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SEP-0139-2019
Office Use Only olSEPTICDISPOSALPERMITAPPLICATION Permit#: Zp t Permit Fee: $ Ir3O ' ; Invoice#: r Tb L Septic Variance? Yes NoTownof(Liccnsbury 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.queensbury.net Tax Map ID#: rA3(. 0-1 - `- D E C LI p VCc JUProjectLocation: tO 5 Li,1Li, ( JUL 03 2013 TOWN OF QUEENSBURY Applicant: BUILDING& BODES Name(s): l" ' %)))) /l - eilem, Mailing Address, C/S/Z: (p l)wl s AlQ/ (q kp ,'2 , /U / ).s Cell Phone: _(' 95 ) bola-Dal)/ Land Line: .5 1K ) 1%,c54-c- 3aS1 Email: FCC LA1/4 666k 66, 0 &'4Aai, atAi Primary Owner(s): Name(s): [ 9 J 131 4 LL( Mailing Address, C/S/Z: 10 jl vif tabit5 61 A1 /,ke 6eo agy's Cell Phone: _( `64#S ) ()ci - (hod©)Land Line: _( I' ) 685- -3QS7 Email: `6( C../Qk (060, 6e ((.01-- .69p,-) El Check if all work will be performed by homeowner only Contractor: Workers' Comp documentation must be submitted with this application Contact Name(s): a65 ( Lf , IV 5 erAW, IA5 .S `< Contractor Trade: Mailing Address, C/S/Z: ‘3 w 4utk. mill ad, (RI/.c limy M 1aSg5 Cell Phone: _( Land Line: _( 5J(6. ) 753 --a(3/ Email: tirciirmigiaits o s,ru4).10.1 Engineer(s): Name(s): C'( 'f woo/ 66" r." • Mailing Address, C/S/Z: n 3 /la s4 iti4,01.ksinAtA, uy Azisc Cell Phone: ( Land Line: _( SA ) 46, 3 --5500 Email: Q )14 @ (IajW p,410301,p.P y tow, Contact Person for Building & Code Compliance: R40/ 4041 Cell Phone: ( S ) 6 / -0y2o/ Land Line: _( Email: - (LAVE 6(FA6E0 6MArt(Ai Septic Application Revised February 2019 RESIDENCE INFORMATION: A A - v_3, sS Year Built Gallons #of bedrooms: X gallons per =total daily flow per day bedroom Garbage Grinder Yes e-O) 1980 or older 150 Installed? (circle one) 1981 1991 130 Spa or Hot Tub Yes o) Installed? (circle one) 1992-Present 110 PARCEL INFORMATION: Topography Flat Rolling Steep Slope Slope Soil Nature Sand Loam _Clay _Other (explain: Groundwater At what depth? Bedrock/Impervious material At what depth? Domestic Water Supply Municipal _Well (if well, water supply from any septic system absorption is ft.) Percolation Test Rate: per minute per inch (test to be completed by licensed engineer/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION: Tank size Apor, 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: rHo ding TankySstem-,} Total required capacity? tank size Z-,x-?? ; #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: r DATE: --7/A SIGNATURE: DATE: 7 //9 Septic Application Revised February 2019 RESIDENCE INFORMATION: Year Built Gallons #of bedrooms: X gallons per =total daily flow per day bedroom Garbage Grinder Yes cNb 1980 or older 150 li Installed? (circle one) 1981-1991 130 3 .b Spa or Hot TubYes i Y Installed? (circle one) 1992-Present 110 ill's- ru/A PARCEL INFORMATION: Topography Flat Rolling i,' Steep Slope 67O %Slope Soil Nature Sand Loam _Clay X Other(explain: Gf Groundwater At what depth? ,J,:c j. .1,1,c Bedrock/Impervious material At what depth? g Domestic Water Supply Municipal _Well(if well,water supply from any septic system absorption is ft.) Percolation Test Rate: ,t!/fr per minute per inch (test to be completed by licensed engineer/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION: Tank size 7oZ0 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 )-7A ft.; Each Tre ch N JlAft. .l Seepage Pit with#3 stone How many: /./14-- ;Size: Alternative System Bed or other type: 14HoldingTankSystemTotalrequiredcapacity? V2;tank size `.t> ;#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 I 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: t" 4 0 DATE: 7,6 I9 SIGNATURE: DATE: 7/41 Septic Application Revised February 2019 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT SEP-0139-2019 Permit Number: 239.20-1-4 Tax Map No: 10 Dunhams Bay Rd LLC