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2007-018TOWN OFQ UEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Perniit Number: P20070018 Date Issued: Thursday, January 18, 2007 This is to certify that work requested to be done as shown by Permit Number P20070018 has been completed. Tax Map Number. 523400-303-016-0001-035-000-0000 Location: 28 NEW PINE St Owner. ANN ABBEY Applicant ANN ABBEY This structure may be occupied as a: Septic Alteration Residential 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,.)j 41 Variance, issues or other and conditions as a result of approvals by the Director of Building & $ ' of\ement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20070018 Application Number. Tax Map No: 523400-303-016-0001-035-000-0000 A20070018 Permission is hereby granted to: ANN ABBEY For property located at: 28 NEW PINE 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 Address: ANN ABBEY 26 NEW PINE St Total Value QUEENSBURY, NY 12804 Septic Alteration Residential Contractor or Builder's Name / Address IBS SEPTIC IVAN BELL 2 LOWER WARREN STREET QUEENSBURY, NEW YORK Plans & Specifications Electrical Inspection Agency Value $25.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, January 16, 2008 (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 To SIGNED BY bu .' T 1 . ; , January 16, 2007 for the Town of Queensbury. Director of Building & Code Enforcement 03 p j j r OFFICE USE ONLY TAX MAP NO. 1 b PERMIT NO.(21-Q PERMIT FEE APPROVALS: ZONING TOWN CLERK • RECEIVED TOWry U L.iuttiN bURV BUILDING AND CODE APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER: . 1.tI , I ‘,1 > /� / I 447- � p INSTALLER: / ' ADDRESS: /�l 'i�try ti ' d PHONE NOS. LOCATION OF INSTALLATION: 2 ie - -`44( YEAR BUILT NO. OF X BEDROOMS 1980 or older X 1981 -1991 1992 - present X J X ADDRESS: 41-4 '/2 it))%2 -,V 7 PHONE NOS. COMPUTATION= I _ TOTAL DAILY FLOW 130 gallon per bedroom 1 = L= 150 gallon per bedroom 110 gallon per bedroom PARCEL INFORMATION: ✓ TOPOGRAPHY: ✓ SOIL NATURE: SAND ✓ GROUNDWATER: WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL 6S-0 RESIDENCE INFORMATION: GARBAGE GRIND"( INSTALLED? h SPA OR HOT TUBeivj INSTALLED? FLAT LLING STEEP SLOPE %SLOPE l LOAM CLAY OTHER AT WHAT DEPTH? /D ( BEDROCK/IMPERVIOUS MGT —'� RIAL: AT WELL (IF WELL: WATER SUPPLY FROM ANY SEPTIC -SYSTEM ABSORPTION IS FT. ) ✓ PERCOLATION TEST: RATE IS �' PER MIINUTE PER INCH (TEST TO BE COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless installed in a PlanningBoard approved gallons to the size of the septic tank and leach field for each garbage griner, spa or whirlpool tub�vlsion). Add 250 ✓ SEPTIC TANK: GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH ✓ TOTAL SYSTEM LENGTH: 1.fFT. SEEPAGE PIT(S): HOW MANY? ✓ SIZE OF EACH 2 FT. X ✓ SIZE OF STONE TO BE USED: # /DEPTH OR THICKNESSJFT. ✓ BED SYSTEM SIZE: /1 X ✓ ALTERNATIVE SYSTEM: A% 4 LENG H AND/OR SIZE ✓ HOLDING TANK SYSTEM: (If required) NO. OF TANKS: ,/// /SIZE OF EACH ✓ GALLONS. /TOTAL CAPACITY.rL—.Z J _GAL. 3� if NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN ! APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. 