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SEP-0233-2018 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-0233-2018 Date Issued: Friday, May 25, 2018 This is to certify that work requested to be done as shown by Permit Number SEP-0233-2018 has been completed. Tax Map Number: 308.14-1-53 Location: 156 PITCHER RD Owner: Russell Lamere 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. _ _'T , TOWN OF QUEENSBURY $=' `°i f 742 BayRoad,Queensbury,NY 12804-5904 (518)761-8201 ;. T; s, -. Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: SEP-0233-2018 Tax Map No: 308.14-1-53 Permission is hereby granted to: Sanitary Sewer Service For property located at: 156 PITCHER 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 Type of Construction Owner Name: Russell Lamere Septic Disposal-Residential $0.00 Owner Address: 156 Pitcher 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 $ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,May 14,2019 (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 the expiration date.) Dated at the Town bury; Mo • y J _,- 4,2018 441; SIGNED BY: ' .\ for the Town of Queensbury. Director of Building&Code Enforcement • ‘" SEPTIC li ISPOSAL PER MI 9P111 N At N r 1Of e Use On,V - 742 Bay Road,Queensbury,NY 1 404 1 lbw" of Cjtrcenshun- 4 ._��� -- r �2 3 -�d l P:518461-8256 ?iiiiiilitiMlieeriSLII Sri PP II lif ' lip MAY 082018 1 I Tax Map ID#: 30 = /y - / ~-, ,3 E L, � � �41�_.,_,_.. e:r �it Fee:$35�. 00; invoice#: 6 3(,9 Project Location: 6 _ �l 1 C��.e� k ��G U `,�SepLic Vrriance? Yes ✓ No ro Primary Owner(s) ,t� � � u �n 1�-u.SS e-� (C ey-v e e^e Mailing Address / g /9/ /zile.r je-cP Phone &Email t — 79e2- 0/73 IristallerjBui(der fl-Afi .t--44-r cre.--c,.-o^ Jec i®c r . Mailing Address PO - &a X Zz - L/r-s /44 41 y / fQ/ Phone & Email 17 f - 7%-✓770 Engineer /o„,� 'Pe r Mailing Address Phone & Email /�j� Contact Person for Building&Code Compliance: g eo e Ir�/''e%� � Phone:3;e-7((176 RESIDENCE INFORMATION: Year Built #of bedrooms X gallons per bedroom =total daily flow Garbage Grinder Yes No • 1980 or older Installed? (circle one) 1981-1991 3/ g ,/, 93 o Spa or Hot Tub Yes No Installed? (circle one) 1992-Present PARCEL INFORMATION: Topography V Flat Rolling Steep Slope %Slope Soil Nature V Sand Loam -Clay Other Groundwater At what depth? w/ Bedrock/Impervious material At what depth? i"rc►- Domestic Water Supply XMunicipal _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 /Unv 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 or other type: ©`X Z S."' 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. �Uf h, �� •�,SQ-"/ e DATE: PRINT NAME: GJ iv SIGNATURE: (--!/� - DATE: / 3 i zfr Town of Queensbury Building&Code Enforcement - Revised February 2017 1 5-6 i0. 4--„,k_e.,-- la,i) SEPTIC PLOT PLAN /20.,j e_it 2-4+`017," ` - -M—r-.-------�-:"-- I HAVE SEEN OR OBSERVED All OBJECTS 1r-A L h 'V a SUCH AS HOUSES, WELLS, TREES, FENCES, ETC y,.� G SHOWN ON THIS DOCUMENT"I HAVE PERSONALLY MEASU - THE DISTANCES T F H 0 DIAGRAM. C 'S-... ID-i MAY 0 8 20; S F-/e- i SIG TURF DATE _ TOWN OF QUE .N-EUr Y .>,,.. co (jr ©F TOWN Q JE .NSBURY N - .��.� , NT _.- -_--_. — �1tD1N-U & (O ES DEPT. , ' I" Reviewed B — N o © r� zra It i 1 e \ a. a {\ [ 0 ‘-kl. 1 LU r f� � TB'1 i © \i N W cnIMre m 52 r d t- aDa � N re)11' I l 1 II U 1 � 4 i o I I, fd 11 1' l i it , ‘k 1 i t 4 , lei e Y �.I I 1- i 1 '• 77 F. ti ` ' s { i I. i i i 1 . .. Pi' i4_,J . CENTER PROJECT y f :r L a SERVICES 3 Sheridan Street, Glens Falls,NY 12801 ‘" ` MAY I� yl Phone-518-796-2515 T 1' ' O � f° r" Y. --•4 April 30,2018 ...gab s Project#268 George Drellos Sanitary Sewer Service Queensbury,NY 12804 Re: Proposed Replacement Septic 156 Pitcher Road, Queensbury,NY Dear George: , At your request, we have reviewed your proposed replacement septic system design of the existing 3 bedroom house at 156 Pitcher Road 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. -