Permission is hereby granted to: 10 DUNHAMS BAY RD For property located at: 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 10 Dunhams Bay Rd LLC$0.00 Owner Name:Septic Disposal-Residential 0.00OwnerAddress:10 DUNHAMS BAY RD Total Value Lake George, NY 12845 Contractor or Builder's Name / AddressElectrical Inspection Agency IBS Septic 2 WARREN ST Glens Falls, NY 12801 Plans & Specifications Septic Variance Commercial Septic Alteration 300.00 Thursday, July 2, 2020 PERMIT FEE PAID - THIS PERMIT EXPIRES: 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.) Wednesday, July 3, 2019 Dated at the Town ofQueensbury; SIGNED BY:for the Town of Queensbury. Director of Building & Code Enforcement 1EDAR WOOD ENGINEERING SERVICES PLLC Engineering Supplemental Information Project No.: 18-035 FILE C°9‘1 ESI: The design criteria for the wastewater is taken from the Design Standards for Wastewater Treatment Works in the Lake George Basin" and is as follows: 28 boats)x(20 gal.per day) x (4 days) = 2240 + 5 employees per day) x (15 gal.per person per day)X 4 days = 300 Total = 2540 Gal. Add'! Info: Tank installed on 12" level stone base on bedrock. Warrensburg,NY: 3903 Main Street,Warrensburg,NY 12885. (P) 518.623.5500 Oneonta,NY: 8-12 Dietz Street,Suite 302,Oneonta,NY 13820. (P) 607.441.3246 a(n 4:•i;4'::•:.. ;h' i[a;:>:..;,':`.`• ii:t C"`y1 i',j 1li1-t "1'„M1+ NEWYORI(Depertmel t c1:[ Egyr ;li STA1LOF u: .-Mr L OPPORTura(ry Er1Vli'onmetlt l w s Conservation a is r.i3 ia='`"(2>y%!%l : ?:` t DESIGN ` STANDARDS FO:f :\::•:... . WA TEW TER TREE •••. •••• :• WORKS IN THE LAK- EQRC : ::•'.. .•-:::cz ll •e,, ::ti :ways: 1SIN Y is:t1`•.:.,• ` t „do-..;..:. y flu.:rJ1:i`:•E%tW `h3d.;-,.,„v.. _„:„„„•l` ..,„:„i: :„:::...,,.::'.::. .•: .F March2015 , : hr>-v-A,.;>!• °Y cvt..' =•'a:::•x•:x',:.`,Sis' 7::::a::..;.:M1:•:::::::...;•...i, r?r C.r- L T':X..71..+, Y, iv•isl:-•eY.}-.k,: .'.ii} - ..:1..:::.:. tom - ::-.:... ., w ln .). ...:.....t.:.:.__.: il}:ri.:..:+F`ate r. ,,.:.•....,.::yltii.:.•..i. .r... >va.,5P" ..:.- :,`.tt ii'i _:j...:•a:::!: tl,l,.., ..:,, ••-:t••s<`v:d;•,':::•::::,:`+ s, as P.- , i.:.a;.` •1`+:: Cf aka I Va gl rl pi:Si tl k. gigot w ate ."_,...,,:.. ,:...-.•. ::, 4a.t.,;,,,li m-..:'.':•l:•;t2,t^,.:..::: '.: iy :!ii :ti l^ i: v,:.-:: •':':..5: 5..,.: t.: Yp ^•:.i*: '' 4'•: .:. ^-,:.:... .. St: t... ;:t :: : +:. .....; !•+. + :. t•:. •yd.ra'- teat1. : ^ " :-:.:i-'w;i':'s•I: Ai:=es,. + :: :r• 4 t:7: v;:, -1: r..l•:, . .; . . .. klt:•'':: ti 'tc:'•'. t. : . :: f-.- .> N. ..: s a 1{ f . . :6'r : . . J.t: : iiti..-:,,.' `,. F: r-•ti. :t , ,: y. ,vn...- . .l.. r- A: .....;,wm :.:.., . i •i ' ; :. 1 r i.i:._.-..._ :..: ._._,. p.?'v .: _ .. > .. -r.. : :, 3 > t....},+ ;t, _ _ . 0 . 1 .. Y . Y n: 1:v^ r L :..... Dentist Per Chair23 Drive-In Theater Per Car Space zs terK' ,Ic. >a..Li?,i'.4 5j,,..t ,. 1 ,i2'.-;s i Factory/1?i;triliution Per Ens to ee/shift.k''`" '.r*ryF Y ISt i Warehouse add for showers = 4 t ` •- 10. Fairgrounds Per Visitor 2s 5 4 ; Health Club Per Patron f-```.'`` 24 t,i' Highway Rest Area Per'Travelcr 5 t yany Per Dump Station Vehicle 7 2 4 'ter, :i Hotel Per Sleeping Unit 25 110/l30/150's i` add for banquet halls night club, h:e Pool spa,theatre,etc.4 =st Kennel PerKennel/Run/Cage 50 Laundrornat Per Machine 580 Marina PerSlip zs 20 with shore side restroonl facilities f. . :tOWer; i< ir e t e It ef'lt:It oil f 1I r Migrant Worker Housing p 5 1 lil/13,0/15{1's i• 0 1 tl o• tclhcn,10 add f or i •f 6 e 2$ s.f r L Alr 1 ail C5Z--- 0\3 —zoo CEDAR WOOD ENGINEERING SERVICES PLLC t HDPE Pressure and Leakage Test Report Project No.: j—055- Date: 1--24 i`'/ Location: -avri[1 S A"Y f Ercritf C Description: rgGE ltA.,-10 J i Tester(s): ----; i< , r. .. - Ty A.. 5.0 , 1'YI =i 4g721/ Section Tested: From: 1i1P644 f ''`171 To: + jt.)l A-f- Total Length