1 have read the regulations with respect to this application and agree to abi by these and all requirements of'the Town of Queensbur ayitary Sewage Disposal Ordinance. Slgnat 11/1 Date arson Respons' ble QUESTIONS ? CALL 761-8256 OR EMAIL codes eaueensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION www.aueensburv.net Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 FT. Septic Inspection Report Office No. (518) 761-8256 Queensbury Budding & Code Enforcement 742 Bay Rd., Queensbury, NY 12804 NAME: LOCATION: RECHECK: Date Ins • - ' request received: Arrive: am/pn�, � Depart: am/pm Ins. - •is i itials: -.Jr--- o7 -01 g PERMIT NO.: INSPECT ON: Sal Type: San • - , Clay 51ze Type of : unici' = I / WeII Water Building to tank Waterline separa ' • • • istance ft. Well separation distance Other wells: ft. ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches 2_ ft. Size of Stone Z/ Seepage Pits: Number Size: x Stone Size: Piping 51ze Type Building to tank &)(/5 T%( 4- ft. Tank to Distribution Box $t 'Zb ,Z Distribution Box to Field / Pit x i' Opening Sealed: Y / N/ Partial N End Cap s/— Y — N Inlet/Outlet Inlet/Outlet Pipes & Baffles Y N Location / Separations Foundation to tank 4) 4- ft. Foundation to absorption.ft..4- Separation of Pits ft Conforms as per Plot Pian N Engineer Report and As -Built Y — N Location of System on Property: Front Left Side Right Side Middle Front Middle Rear ©N r --1L Comments and/or diagram System Use Staty J Approved Partial Approved and needs to be re -inspected, please call the Building & Codes Office Disapproved Last revised 021006 Last revised 1/6/05 o' -/O 7/Lt)(3-d- /// /0E - Septic Inspection Report Office No. (518) 761-8256 Queensbury Building & Code Enforcement 742 Bay Rd., Queensbury, NY 12804 NAME: LOCATION: RECHECK: !/6 Date Ins ' - • uest received: Arrive: �1 am/ art: am/pm Ins • - • is In' als: 1 PERMIT NO.: 07—o/c? - INSPECT ON: Soil Type: Sand / Loam / Clay Size Type Type of Water: Municipal / Well Water Foundation to absorption ft. Waterline separation distance ft. ft. Well separation distance Other wells: Engineer Report and As -Built ft. Opening Sealed: Y / N/ Partial ft. Absorption Field: Total length End Cap ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Foundation to absorption ft. Tank to Distribution Box ft. Conforms as per Plot Plan Distribution Box to Field / Pit Engineer Report and As -Built Y N Opening Sealed: Y / N/ Partial End Cap Inlet/Outlet Pipes & Baffles Y N Location / Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y — N Engineer Report and As -Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear Comments and/or diagram Xr r System Use Status: / A roved rtial Approved and needs to be re -inspected, please call the Building & Codes Office Disapproved Last revised 021006 Last revised 1/6/05 JAN -05-2007 15:59 FROM SCUDDER ASSOCIATES TO January 5, 2007 SCUDDER ASSOCIATES CONSULTING ENGINEERS P.O. Box 792 Glens Falls, NY 12801 516-793-1475 ooscudOadelphia.net 7454437 P.01 746.