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SEP-0156-2019TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518) 761-8201 Yry' u G" 4 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: SEP-0156-2019 Tax Map No: 289.13-1-12 Permission is hereby granted to: Thomas Babcock, Marybeth Babcock For property located at:15 CHESTNUT 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: Thomas Babcock Septic Disposal-Residential 0.00 Owner Address: 7 Greenfield CT Total Value 0.00 Clifton Park,NY 12065 Contractor or Builder's Name/Address Electrical Inspection Agency Stone Industries 4305 Route 50 Saratoga Springs,NY 12866 Plans&Specifications Septic Variance: BOH 23,2019 Septic Alteration 150.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, June 19, 2020 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; Thursday, June 20, 2019 SIGNED BY:for the Town of Queensbury. Director of Building&Code Enforcement E'— 015b--2- 1'5 Office Use Only l SEPTIC DISPOSAL PERMIT APPLICATION Permit It: Permit Fee: $7,( ° ; Invoice#: / g.q Town of Q eensbury Septic Variance?Yes No 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.queensbury.net Tax Map ID#: 289.13-1-12 qia MAY : 2 K ; ¢ , 15 Chestnut Road y u 6 0,.Project Location: TOWN (Jr CIUCi,i.,SBUUY COMMUNITY DE V'ELCPENT • Applicant: Name(s): Thomas& Marybeth Babcock Mailing Address, C/S/Z: 7 Greenfield Court Clifton Park, NY 12065 Cell Phone: ( 518 ) 469-7048 Land Line: _( Email: Primary Owner(s): Name(s): same as applicants Mailing Address, C/S/Z: Cell Phone: _( Land Line: _( Email: Check if all work will be performed by homeowner only Contractor: Workers' comp documentation must be submitted with this application Contact Name(s): TBD 7 zi/ or'rk?or S-1--er,e ?, Contractor Trade: K Mailing Address, C/S/Z: Cell Phone: _( Land Line: _( Email: Engineer(s): Name(s): Hutchins Engineering Mailing Address, C/S/Z: 169 Haviland Road Queensbury, NY 12804 Cell Phone: _( Land Line: _(518 ) 745-0307 Email: thutchins@hutchinsengineering.com Contact Person for Building & Code Compliance: Hutchins Engineering Cell Phone: ( Land Line: ( 518 ) 745-0307 Email: thutchins@hutchinsengineering.com Septic Application Revised February 2019 RESIDENCE INFORMATION: Year Built Gallons #of bedrooms: X gallons per =total daily flow per day bedroom Garbage Grinder Yes No 1980 or older 150 Installed? (circle one) 1981-1991 130 Spa or Hot Tub Yes No Installed? (circle one) 1992-Present 110 4 110 440 PARCEL INFORMATION: Topography Flat Rolling Steep Slope Slope Soil (Nature Sand Loam Clay Other(explain: Groundwater At what depth? Greater than 74" Bedrock/Impervious material At what depth? Greater than 74" Domestic Water Supply Municipal Well (if well,water supply from any septic system absorption is ft.) Percolation Test Rate: 2:10 per minute per inch (test to be completed by licensed engineer/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION: Tank size see plan 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: 13'x 24'bed with chambers (see plan) Holding Tank System Total required capacity? tank size of tanks NOTES: 1. Alarm system and 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. 3. As-built drawings must be submitted prior to the inspection, if there has been a change to the submitted plans. 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. PRINT NAME:rn e ,,,,, /e DATE: ' 9 SIGNATURE: DATE: 7_ ® / Septic Application Revised February 2019 1 \'D 2-011 RESOLUTION APPROVING THOMAS AND MARYBETH BABCOCK'S APPLICATION FOR SANITARY SEWAGE DISPOSAL VARIANCES RESOLUTION NO.: BOH 23,2019 11:17?-1111INTRODUCEDBY: Mr.Anthony Metivier WHO MOVED ITS ADOPTIONAPR 17 20tg LED SECONDED BY: Mrs. Catherine Atherden WHEREAS, Thomas and Marybeth Babcock(Applicants) filed an application for variances from provisions of the Town of Queensbury On-Site Sewage Disposal Ordinance, Chapter 136 to install a replacement septic system to replace an existing holding tank system as follows: 1.Absorption field to be 4' from the west property line instead of the required 10' setback; 2.Absorption field to be 2' from the south property line instead of the required 10' setback; 3.Distribution box to be 4' from the south property line instead of the required 