SEP-0316-2018 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: SEP-0316-2018 Date Issued: Tuesday, October 9, 2018
This is to certify that work requested to be done as shown by Permit Number SEP-0316-2018
has been completed.
Tax Map Number: 302.14-3-50
Location: 3 PARK VIEW AVE
Owner: Mark Smith
Applicant: Mark Smith
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
)0(..--
property owner of the responsibility for compliance with Site Plan, !Q
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-0316-2018
Tax Map No: 302.14-3-50
Permission is hereby granted to: Mark Smith
For property located at: 3 PARK VIEW AVE
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: Mark Smith Septic Disposal-Residential $0.00
Owner Address: 3 PARK VIEW AVE Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Residential Septic Alteration
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, June 5, 2019
(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 tile expiration dpteA
Dated at the Tow f,Quee bury; 4 T s une 5, 2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
SEPTIC DISPOSAL PER V r se 0'
742 Bay Road,Queensbury,
Town of Queet,
P:518-761-8256 www. uee s etJUN 01 2018
Tax Map ID#: 30:)- I� 3 le i Fee:$ 5 Ov Invoice#:('''-[6
f`d-1✓ �L2 S
Project Location: J6 loll &Col s ptic ariance? Yes No
Primary Owners) MAg�
Mailing Address 3A4kVi&N/ �fiUuE zg�fy� ,�y /.2gdq
Phone & Email
Installer/Builder
Mailing Address
Phone & Email
Engineer O-VW5 1:A L)cc�2r��
Mailing Address NITY1L-01JO OAS QvEENSaurty, AN /�6D
Phone & Email 5/� �y5_ 03D'7 jU�Gh�ns @ W hirs 2�r ir�P !i7 ,CUr�
Contact Person for Building&Code Compliance: Phone:
RESIDENCE INFORMATION:
Year Built Gallons #of bedrooms X gallons per =total daily flow
per day bedroom Garbage Grinder Yes No
1980 or older 150 Installed? (circle one)
1981-1991 130 Spa or Hot Tub Yes No
Installed? (circle one)
1992-Present 110 �' /�� 3���
PARCEL INFORMATION:
Topography Flat Rolling Steep Slope %Slope
Soil Nature Sand Loam Clay Other
Groundwater At what depth? G2t lfTE,¢ I? A)
Bedrock/Impervious material A what depth? ter-etz N "
Domestic Water Supply _Municipal _Well (if well,water supply from any septic system absorption is_ft.)
Percolation Test Rate: per minute per inch (test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION:
Tank size gallons (min.size 1,000 gallons,add 250 gallons for each garbage cylinder or spa/hot tub
System Absorption field with#2 stone Total length ft.; Each Trench ft.
Seepage Pit with#3 stone How many: ;Size:
Alternative System Bed r other type: /D x.35' B.00
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 and approved.
The installed system must match the septic 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 known 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.
PRINT NAME: C'r �` DATE:
SIGNATURE: DATE:
Town of Queensbury Building&Code Enforcement Revised March 2018
WASTEWATER SYSTEM DESIGN
3-BEDROOM RESIDENCE 110 GPDIBEDROOM IDESIGN FLOW SYSTEM DESIGN FLOW - 330 GPD SEP77C TANK PROP. 1,000 GALLON PRECAST CONCRETE DESIGN APPLICATION RATE:- .95 GPD/SF, BASED ON 1-5 MINIIN PERCOLA71ON RATE (330 GPD)I(.
95 GPDISF)ABSORP77ON BED AREA REOD 348 SF TYPE-PROPOSED 314 -K COPPER WATER SUPPLY LINE, APPROXIMATE APPROXIMATE LOCA77ON OF EXIS71NG )RP770N BED AREA PROVIDED 10'x35' 350 SF ROUTE SHOW. COORDINATE WATER AN7IQUA7ED WASTEWATER SYSTEM SERVICE INSTALLA77ON W774 TOWN POTABLE WATER SUPPLY IS TO BE MUNICIPAL SUPPLY OF QUEENSBURY WATER DEPARTMENT EXIS71NG DRY STONE PA770 INSTALLA17ON MUST BE INSPECTED BY MAINTAIN 10' MINIMUM SEPARA71ON BETWEEN WATER WATER DEPARTMENT PRIOR TO BACKFILL. I.-S co� LINE AND ALL WASTEWATER S UNTY G.1 EXISTING WATER LINE SERWCE P L. 009� SITE SOILS DATA CL Pp
V�
0 CONNEC77ON AND CURB STOP w TION MAP
TEST PIT
PER TOWN OF QUEENSBURY _EBAC,K WATER DEPARTMENT r of P.L.,_%- TP-1 5130118 BY TOM HUTCHINS, P.E.15-32" MEDIUM BROWN LOAMY FINE SAND 32-48" LIGHT BROWN FINE AND MEDIUM SAND ONCRETE SEP71C TAW ALLON PRECAST NN NO GROUNDWATER EVIDENCE j____—PROPOSED 1,000 G IFICATIONS VICTEM MA TERTAL SPEC PROPOSED EFFLUENT SEWER S I I PROPOSED DISTRIBUTION BOX ABSORPTION BED AGGREGATE I \N\N TO I W STONE IS TO BE 314 -112 ASHED CRUSHED STONE.PROPOSED 10'x35' ABSORP77ON BED IIEFFLUENT SEWER PIPE...................... PER
6-2 PIPING TO BE 4 SDR-35 OR SCHEDULE 40 PVC. INSTALL KITH 118-A_C_K=to EXIS FOOT MINIMUM SLOPE.77NG MAPLE TREE- HOUS-E FILTER FABRIC 10' MIN. FILTER FABRIC TO BE 4.8 OZISY NON-WOVEN SEPARA77ON FABRIC,IAQK PT 1............. . ........ E SE1B............. 20' HOUS TENCATE MIRAF1 14ON OR EQUIVALENT........... HOUSE SEWER PIPE.......................... PER PIPING TO BE 4" SDR-35 OR SCHEDULE 40 PVC. INSTALL WTH 114.......... .................................... FOOT MINIMUM SLOPE... .................... . .................... TOPSOIL IIn,DR ..................... ..................................... 4" MINIMUM TOPSOIL OVER EN71RE BACKFILL AREA. SEED, MULCH,
............................... ................ SITE LOC4TION
...... PLACE
....... --- AND ESTABLISH TURF.
