2008-253 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20080253 Date Issued: Tuesday, July 08, 2008
This is to certify that work requested to be done as shown by Permit Number P20080253
has been completed.
Tax Map Number. 523400-302-018-0002-074-000-0000
Location: 7 GRIFFING PI
Owner. JASON & BERNICE WATERSTON
Applicant: JASON & BERNICE WATERSTON
This structure maybe 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,
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
jjjjj:::: 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080253 Application Number. A20080253
Tax Map No: 523400-302-018-0002-074-000-0000
Permission is hereby granted to: JASON & BERNICE WATERSTON
For property located at: 7 GRIFFING Pl
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 Value
Owner Address: JASON& BERNICE WATERSTON
7 GRIFFING PI Septic Alteration Residential
QUEENSBURY, NY 12804-0000 Total value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2008-253
septic alteration residential
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, May 30, 2009
(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 of Queensbury, Friday, May 30,2008
SIGNED BY for the Town of Queensbury.
Director of Buil i �-Code Enforcement 7 i4 dig x
..............
OFFICE USE ONLY
TAX MAP NO. PERMIT NO. � ' �— PERMIT FE r t i r I
APPROVALS: ZONING TOWN CLERK ;
i
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: �S D (,c1Q�� r SZ5 /j INSTALLER0L4e
C ,
ADDRESS: ` i � L1 R �!/c c ADDRESS: Z4
PHONE NOS. PHONE NOS.
r
LOCATION OF INSTALLATION: f� tr!4�i
._.............:.............................................,.................... .. .......................................,............i R INFORMATION:
YEAR BUILT NO.OF X COMPUTATION— I = ; TOTAL DAILY FLOW RESIDENCE I F R
BEDROOMS {...........a. ;...........:..........................................................................:.
.............................................. ......... ........ GARBAGE
I..........._..................................i X 150 gallon per bedroom =
I 1980 or older I s I s INSTALLED?
.....................'....................... .........................t.............................................................:..... ......................�/ �'...C'...-..:...,.:...............
t -.....
1 1981 1991 I X `•. 130 gallon per bedroom r._ l I SPA OR HOT TUBS,
i(................................................
.......,.....................................h.......................,..............................................................,........................................................................
.........1 INSTALLED?
t......1 .992-present .............................................t X `•. 110 gallon per bedroom i =
................_..........._...... :............:..........................................................................I...........,................,.............................I....
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING' STEEP_SLOPE .%SLOPE
✓ SOIL NATURE: SAND LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? -:5-Zr' BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL
(IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. 1
✓ PERCOLATION TEST: RATE IS r /YJ rk) .91 j�R 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 Planning Board approved subdivision). Add 250
gallons to the size of tyre septic tank and leach field for each garbage grinder,spa or whirlpool tub.
✓ SEPTIC T NK �Z GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT.
✓ TOTAL SYSTEM LENGTH: FT. SEEPAGE PIT(S): HOW MANY?
✓ SIZE OF EACH FT. X FT. �
___
✓ SIZE OF STONE TO BE USED: # Z /DEPTH OR THICKNESS_�_ FT.
✓ BED SYSTEM SIZE: O X S
✓ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE
✓ HOLDING TANK SYSTEM:(If required) NO.OF TANKS: /SIZE OF EACH
✓ GALLONS./TOTAL CAPACITY. GAL.
NOTE: AL4F;Ui SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. ±
f..............::........<..,.,.,....,......,...,........,...,...,...,,:.....,...,,.,..,.,....:,......,,,.....,...,.,... .:.,.,.,.:...,....,..,.,,.,....:.,.. .....,,,.....,............
.. .
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.
I have read the regulations with respect to this application and
agree to abide by these and all requirements of the Town of QUESTIONS? CALL 761-82. OR EMAIL
9 codes�aueenshurv.net
Queensbury Sanitary Sewage Disposal Ordinance.
Q:i�
VISIT OUR WESSITE FOR MORE INFORMATION
www.aueensburv.net
L
Signatu of er on Responsible Date
Town of Queensbury - Community Development Office • 742 Bay Roar, Queensbury, NY 12804
Septic Inspection Repo
Office No. (518) 761-8256 Date Inspection r est re ei
Queensbury Building &Code Enforcement Arrive: 7 38 m art: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initial : f
NAME: �el'� {�, PE IT NO.:
LOCATION: I PECT ON: ::7—'9—QE
RECHECK:
Comments and/or diagram
Soil Type: Sand Loam / Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + / - Y N N/A
Absorption Field: Total length 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
Tank to Distribution Box
Distribution Box to Field Pit
Opening Sealed: Y N
End Cap Y N
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 N
Engineer Report and As-Built Y N
Location of System on Property:
Front 7s:
r Left Side Right Side Middle Front Middle Rear
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
0 1098
Permit No..41,{ ... Cert. '•—- i Cut-in Card No.....................................