-- 44 37 David Hatin Director of Building and Code Enforcement Town of Queensbury 742 Bay Road Queensbury, NY 12804 Ann Abbey 26 New Pine Street Queensbury, NY 12804 Dear Mr. Hatin: RECEIVED JAN 0 5 2007 TOWN Cir- wuttNbbuRY BUILDING AND CODE Submitted herewith is a plan for improvements to the failed on-site wastewater system at the Abbey residence. Naturally we must test the soil as a prerequisite. I.B.S. Septic & Drain, Inc. will be doing the construction of the replacement absorption system. Pursuant to that purpose we need authorization to coordinate the deep test hole excavation and (2) percolation tests with Barton & Loguidice which, I presume, will mean Ralph Van Dusen. Today being Friday, 1 suppose this will necessarily carry over until next week, but maybe not. We ask that you please contact Mr. Van Dusen and authorize him to call my office or cell phone (222-1355). Charles H. Scudder, P.E. Principal JAN -05-2007 15:59 FROM SCUDDER ASSOCIATES TO 7454437 P.02 W H learA6E PIT O L.. uwe o. MN. OY TMe Teo mese e T117eD h Ab oarnON 9Y5T M AT • U. NEW PAVE • xer rrr gasigrwittu6L.A10. 9erTIG TK STREET 2 91TE PLAN r-sa SCUDDER A990GIATEg CONSULTING ENGINEERS P.O. 00X 792 OLEN, FALLS, NY 12001 515-785.1475 ANN ABBEY 26 NEW PINE STREET QUEENSBUIZY, NY JANUARY 5, 2007 TOTAL P.02 TOWN OF QUEENSBURY PERCOLATION AND DEEP HOLE TEST Conventional Absorption System Information from application: Depth of projected bottom of trench from existing grade: 24" Distance to Lake George >2000' Distance to water other than LG , >200' location Adjacent Wells Visible? depth casing none visible Date: 1/9/2007 Time: 10:00 Location: 26 New Pine Street Contact Person: Charles Scudder Telephone #: 7931475 Owner Name: Ann Abbey Tax Map # 303.16-1-35 Engineer: Scudder Associates Bt.* 28 This will be a replacement of an existing system Percolation Test Results (2 within proposed area, bottom of test holes to be 6" below projected above) Hole to be 12" x 12" or 12' diameter Do Not Perform when ground is frozen * 4 hour minimum unless clean sand or gravel < 24 hrs before test Presoak* Date Time not required Continue testing until tins within same pit are 51 min. for 1-30 min/ inch; 5 2 min. for 31 - 60 min / inch " drop with 6" water Average stabilized rate of percolation 1 0.7 C:1Documents and SeUMys'davehILocal SettingaWemporary Internet FAeelOLK58WweY $optic et, Hole MinimumMof 5' below bottom of absorption trench Must be within or adjacent to proposed absorption area Hole Depth none visible 0 -9' topsoil 9 -19' very fine sand 19 - 45" fine sand 45 - 84" medium gray sand / pebbles Witnessed by: R. VanDusen —1,5-r X ed20 ,./ $ / 411 (`',. /, “1-thi Soil Mottling none visible , Barton & Loguidice, P.C. Date: 1/9/2007 Time: 10:00 on ogdice, PC. Engineers • Hrv6onmental5cientis6 • Planer • Landscape Destgnets BL Fonn 2006-1 Pit Depth Pit Dimension Run Time (min) PIT # 1 28" 12" 1 0.78 2 0.67 3 0.73 4 Stabilized rate of percolation 0.7 PIT # 2 28" 12" 1 0.75 2 0.73 3 0.73 4 Stabilized rate of percolation 0.74 Expansion Area if soil is different 1 2 Anticipated to be similar 3 4 5 Average stabilized rate of percolation 1 0.7 C:1Documents and SeUMys'davehILocal SettingaWemporary Internet FAeelOLK58WweY $optic et, Hole MinimumMof 5' below bottom of absorption trench Must be