Tested: 200 ft. Type Pipe: 1 i/4- 1( 1 f6. Duration of Expansion Phase: 4 Lit, (4 hrs Required) Time started: 12 '30 Pam- Time Completed: ev`' 30 .P"^. Duration of Test Phase:I h T 1 hr Required)1 Time started: V,30 f'avv- Time Completed: "fir`3 n P' Test Pressure: ( D 150 psi (Test Pressure should be measured at low point) Leak Testing to be conducted in accordance with ASTM F2164 Pressure Reduced by 10 psi for 1 hour to 140 psi 5% of Target Pressure 142.5 psi Pressure @1 hour into Test Mg-psi Pass Fail Name of Tester: tg 412f/ Signature of Tester: Name of Inspector: pro-r I 4? Signature of Inspector:24-g p aiej. Warrensburg,NY: 3903 Main Street,Warrensburg,NY 12885. (P) 518.623.5500 Oneonta,NY: 8-12 Dietz Street,Suite 302,Oneonta,NY 13820. (P)607.441.3246 _20L9 RESOLUTION APPROVING SANITARY SEWAGE DISPOSAL VARIANCES FOR 10 DUNHAM'S BAY ROAD, LLC RESOLUTION NO.: BOH 249 2019 E CffE INTRODUCED BY: Mr. George Ferone WHO MOVED ITS ADOPTION APRSECONDED BY: Mr.Anthony Metivier s OWW OFPURY13tJILDIES WHEREAS, 10 Dunham's Bay Road, LLC (Applicant) applied to the Local Board of Health for a variance from Chapter 136, §136-11 which requires applicants to obtain a variance for a holding tank, as the Applicant wishes to install a 6,000 gallon capacity holding tank,thus meeting the required total capacity of 6,000 gallons, and WHEREAS, the Applicant has applied for an additional variance from Chapter 136 to replace the existing pump in the building with a pump station, such pump station to be located at the current distance of 287' from Lake George in lieu of the required 50' setback on property located at 10 Dunham's Bay 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 conducted a public hearing concerning the variance requests on Monday,April 15t',2019, and WHEREAS, the Town Clerk's Office advised that it duly notified all property owners within 500 feet of the subject property, NOW,THEREFORE,BE IT RESOLVED,that: 1. due to the nature of the variances, it is felt 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 1 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 Applicant; and BE IT FURTHER, RESOLVED, that the Local Board of Health hereby approves the application of 10 Dunham's Bay Road, LLC for variances from the Sewage Disposal Ordinance to allow installation of a 6,000 gallon capacity holding tank, thus meeting the required total capacity of 6,000 gallons, and the replacement of the existing pump in the building with a pump station, such pump station to be located at the current distance of 287' from Lake George in lieu of the required 50' setback, on property located at 10 Dunham's Bay Road in the Town of Queensbury and bearing Tax Map No.: 239.20-1-4, and BE IT FURTHER, RESOLVED, that the Town Board authorizes and directs the Town Clerk to forward by certified mail a certified copy of this Resolution to the Adirondack Park Agency for its review,and BE IT FURTHER, RESOLVED, that this approval Resolution shall not be effective until 30 days after such notice to the Adirondack Park Agency and shall be subject to any lawful action by the Adirondack Park Agency during such period. Duly adopted this 15t`day of April,2019,by the following vote: AYES Mrs. Atherden,Mr. Ferone,Mrs. Switzer,Mr. Strough, Mr. Metivier NOES None ABSENT: None FILE COPY RESOLUTION SETTING PUBLIC HEARING ON SEWAGE DISPOSAL VARIANCE APPLICATION OF 10 DUNHAM'S BAY ROAD, LLC ICEng RESOLUTION NO.: BOH 20,2019 U INTRODUCED BY: Mr. George Ferone JUL 0 3 2019 WHO MOVED ITS ADOPTION NSBC j TOWN OF CtUEE RY BUILDING&CODES SECONDED BY: Mrs. Jennifer Switzer WHEREAS, the Queensbury Town Board serves as the Town's Local Board of Health and is authorized by Town Code Chapter 136 to issue variances from the Town's On-Site Sewage Disposal Ordinance, and WHEREAS, 10 Dunham's Bay