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SEP-0118-2019TOWN OF QUEENSBURY 742 Bay Road, Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: SEP-0118-2019 Tax Map No: 227.13-2-10 Permission is hereby granted to: Joseph Monahan For property located at:3 FIELDING 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 Owner Name: Joseph Monahan Septic Disposal-Residential 0.00 Owner Address: 522 Fordham PL Total Value 0.00 Paramus,NJ 07652 Contractor or Builder's Name/Address Electrical Inspection Agency Nick Daigle Construction 19 BOULEVARD Queensbury,NY 12804 Plans& Specifications Septic Variance Residential Septic Alteration 225.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,April 6, 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; Friday,April 5, 2019 SIGNED BY.for the Town of Queensbury. Director of Building&Code Enforcement SEPTIC DISPOSAL PERMIT Office Use Only DATE 2- 5-10 Received Tax Map ID TAX MAP ID 22 .13-Z-/A Permit No. P- b\\t •20 \1 J J Permit Fee 1-5 LOCATION OF INSTALLATION 3 Jr+e J"!^' S4 A als: 1VP*PQ-\ , 13 Qt"tt,tsb...7 ,NY /z go/ APPLICANT eie'c M41 1bJ , I g. Or S, r f.,tee..h.l PHONE/E-MAIL 3/C-2 C ¢- tla g 7A 1 ADDRESS A'a. +3o)e dZ S 5-(Pac;,wa./, NY all-4- INSTALLER/BUILDER: 19 a.%55/1 S ,4..t' ?ssA.J PHONE/E-MAIL s-/e "4-1 v"" ADDRESS:7/8e,v/ev41 A Al i.eG ci.,Aiey/`A.141 /2 $ of OWNER P. l bq/LLi1(x 1 J r/ PHONE/E-MAIL Address 72Z Fnrdt+aw. pt"ce`I Pa,-a. ti.S,iv-s o 57- Q t CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: GR1 G ,Gt,,,ir-o oh.t.y• PHONE 3/S-Z5 #---6 ST1 RESIDENCE INFORMATION Year Built of bedrooms X Gallons per bedroom =Total Daily Flow 1980 or older 3 fie, 3.34.- Garbage grinder installed _Y 'N 1981-1991 Spa or Hot Tub installed Y XN 1992-Present PARCEL INFORMATION Topography Flat rolling Steep slope F.AT%slope Soil Nature X Sand Loam Clay Other Groundwater At what depth? Y$ N i3 ra A.y 1# Bedrock/Impervious Material At what depth? AibsT G'Cotm4$ Domestic Water Supply unicip 1/e II (if wef(,,water supply from any septic system absorption is ft.) p pr.,. I fC L rf eaa"-- Percolation Test Rate: .Sr per minute per inch (test to be completed by licensed engineering/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION n Tank Size Obb gallons(minimum size 1,000 gallons, add 250 gallons to size for each'gat' ge'grinder ors a'o• t ,ub) System Type,/4 Absorption field with#2 stone Total length_ ft.; Each tj cii 1 1x 2U1JII1MAR J IV /A Seepage Pit with#3 stone How many: size `1 AR N fA Alternative System Bed or other type? rn Y N/ iA Holding Tank System Total required capacity? Tank size of tanks ek .. /S 77A C/' vc F S,o /ex httA Aci -7,era r-: - Notes: 1)Alarm systemce r& 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 & approved. The installed system must match the septic system 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 know by or on behalf of an applicant, shall be void. I have read the regulations and agree to abide by these and all requi ments of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Print Name: r4- Date: /--6--J8 Signature: --- •' as!'s'rL./Xt- Date: /2-' /g Town of Queensbury Building&Codes Septic Disposal Permit July 2014 NEWYORK Adirondack STATE OF OPPORTUNITY. park Agency KAREN FELDMAN TERRY MARTINO Acting Chair Executive Director April 11, 2019 E E D Mr. Dave Hatin APR 15 20 Director, Building & Codes Town of Queensbury TOWN OF t1UEENSBURY 742 Bay Rd BUI!DING&CODES Queensbury, NY 12804 Re:-LV2019-0019 Variance Application: Monahan Town Resolution: 19, 2019 Tax Map Number: 227.13-2-10 Dear Mr. Hatin: Adirondack Park Agency staff review of the above referenced variance determination has been completed. The applicant proposes to replace an existing cesspool with a new on-site wastewater treatment system. Relief is required from the Town dwelling to dispersal location setback (20 feet required, 5 feet proposed). Based on the information presented in the record, no further Agency review is required for this variance since the project does not involve provisions of the Adirondack Park Agency Act. Thank you for your referral of this variance determination. Sincerely, f .— Robyn Burgess Principal Adirondack Park Local Planning Assistance Specialist REB:KOK:ap cc: John Strough, Supervisor, Town of Queensbury Craig Brown, Zoning Administrator, Town of Queensbury Caroline Barber, Town Clerk, Town of Queensbury P.O.Box 99•1133 NYS Route 86•Ray Brook, NY 12977•Tel:(518)891-4050•Fax: (518)891-3938•www.apa.ny.gov Aih. ENGINEERING , PLLC June 3, 2020 Town of Queensbury Attn: Mr. Charles Dyer, Codes 742 Bay Road Queensbury,New York 12804 CharlesD@queensbury.net RE: Onsite Wastewater Treatment System Final Inspection Monahan Cottage 3 Fielding Place Queensbury,New York 12801 Dear Mr. Dyer: The undersigned completed final observation of the above-referenced onsite wastewater treatment system on May 7,2020. Construction observation was completed during the construction phase. The installation was completed in substantial conformance with the intent of the design drawings dated February 13,2019. Do not hesitate to contact me at(315) 254-6891 if you have any questions. Sincerely; QA Q.o L Eric E. Murdock, P.E. cc: Mr. Joe Monahan, Owner ONSITE ENGINEERING I PO BOX 6265 , SYRACUSE , NEW YORK 13217 I TEL 315 . 254 .6891 PROTECTING OUR LAKES AND RIVERS I W W W . O N S I T E - ENGINEERING . U S Onsite Equipment, Inc. 6.: a', •- P.O. Box 6265 V. Syracuse, NY 13217 315-254-6891 MAINTENANCE/SERVICE AGREEMENT FOR CLARUS FUSION Project Number: 181-2018-103 Owners Name: Joe Monahan Property Location: 3 Fielding Place, Queensbury, NY 12801 Owners Mailing Address: 522 Fordham Place, Paramus, NJ 07652 Email: jmonahan58@gmail.com Phone Number: 917-596-8336 Term: 4 Years; 5-7-20 thru 5-7-24 Start Date: May 7, 2020 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. The undersigned agrees to the terms of this Inspection & Maintenance Agreement. Owner Date