TRENCH PROFILE
SHEE T 2 OF
I !
NOT. _.•...TO SCALE _ Lu
1 ,NDSONG DRIVE0
Al 'TT
TOWN OF QUEENSBUR Y WARREN COUNTY, NEW YORK
r �sll NOT TO SCALE JULY 14, 2017
ROUTEENVIRU00"N MENTAL DE%0'0 301"' N PARTNERSHIP, LLP
900 146 CLIFTONN.Y. 1 ( 1 ) 371 -7621
ENGINEERING LANDSCAPE CAS' 1TTU LAND SURVEYING
MICHAEL S. McNAMARA P•E• 71,029
ENVIRONMENTAL DESIGN
PARTNERSHIP, LLP. 900 New York 146 Clifton Park,NY 12065
(P)518.371.7621 (F)518.371.9540 edpllp.com
September 26, 2017 D I S lU E O V E
Mr. John O'Brien SEP 2L627
Queensbury Building & Code Enforcement
742 Bay Road TOWN OF QUEENSBURY Queensbury, NY 12804 BUILDING&CODES
Via email: johno@queensbury.netP�
►'�-
Regarding: Homestead Village Mobile Home Park
Lot 1 Windsong
Dear John:
On August 1, 2017, our office inspected the above referenced Homestead Village Mobile Home
Park lot. The purpose of this visit was to observe the installation of the new septic system
designed by EDP.
Based on my review of the plans and our observation of the installation it is my opinion that the
system was installed substantially in compliance with the intent of the design plans.
Please feel free to call if you have any questions.
Very truly yours,
aw/
Michael McNamara, P.E.
Cc: Kevin Kenyon, P.E. NYSDOH
C:\Documents\WINWORD\Homestead MHP\Homestead Village MHP lot 1 Windsong inspection.dou