Road, LLC (Applicant) has applied to the Local Board of Health for variances from Chapter 136, §136-11 which requires that an applicant obtain a variance for holding tanks, as the Applicant wishes to install a 6,000 gallon capacity holding tank, thus meeting the required total capacity of 6,000 gallons, and WHEREAS, the Applicant has applied for an additional variance from Chapter 136 to replace the existing pump in the building with a pump station, such pump station to be located at the current distance of 28'7" from Lake George in lieu of the required 50' setback on property located at 10 Dunham's Bay Road in the Town of Queensbury, NOW, THEREFORE, BE IT RESOLVED, that the Town of Queensbury Local Board of Health will hold a public hearing on Monday, April 15th, 2019 at 7:00 p.m. at the Queensbury Activities Center, 742 Bay Road, Queensbury, to consider 10 Dunham's Bay Road, LLC sewage disposal variance application concerning property located at 10 Dunham's Bay Road in the Town of Queensbury and bearing Tax Map No.: 239.20-1-4 and at that time all interested persons will be heard, and r v BE IT FURTHER, RESOLVED, that the Local Board of Health authorizes and directs the Queensbury Town Clerk to publish the Notice of Public Hearing presented at this meeting and send a copy of the Notice to neighbors located within 500 feet of the property as required by law. Duly adopted this 1 S`day of April,2019,by the following vote: AYES : Mrs. Switzer,Mr. Strough,Mrs. Atherden,Mr. Ferone NOES : None ABSENT:Mr. Metivier N AdirondackSTATEATEOFOF OPPORTUNITY- Park Agency KAREN FELDMAN TERRY MARTINO YG Y Acting Chair Executive Director April 24, 2019 Dave Hatin Director, Building & Codes Town of Queensbury 742 Bay Rd Queensbury, NY 12804 Re: LV2019-0021 Variance Application: 10 Dunham's Bay Road, LLC Town Resolution: BOH 24,-2019- Tax Map Number: 239.20-1-4 Dear Mr. Hatin: Adirondack Park Agency staff-review of the above referenced variance determination has been completed. The applicant proposes to install a 6,000 gallon holding tank and replace an existing pump with a new pump station to be located the same distance from the lake as the existing. Relief is required from the Town Sewage Disposal Ordinance for use of a holding tank and for the pump station to be placed 28.7 feet from Lake George, where a 50-foot setback is required. Based on the information presented in the record, the Agency respects the findings of the Local Board of Health and no further review of this variance is required. Thank you for your referral of this variance determination. Sincerely, i 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 flEDARWOOD ENGINEERING SERVICES PLLC December 19,2019 Matt O'Hara AS BUILT Queen Boat Co. 10 Dunhams Bay Rd Lake George,NY 12845 Re: Dunham's Bay Sanitary Hold & Haul Project Record Drawings & Engineering Certification Mr. O'Hara, Cedarwood Engineering Services, PLLC (Cedarwood) is submitting the following record drawings and final inspection report for the above referenced seasonal use project. Cedarwood is submitting the documentation to the Owner and the Town of Queensbury Code Enforcement Officer to close out the project(electronic submission only,no hard copy to follow). It is advised that the Owner follow the recommended operational and maintenance requirements for the constructed facility including, but not limited to, periodic inspection of the monitoring well located near the hold and haul tank, and inspection of the associated pump station controls and alarms due to the close proximity of the project to Lake George. Please note that the following items were not designed by Cedarwood, and are not included in the certification and/or record drawings; 1. Hold& haul concrete tank design,by others 2. Jersey barrier retaining wall located