SEP-0503-2018 - 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-0503-2018 Date Issued: Wednesday, August 15, 2018
This is to certify that work requested to be done as shown by Permit Number SEP-0503-2018
has been completed.
Tax Map Number: 301.8-1-82
Location: 10 HEINRICK ST
Owner: RICHARD COSGROVE
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, 4
Variance, or other issues and conditions as a result of approvals by the
Director of Building&Code forcentent
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
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' 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: SEP-0503-2018
Tax Map No: 301.8-1-82
Permission is hereby granted to: Sanitary Sewer Service
For property located at: 10 HEINRICK ST
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: RICHARD COSGROVE Septic Disposal-Residential $0.00
Owner Address: 10 HEINRICK ST 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: Friday,August 9,2019
(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 t expiratio •.te h:
Dated at the Town Quee ury; 4 Th, •.•`+' August 9,2018
vi, ,,
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
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.,,,', SEM 11C DISPOSAL PEit MIT APPLiCATiONOffice. Use Only
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Tax Map III#° � � � J; Permit Fees
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: lief, 'f fci S'' " 1 L. Sepik variance?) P Yes No
Project Location:
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Primary Owners) C`G�L(4C ( J'C�r o�c ,rn, _rt 1. e. ,: o
Mailing Address /0 He
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Phone &Email
Installer/Builder ,5,4ivf oree,fie J e-/v,c e
Mailing Address °d, 4,k- Z �.-r evs d.77c-/Z /1/ /2d "
Phone &Email 57 tf' 7f6 3 76
Engineer 4°a
Mailing Address
Phone & Email ' h 7Contact Person for Building«Code Compliance: 6-ea ' Phone:s7 t—77�- 6`-
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 ,/ � Spa or Hot Tub Yes N do
Installed? (circle one)
1992-Present
PARCEL INFORMATION:
Topography lb. Flat Rolling Steep Slope %Slope
Soil Nature '- Sand Loam Clay Other
Groundwater At what depth? /1-'i4
Bedrock/Impervious material At what depth? /i/'
Domestic Water Supply L4Municipal _Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate:/—SJ per minute per inch(test to be completed by licensed engineerjarchitect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION:
Tank size _ /b71)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:2 0'X' 2r1
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.
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SIGNATURE:NAME: Di� DATE:•
SIGNATURE: 47?.i
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Town of Queensbury Building&Code Enforcement Revised February 2017
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CENTER PROJECT
SERVICES
73 Sheridan Street, Glens Falls,NY 12801
Phone-518-796'2515°R""^ --_---
D ECEOVF n
r�1 Au st 2 2018
AUG 0 7 2098 i i fkt Project#276
George Drellos P e .. I
Sanitary Sewer Service TOWN OF C''�? — !'.'z',r�,q
Queensbury,NY 12804 BUI�, s/�:..;.y .M...,., � `
Re: Proposed Replacement Septic
10 Heinrick Circle, Queensbury,NY
Dear George:
At your request, we have reviewed your proposed replacement septic system design of the
existing 3-bedroom house at 10 Heinrick Circle 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,
, !r _-
Thomas R. Center Jr, P.E.