Owner...............'JF/,�......... 07E - J.........................................................
Location......7.......( �r`�.'/.!v....1..'.l.'.............................................................C�....r�`.%........
Installation Consisting of,.;j�.f..'.-....Pa .. p�'`- .� 1✓�zs
...........................................................................
....................................................................................................................................................................................
....................................................................................................................................................................................
Installed B 'c/
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are/violated,the Company shall have the right t re oke t s c rtifica
3 .......................... INSPECTOR....
Date...... ............ ...... . ......................................................................
Member N.F.P.A.,I.A.E.I.
Septic Inspection Report
Office No. (518)761-8256 Date In VInials:
Queensbury Building&Code Enforcement Arrive: /pm rt:
742 Bay Rd., Queensbury, NY 12804 Inspector's
NAME: Y� IT NO.:
LOCATION: =iS C,. I ECT ON: ,
RECHECK:
Comments and/or diagram
Soil T : San Loa I
Type of Watef, MuRniciVaeii Water _ `-
Waterline se istance ft• �� --��-1L � �
Well separation distance ft•
Other wells: ft• `
AbsorpVon Field: Total len ft. 1
Length of each trench i ft• �
Depth of trenches - ft•
Size of Stone
e Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box ield Pit t� F
Opening Sea Y Partial
End Ca
In Outlet Pipes&Baffles Y
Location Separations
Foundation to tank
Foundation to absorption
Separation of Pits ft.
Conforms as per Plot Plan Y
Engineer Re As-Built
Location of System on
Front �earft Side Right Side �t
Middle Front q Ciddle
System Use Status:
��Approved
Partial Approv and s iidi &
Disapproved
Last revised 021006
Last revised 1/6/05
M
1 NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury, NY 12804
Phone-518-7454400 Fax -518-792-851
June 27, 2008
Project# 49269
Dave Hatin
Code Enforcement Officer
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Re: Jason Waterston—7 Griffing Place—Replacement Septic System
Dear Dave:
This letter is to inform you that we inspected the completed septic system for the Waterston
Residence on 7 Griffing Place in the Town of Queensbury on June 2, 2008.
The septic system as installed was for a 4 bedroom house and consisted of the existing 1,000 gallon
septic tank, a new pump station, a new distribution box and a new 20 foot wide by 25 foot long
absorption bed. The absorption bed was constructed with stone and 4 — 20 feet long perforated pipe
laterals. The system conforms to the requirements of the approved design letter.
Please call me if you have any questions.
Sincerely,
Thomas R. Center Jr, P.
Cc w/encl.: Jay Sweet
NACE ENGINEERING., P.C.
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-851
May 12, 2008
Project#49269
Dave Hatin
Code Enforcement Officer
1P'
Town of Queensbury
742 Bay Road `
Queensbury, NY 12804 l
Re: Jason Waterston—7 Glffing Place—Replacement Septic System
Dear Dave:
On April 25, 2008, we performed a deep soil test pit and percolation test at the Jason Waterston
residence located at 7 Griffing Place in Queensbury. The tests were performed to the southeast of
the existing residence in the location where construction of a replacement leach field is proposed.
The current residence has an existing failed septic system which will be decommissioned upon
completion and certification of the replacement system.
The results of the testing are as follows:
Test Pit Percolation Test
0 —6" Topsoil Stabilization percolation rate- 1" in 1 min., 39 sec.
6— 17" Loamy Medium Fine Sand
17—54" Medium Fine Sand
Mottling observed at 36"
Groundwater observed at 54"
The 18 inch deep hole was presoaked and the test was run 3 times; at a depth of 12 inches, until it
stabilized with three consecutive runs of 1:14, 1:26 and 1:39 respectively.
The design flow for this 4 bedroom residence at 110 gpd per bedroom (440 gpd design flow),
requires 463 sf of absorptive area. The replacement septic system should be a shallow absorption
bed system no greater than 12" below the existing grade.
The replacement shallow absorption bed system should consist of the existing 1,000 gallon septic
tank, a 4 foot diameter concrete pump station, and a 20 foot wide by 25 foot long absorption bed
with a distribution box & 4—20 foot long laterals located to the southeast of the building.
Please call me if you have any questions.
Sincerely,
0"i�-�-
t Thomas R. Center Jr, P.E.
Cc w/encl.: Jay Sweet ,3 D�
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