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SEP-000266-2017 TOWN OF QUEENSBURY x 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 ow Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: SEP-000266-2017 Date Issued: Thursday, June 1, 2017 This is to certify that work requested to be done as shown by Permit Number SEP-000266-2017 has been completed. Tax Map Number: 301.14-1-14 Location: 9 PHEASANT WALK Owner: Mark LaFond 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 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: SEP-000266-2017 Tax Map No: 301.14-1-14 Permission is hereby granted to: Sanitary Sewer Service For property located at: 9 PHEASANT WALK 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 Tvoe of Construction Owner Name: Mark LaFond Septic Disposal $0.00 Owner Address: 9 Pheasant Walk 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,May 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 Queensbury before the expiration date.) Dated at the Town17 ween ury; W SIGNED BY: Ak! for the Town of Queensbury. Director of Building&Code Enforcement JLrt 5 S gEP7jC PERMOT Office Use Orth Received 0Q–Iff Tax Map 1D TAX WA P ID Permit No. p� Permit Fee LOCAVAR s a ; eN tikY Z 2 2Approvalm �/ C S APPLFCAtit� ^ ZA Avi4e -� PHONEI E-MAIL UIS ADDRESS 9 Am4s- et,--4 W'A� 4rqjev,,n,,L1 �E'/"L�� cC PHONEIEMAIL �= ?76d Z ADDRESS: ZZ 7 ®1MUER �A�� I'LLfd s��L�� PHONEIE-MAIL Address CvONTACi PESBf1NF6It? iNL®t1UC�€'t�BCF�aC�9R?PL�ANE€a . C� r' � -`4 PHOM, 7�� Es��t 8&NG'C�Al!%BeIR9.d f7BAf Yi3Ar Built r oT laedmoms a Gallons per bedroom =Tout Deily flow 1980 or older Garbage grinder installed „Y &N 1981-1991 %f �! U Spa or Hot Tub installed —Y =N � ?992-Presen4 PARCEL�titFQSOl�Tl11tU Topography Plat rolling &aep slope —%Slope Soil Nature `` Sana loam Gtay Outer Groundwater At what d2pYYt� N Bedrook I lmpervioue Material At whst dept)71 N Domestic Wa4�r Supply �'-Municipal Walt(9well,water aupply#tom any septic system absoroon is %) Fereol tio tic Test Rate: 1` f per rrtirttapa per ineh{test to be completed by licensed engineering 1 archlbe t) 12POR0S Fs VS'PM FOR i ARM C AIST UCrM TanK Size �'�' gallons(minimum size 1,000 gallons,add 230 gallons to size for each garbage grinder or spa or hot tub) System Type Abaorpdon freid w ► stone Total length ft;Eachtrench_x_ _. 9eage w #S starts y. __size How man Alteme SYst Sed orothertype? 2-1,9 JC Molding Tanis system TOIM regtirred capacity? TanK size a Of1�r1kS No=! 1)Alarm system&associated electrical work must be inspected by a TOWn appraved GIGO icai inspection agency 2)We will no longer auow systems to ize covered until such-firne as an As-Sulft Dian t5 reColvad&approved The installed system must match the septic sys#em layout on file e-no exc®rmons- g6aCfi4RAZeNS Any permit or approval granted which is based upon or is granted in reliance Capon any material representation or failure to M,ake a ffiatarial Tact or circumstance know by or on behatt of an applicant, shall be void. I have read the regulations and agree to abide by a and all req me the Town of Queensbury Sanitary Sewage Disposal Ordinance. Print Name_ t Date: J--Z 9—GJ Rignature: ©ate: (r-2-3 — /7 Town OT Queensbury Building&codes Septic Disposal Permrt July 2014 f _ —v rp �y222U),7 TOWN OF QUEENS8u""'V;j i a}. i .n f i FILE COPY ..Y '9 1 TOWN OF QUE R BUILDING & D Reviewed By Date: SEPTI j A 301.14-1-14 SEP-000266-2017 I HAVE SEEN OR OBSERVED ALL OBJECTS SUCH AS HOUSES, WELLS, TREES, FENCES, ETC LaFond, Mark SHQy W' T .-CUMENT.I HAVE PERSONALLY 9 Pheasant Walk M' ,SURED 0I 'E-41-FORTH ON PAM. Residential Septic Alteration s. ATU E --_ - CENTER PROJECT SERVICES 73 Sheridan Street, Glens Falls,NY 12801 Phone-518-796-2515 May 18, 2017 Project#253 George Drellos Sanitary Sewer Service Queensbury,NY 12804 Re: Proposed Replacement Septic 9 Pheasant Walk, Queensbury,NY Dear George: At your request, we have reviewed your proposed replacement septic system design of the existing 3 bedroom house at 9 Pheasant Walk 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 330 GPD and a percolation rate of 1 to 5 minutes,you will need a minimum of 367 sf of absorption area. We recommend using 20 ft wide by 25 ft long absorption bed with 4 - 20 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. U 4 " ' 301.14-1-14 SEP-000266-2017 LaFond, Mark 99 Pheasant Walk Residential Septic Alteration