....... ........ ................ 1 O' MIN.
......................................................... ........ ..................... .................. ............................................. ........................... ............. '7 S Y.TEM INSTA Ll ATION NOTES
............. .................. ............... ........................... -EXISTING FIRE PIT
gTy
I S
............."�,,L -- ..�... --
S. DEPARTMENT OF
CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAKqNG AND IN ACCORDANCE MTH THE N-Y
6TJ HEALTH INDIWDUAL HOUSEHOLD SYSTEMS AND ASTV F481 INSTALLAPON OF THERMOPLAS77C PIPE AND CORRUGAIED
. ............ ........... Om.............. .............. ...... -PROPOSED HOUSE SEWER
P.L....... TUBING IN SEPTIC TANK LEACH FIELDS.
........ 'PIRO
-;P
CAVAT70N OF 10' WDE X 35' LONG ABSORP77ON BED TO THE DEP7HS REQUIRED, 7HE WALLS AND FLOOR
AFTER EX SHALL BE CLEANED AND RAKED IN ORDER TO LOOSEN SMEARED AREAS OF SOIL.
IIPLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND FILTER FABRIC SHAH BE AS SHOWN, AND CARE SHALL BE EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND WASTE MATERIAL IN THE STONE AND PIPE.
4" PERFORATED PVC LA7ERALS THE PIPE SHOULD BE LAID AT THE GRADES INDICATED, MAINTAINING STRAIGHT CON NUOUS GRADES WTHOUT SAGS,
LIMIT OF 10'X,35
STONE BED INSTALLED NEAR LEVEL IN HUMPS, SEPARATED JOINTS, OR OTHER UNSUITABLE CONDIIIONS___PIPE SHALL-EF-LAID-19TH HOLES DOWN IN ALL
BED CONFIGURA 77ON
CASES.
WASTEWATER SYSTEM PLAN 7= PROPOSED
DISTRIBUTION BOX
.................SCALE. 1"=20' �2. ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND DIVERT SURFACE RUNOFF AWAY FROM THE
4 PVC EFFL
UENT SEWER
DISPOSAL FIELD.
GRAPHIC SCALE DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION AREA AFTER PIPING HAS BEEN INSTALLED.
0 5 10 20 40 10 10,IN FEET TE
7HE WASTEWATER TREAIMENT SYSTEM IS DESIGNED AND APPROVED BASED UPON THE INSTALLA77ON OF WA R
ICONSERVING FIXTURES AND A DESIGN FLOW OF 110 GPD PER BEDROOM. THE SYSTEM IS NOT DESIGNED TO
CONTRACTOR TO FIELD VERIFY LOCATIONS AND DISTANCES. -,AGC�MMODATF_._,,EX,I7?EW, USE FIXTURES, SUCH AS JACUZZI-TYPE SPA TUBS OR WATER TREATMENT
THIS IS NOT A FIELD SURVEY WA TER
EV_1PV JEE R1 L TI OF NON-CONSERWNG WATER FIXTURES OR EXTREME WATER USE FIXTURES IS
2 5';,,
C P THIS WASTEWATER TREATMENT SYSTEM.
.35' I 04L&W6,20SA AR AND SURFACE WATER DRAINAGE MUST BE EXCLUDED FROM THE WASTEWATER
ABSORPTION BED PLAN TOWN t I j--
1 117" L:ENSBURY
N TS SWALE, UPGRADE OF SYSTEM IN ORDER TO DIVERT SURFACE RUNOFF AROUND ABSORP71ON
FILE COPIL FIELD.
