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SEP-000567-2017 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-000567-2017 Tax Map No: 239.20-1-18 Permission is hereby granted to: Sharon Serini For property located at: 2934 State Rte 9L 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: Sharon Serini Septic Disposal-Residential $0.00 Owner Address: 177 Chapel Hill RD Total Value $0.00 Highland,NY 12582 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Residential Septic Alteration Replacment System $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,September 12,2018 (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 o een 4T] 12,2017 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement SEPTIC DISPOSAL PERMIT Office Use Only DATE Aug. 31 , 201 Received 239.20-1-18 � j TAX MAP ID F 56 5-(e T-,:;LO 1 7 2934 Route 4 J Pe e LOCATION OF INSTALLATION Apel COMMUNITY f� Q5�"rsES�s�Y APPLICANT Sharon SeriniDE"VEL U9` 2 E/E-MAIL (845) 234-1104 ADDRESS 177 Chapel Hill Road, Highland NY 12582 INSTALLER/BUILDER: To be determined PHONE/E-MAIL ADDRESS: OWNER Sharon Serini PHONE/E-MAIL (845) 234-1104 Address 2934 Route 9L, Queensbury, NY CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE RESIDENCEINFORMAT/ON Plumbing updated as per 1992 standards Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow 1980 or older Garbage grinder installed ❑Y 0 N 1981-1991 Spa or Hot Tub installed ❑Y ✓[I N 1992-Present 3 110 330 PARCEL INFORMATION Topography x Flat rolling x Steep slope 5-30 %slope Soil Nature x Sand Loam Clay Other Groundwater At what depth? 'oft Bedrock/Impervious Material At what depth?*1-4ft Domestic Water Supply (Lake Supply) Municipal Well(if well,water supply from any septic system absorption is ft.) Percolation Test Rate: 10 per minute per inch(test to be completed by licensed engineering/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Absorption Bed with Clarus E.T.U. tank Tank Size 'see note 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 *Clarus Fusion 450 Seepage Pit with#3 stone How many: _;size Alternative System Bed or other type? Absorption Bed-610 SF 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 abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. 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