SEP-0176-2018 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518) 761-8256
CERTIFICATE OPCOMPLIANCE
Permit Number: SEP-0176-2018 Date Issued: Thursday, May 17, 2018
This is to certify that work requested to be done as shown by Permit Number SEP-0176-2018
has been completed.
Tax Map Number; 3 OZ.17-3-9
Location: 17 MAPLE DR
Owner: SHERRI FELDMAN
Applicant: Sanitary Sewer Service
This structure may be occupied as a: Residential Septic Alteration
By Order of flown 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
f r 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
d
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: SEP-0176-2018
Tax Map No: 302.17-3-9
Permission is hereby granted to: Sanitary Sewer Service
For property located at: 17 MAPLE DR
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: SHERRI FELDMAN Septic Disposal-Residential $0.00
Owner Address: 509 Rutile DR Total Value $0.00
Punte Vedra Beach,FL 32082 .
Contractor or Builder's Name/Address Electrical Inspection Agency
Sanitary Sewer Service
PO Box 224
Glens Falls,NY 12801
Plans&Specifications
N
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,April 18,2019
(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 Aeex iratio at )
Dated at the To of Que n bury ay,April 18,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
F° SEPTIC DlSP.SAL PEls'MIT APPLICATION Office Use Only
- 742 Bay Road,Queensbury,NY 12804 ^
Town ofQrccninm- Permit#: C� -0\ - 20,b
F:518-761-B2M www.noernsaory.net
Tax Map ID#:
j( : /7- .?.—9 Permit Fee:$ ' ! ; invoice#:Z21�
Project Location:j- ,a-„ /e b�-_ Septic Variance? Yes '� No
Primary Owner(s) c/ ^0,,' Fed /a-Al
Mailing Address
Phone&Email
Installer/Builder S iv. , x. ` �� Jer v, c
Mailing Address p p d, Lit fie g 4� / 4/K /21 '/
r� � � .
Phone & Email 776- - 3 76°
Engineer , ..C-e.a,-e-r
Mailing Address 7767 De / , S 4 6/'e'-s / /C
Phone & Email S 7t 7f' - 02 S7
Contact Person for Building&Code Compliance: Phone:
RESIDENCE INFORMATION:
Year Built #of bedrooms X gallons per bedroom =total daily flow Garbage Grinder Yes No
1980 or older rJ.nstalled? (circle one) K
(.-S pa at Tub Yes No
1981-1991 j /G� �Q
i�rlstalled?�(pircl0 one)
1992-Present i2 i
PARCEL INFORMATION: 1 1 _ b_c.t;
Topography Flat Rolling Ste4p'SI-00e „ l±a WSlope
Soil Nature JL Sand Loam 1 Mil I Clay- 1 F c Other
Groundwater At what depth? Gv4 I o 5 I „ i r�N
Bedrock/Impervious material At what depth? //7/ " I I Q i i
Domestic Water Supply 41lunicipal _Well(if well,water supply fror�ij gill 4eptic-sy40absorption is ft.)
Percolation Test Rate: %-S- per minute per inch(test to be coin}ple i ielsedmeng)neer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: -".,-----"
Tank size ,I 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:
\>4 Alternative System Bed or other type: a2,0 ' 2 J'
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 9
PR
INT NAME: +� e- i)-/�� DATE: ! V if---
. =D-------
SIGNATURE: DATE: % 17 r
Town of Queensbury Building&Code Enforcement Revised February 2017
i
I
_., a 1 _
s, 1
s1
......___
-' 1E I V I
0
APR 17 2018
I° TOWN OF QUEENSBURY
BUILDING&CODES
FILE COPY
)
O
] r‘ , - ti
302.17-3-9 SEP-0176-2018
i>/`/Geu,, 1 Feldman, Sherri
17 Maple Drive
1 Residential Septic Alteration
si _
TOWN OF QUE i SF -- (s)NOfs 10 1-ins muss Msa aid
"�� 3Hl C�.L S3Nf`I A.�2�3d0ld 3H1 NOW
BUILDING & �E a 11(17,` BONVIsfC1 H1(I nSV2w XT1V O 3d:ASH
Reviewed By: ? r
Date: 0
CENTER PROJECT
SERVICES
73 Sheridan Street,Glens Falls,NY 12801
Phone-518-796-2515
April 16, 2018
Project#267
George Drellos
Sanitary Sewer Service
Queensbury,NY 12804
Re: Proposed Replacement Septic
17 Maple Drive, Queensbury,NY
Dear George:
At your request, we have reviewed your proposed replacement septic system design of the
existing 3 bedroom house at 17 Maple Drive 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 348 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.
DECEM
APR 172018
TOWN OF -