within or adjacent to proposed absorption area Hole Depth none visible 0 -9' topsoil 9 -19' very fine sand 19 - 45" fine sand 45 - 84" medium gray sand / pebbles Witnessed by: R. VanDusen —1,5-r X ed20 ,./ $ / 411 (`',. /, “1-thi Soil Mottling none visible , Barton & Loguidice, P.C. Date: 1/9/2007 Time: 10:00 on ogdice, PC. Engineers • Hrv6onmental5cientis6 • Planer • Landscape Destgnets BL Fonn 2006-1 JAN -16-2007 12:42 FROM SCUDDER ASSOCIATES TO 7454437 P.01 SCUDDER ASSOCIATES CONSULTING ENGINEERS P.O. Box 792 Glens Falls, NY 12801 516-793-1475 goscud(a adelphia.net January 16, 2007 David Hatin Director of Building and Code Enforcement Town of Queensbury 742 Bay Road Queensbury, NY 12804 Ann Abbey 26 New Pine Street Queensbury, NY 12804 Dear Mr. Hatin: +437 //-"if‘ I am a little confused as to the proper person to address in this matter due to the recent engineering changes at your place. Perhaps I should be addressing Mr. Ryan. That said, I want to report that, with the compaction taking place today by I.B.S. in the absorption area of the Abbey replacement system, the percolation rate is between one and five minutes per inch as measured in accord with the prescribed NYSDOH method. We are satisfied that the plan submitted today is consistent with current soil conditions. Sincerely, a Charles H. Scudder, P.E. Principal / /4. �) 1...4./jF (4-4 / Ile 4. XI j� ✓i�rnbi fvek e -reit a_ .76 ).4-4,- , -ind 1.,tf( dt /J.lat:L✓ TOTAL P.01 AS-DOINT ADf5, 5YSTEM V3) 60` EATS 300 OF I ADSORPTION 626ro6 MEDIUM ORAY DANO FE,DDI-E5 (0U-04-07., 501E STRATA MEASURED, DY KANFH VAN POSEN, DARTON NOOLIVIDE, EXISTIND SEPTIC I K NO EVIDENCE or ROCK OfZ DROONPWAT.ER --- ABEEY 1.1005E (MOTHER) FILTER FADRIC NEW PN E° STREET 6RODNOWATEN DEOROCK 0, IMPERMEAN-r,E. SOIN ,c9EGTION TUNGF1 LATERAL SY5TE, NTS' PEc.:?1N STAI\Jr°)ARPE) TI -11S WASTEWATE ,TEIA DESIONED IN ACCORD WITH_ RAR7IY‘EN't LATEST NYS 0,E. HEANTI-I STANDARDS. THE STANDARDS' AREVINDNISHED IN AFFENPIX HEALTH LAW ROOM TESTS. RF_FORT ON PERDONATION ASNIEtO DP-AOKOTO°EN 041.5rE8F6j.r'EDi-RIOLD DY FADFH VAN 055EN ,A rEP 0009/02. ,25ASIS OF' PESI6N°. PEUMD/ND FIXTURES LA END 3 OPM FAUCETS. PR.:SION OISCHARDE . 5 OR x II0 950 NON ',TANI-NED PERO RATE 4 MN. PER IN. TRENCH RENNIN 550 1.2 x - 230 DE SYSTEM I FR0\2E:VENTS FRE5ERVE rxis21616 DIMEDIN6 DRAINS AND stril6 TANK, Z. REMOVE TOPSOIL; EXCAVATE 2.4N NOE TRENCHES 0.6, 5. MECHANICALLY COMPACT TRENCH SANDS PROM TO 30% 4, CONFIRM PERCOLATION RATE OF TO 5 MINUTED FER NCM. O. DAY G. CRUSHED STONE IN DOTTOM OF FOR TO 30' TRENCHED. I. NAY 4. DISTRIDOTORN 5TONE TO 2.. ADOVE NrE PEACE rAreR OR PADRE ADOVE STONE; PEACE TOPSOIL FINE DRAPE TOPSOIL.; NEW NERDS IN ONTURDED AREA5. "ATE PLAN PGAL! r eilif gat P.E:m2f°6464' CtiARLES SGLIPPEK P AFP GI T -cr„, ,P12 CAA F GL -P, NY 12501 518-7F3-147.5 4ANUARY 2006 ',JANUARY 10, 2006 OIL ITRa F A #SIT 1I I Al PITH TI 1 LATERA Y. OE RALPH VA TAN A TH1 .TEPATER .Y.T A I C I i Ih A 0RL fTH LATEEET# Y DEPARTMENT T R HEALTH TAF THE .TANDARr1t. ARE PLEOLI.HEPIh# PFENP 75 A; Rte if HEALTH ? TI i LAW ROMER ART 1 I IIC I I R ON PERGOLATtON" T. 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