10' setback; 4.Force main to be 4' from the south property line instead of the required 10' setback; 5.Absorption field to be 68.4' from the neighboring well line instead of the required 100' setback; and 6.Absorption bed to be located partially under the driveway; on property located at 15 Chestnut Road in the Town of Queensbury, and WHEREAS, the Town Clerk's Office published the Notice of Public Hearing in the Town's official newspaper and the Local Board of Health duly conducted a public hearing concerning the variance requests on Monday,April 15th,2019, and WHEREAS, the Town Clerk's Office has advised that it duly notified all property owners Z' l within 500 feet of the subject property, NOW, THEREFORE, BE IT RESOLVED,that 1.due to the nature of the variances, the Local Board of Health determines that the variances would not be materially detrimental to the purposes and objectives of this Ordinance or other adjoining properties nor otherwise conflict with the purpose and objectives of any Town plan or policy; and 2. the Local Board of Health finds that the granting of the variances is necessary for the reasonable use of the land and are the minimum variances which would alleviate the specific unnecessary hardship found by the Local Board of Health to affect the Applicants; and BE IT FURTHER, RESOLVED, that the Local Board of Health hereby approves the application of Thomas and Marybeth Babcock for variances from the Sewage Disposal Ordinance to install a replacement septic system to replace an existing holding tank system as follows: 1.Absorption field to be 4' from the west property line instead of the required 10' setback; 2.Absorption field to be 2' from the south property line instead of the required 10' setback; 3.Distribution box to be 4' from the south property line instead of the required 10' setback; 4.Force main to be 4' from the south property line instead of the required 10' setback; 5.Absorption field to be 68.4' from the neighboring well line instead of the required 100' setback; and 2 6.Absorption bed utilizing the Infiltrator Chamber H-20 System to be located partially under the driveway; on property located at 15 Chestnut Road in the Town of Queensbury and bearing Tax Map No: 289.13-1-12. Duly adopted this 15th day of April,2019,by the following vote: AYES : Mr. Metivier, Mrs. Atherden, Mr. Ferone, Mrs. Switzer, Mr. Strough NOES : None ABSENT: None 3 Onsite Equipment, Inc. P.O. Box 6265 Syracuse, NY 13217 315-254-6891 MAINTENANCE/SERVICE AGREEMENT FOR CLARUS FUSION Project Number: 182-2019-9 Owners Name: Tom & Marybeth Babcock Property Location: 15 Chestnut Road, Lake George, NY 12845 Owners Mailing Address: 306 A Grooms Road, Clifton Park, NY 12065 Email: tom.babcock@lpl.com Phone Number: 518-688-0641 Term: 4 Years; 10-31-19 thru 10-31-23 Start Date: October 31, 2019 This Agreement will serve as acknowledgement that Onsite Equipment, Inc. (Onsite) will provide service on the Clarus Environmental, Inc. (Clarus) Fusion enhanced treatment unit at the above referenced property. Onsite will perform annual scheduled service checks of the Fusion for four years or until the first pump out is required. After this term, the owner must subscribe to the inspection and maintenance program. Applicable regulatory entity may be notified if the agreement is terminated at any time, regardless of the reason. Onsite will check the Fusion for proper operation and notify the owner of any deficiencies that need to be addressed. The cost associated with additional items including replacement of parts, pumping out accumulated foam/sludge or site grading is not included in this agreement. Property owner agrees to operate the unit in accordance with the manufactures recommendations as presented in the Fusion Owner’s Manual. Owner may transfer the benefits of this Agreement to any purchaser or other person who acquires the property where the fusion is located. Onsite is not responsible to redo any service checks delayed or prevented as a result of limited access to the site, no electricity at the Fusion panel, or as a result of an Act of God. Property owner agrees to operate the unit in accordance with the manufactures recommendations as presented in the Fusion Owner’s Manual.