SEP77C TANK, PUMP STATION & ABSORP77ON BED MUST BE INSPECTED BY TOWN OF WLTON BUILDING INSPECTOR SUGGa INSTALL POLYLOK PL122 FILTER SUCH AND DESIGN ENGINEER PRIOR TO BACKFILL AND FINAL GRADING.INSTALL POLYETHYLENE EXTENSION TO GRADE WTH TAMPER ACCESS COVER (NON-TRAFFIC AREAS) 7HAT IT IS READILY REMOVABLE THROUGH TANK ACCESS COVER 4" MINIMUM TOPSOIL ON S W
APPROXIMATE -ENTIRE BACKFILL AREA; 0 S HU 12" MIN. COVER EXISTING GRADE 10, BED KjDTH_____�,,P, SEED AND ESTABLISH TURF S:rpTIC PLQT_PIAN D ALL OBJECTS co I HAVE SEEN OR OBSERVE U1 SUCH AS HOUSES,WE
LLS,TREES, FENCES. ETC Ul 4 ON THIS DOCUM
12" MIN. COVER ENT,I HAVE PER
SHOWN..........MIN. SL OPE 118- PER ...........................114" PER FOOT FOOT SONALLY T!IrlA
DISTRIBU71ON BOX F........ ................ MIN. USABLE SOIL ' MEAS RED , DI MIN. SLOPE ..................... .........3" ...... nA 4" HOUSE SEWER SIG ATURE AT LIQUID LEVEL 4 EFFLUENT SEWER BACKFILL MATERIAL AS NEEDED 10'x35' CRUSHED STONE
TO ESTABLISH GRADES ABSORP 77ON BED
WATERTIGHT SLEEVE TOWN OF QUE S y& BAFFLE SEAL (TYP.) 16 18" 2" MIN. BUILDIN TAX MAP # 302.14-3-50 MIN. USE SPEED LEVELERS TO ASSURE ABSORPTION BED SECTION IG & ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL
Reviewed B�
ALL OUTLETS ARE AT EXACTLY THE 2" MIN. DROP N TS y ENGINEER IS A VIOLATION OF NYS EDUCATION LAW.
SAME ELEVA77ON BETWEEN INVERTS Date:
4 PVC SDR-35 SOLID HEADER TO I302.14-3-50 SEP-0316-2018
ABSORP77ON FIELD, 118- PER FOOT LIQUID DEPTH MIN SLOPE Smith, Mark 30" MIN. 4" MINIMUM TOPSOIL ON APPROXIMA TE 2 Park View Avenue
60" I MAX SEPTIC TANK NOTES EN77RE BACKFILL AREA; EXISTING GRADE Residential Septic Alteration SEED AND ESTABLISH TURF
ALL UNITS SHALL COMPLY Kq7H THE REQUIREMENTS OF THE NEW YORK STATE DEPARTMENT OF 35' BED LENGTH HEALTH AND SHALL BE OF PRECAST CONCRETE AS MANUFACTURED BY UTOPIA ENTERPRISES OR <_�OPE SLOPE---�EQUIVALENT. 0 ISSUED FOR PERMIT 611118
MINIMUM 2X MDTH No. Revisions Date
MAXIMUM 4X WIDTH ALL STRUCTURES SHALL BE PLACED ON FIRM, COMPACT SAND OR GRAVEL BASE. WHERE EXIS71NG SOIL CONDITIONS ARE UNSUITABLE, CRUSHED STONE SHALL BE PLACED AS NECESSARY TO ACHIEVE A STABLE BASE. WASTEWATER S"TIS1TEM PLAN & DETAILS
4 SDR-35 PVC PERFORATED- L FIL TER FABRIC,SEPTIC TANKS INSTALLED IN TRAFFIC AREAS SHALL BE OF EXTRA HEAVY CONSTRUCTION LATERAL INSTALLED NEAR ABSORPTION BED PROFILE TENCATE MIRAFI 14ON prepared for.
4 4 4 1 L DESIGNED FOR H-20 WHEEL LOADING. LEVEL, IN BED CONFIGURA PON N TS OR EQUIVALENT Mark & Robin Smith PROPOSED 1,000 GAL. PRECAST CONCRETE SEPTIC TANK ALL JOINTS MUST BE SEALED MTH BUTYL SEALANT. JOINTS BELOW THE LIQUID LEVEL MUST BE Dig Safelyx TESTED BEFORE BACKFILLING. 3 Park View Avenue New York SEPTIC TANK DETAIL MAP REFERENCE: Town of Queensbur)� Warren Count)� NY M Call Before You Dig Checked. GTH Scale: NOTED Date: 513012018
0 Wait The Required rime SCALE. NTS BASE MAP INFORMAPON FROM WARREN COUNTY GIS, Drown: JRS M Confirm Utility Response AERIAL PHOTOGRAPHY, AND FIELD MEASUREMENTS.
M Respect The Marks THIS IS NOT A FIELD SURVEY ALL LOCA77ONS ARE
M Dig With Care APPROXIMATE CONTRACTOR TO FIELD VERIFY ALL Queensbury, NY 12804 291311-01
800-962-7962 SETBACKS PRIOR TO BEGINNING INSTALLATION. (518) 745-0307 Phone vitww.digsafelynewyorkcom Hutchins Engineering (518) 745-0308 Fox