behind hold&haul tank,by others Please do not hesitate to contact me with any further questions or concerns at the Warrensburg office number listed below,or by email at jsoukup@cedarwoodeng.com. Sincerely, CEDARWOOD ENGINEERING SERVICES,PLLC Jonathan Soukup Ec: Thomas Suozzo,PE—Cedarwood Engineering Services,PLLC Peter Black—Cedarwood Engineering Services, PLLC Matt O'Hara—Queen Boat Co., Owner John O'Brien—Town of Queensbury, Code Enforcement Officer Warrensburg,NY:3903 Main Street,Warrensburg, NY 12885. (P)518.623.5500 Oneonta,NY: 8-12 Dietz Street,Suite 302,Oneonta,NY 13820. (P)607.441.3246 fEDAR WOOD ` ENGINEERING SERVICES PZLC FIELD REPORT r Date: 8/5/2019 Job No.:16-035 Job Name: Dunham's Bay SITE CONDITIONS: Freedom Boat Club Sanitary Hold and Haul WEATHER: Sunny, 69 deg. F Attending: P.Black(Cedarwood) John O'Brien (Town of Queensbry) Matt Oheara (Freedom Boat Club) The following was observed: 1. The installation and operation of the grinder pump, alarms and flow were observed and accepted. 2. The operation of the Holding Tank alarms and solenoid water valve shut-off was observed and accepted. 3. The installation of the holding tank,monitoring well, liner,vent/carbon canister were observed and accepted. 4. Force Main Piping configuration and devices were observed and accepted. 5. Electrical installation was observed and accepted. 6. The installation conforms to the design documents and is acceptable as constructed. Summary: Based on the above field observations,we believe the holding tank and force main system was constructed substantially in compliance with the design documents and is accepted as constructed. 2 SIGNED. i — Cedarwood Engineering,PLC) Peter M. Black Page 1 1 i r--1:-\7 39-2_0 \c:\ TARRETT Engineers, PLLC Civil&Environmental Erwineerigg Transmitted via email August 7, 2019 D E C 1 D W E Peter Black Cedarwood Engineering Services, PLLC FAUG 0 9 2019 3903 Main Street Warrensburg,NY 12885 TOWN OF QUEENSBURY BUILDING& CODES Re: Queen Boat Co. 10 Dunhams Bay Road Queensbury NY Wastewater Holding Tank JE 19-004 Dear Pete, This letter is to certify that representatives from this office visited the Queen Boat Co site at 10 Dunhams Bay Road site during construction of the wastewater holding tank proposed to serve the marina clubhouse. Based on our field observations,we believe that the tank was constructed substantially in conformance with structural plans prepared by this office with the exception that concrete in one lower corner of the poured-in-place tank was apparently porous and was observed weeping water. Repair of the leak using roofing membrane and a concrete sealant satisfactorily eliminated the weeping, as subsequent leakage testing monitored by this office proved acceptable. In summary,we believe the tank is structurally and hydraulic sound. If you have any questions, or would like paper copies of the electronically transmitted documents, do not hesitate to contact us at 518-792-2907 or via email at tjarrett aJarrettengineers.com Sincerely, JARRETT Engineers, PLLC r 2019.08.08 40.11:35:51 -04'00' H. Thomas Jarrett, P.E. Principal Encl: JARRETT Engieers, PLLC drawing entitled: Wastewater Holding Tank Design Freedom Boat Club. Revision 1 dated 05/31/19 Ecopies:John O'Brien, Tn of Queensbury Matt O'Hara,Queen Boat Co. 12 East Washington Street 518 792-2907 Glens Falls, NY 12801 AS BUILT DESIGN MOTEL SPEOWATIONS orearr/off...,":+7174.:aii.F=1.•= a='o'C'd==art/of awn i ALL Citilr Wu lie nao r,tntEriCrx•T UP.,.R1100.•00.5111L.All at ara WO ISIMIN4lx. 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F.U.I1A1/1 MOND OM YKOW••••••OK 1/TAW SMI.COVER MOAK WE C COM V CLOW MOIL AL IRMO mu six cave.t MA IMO Of MK EEK E WWII KA/OS TO Or WK 41.MK KOCKOME WO tr...;,.; ,NM 11 SIASPIALC•01,1011 Mr VW) 7-sw.ou.•K•11) KOS c 0•4=1".1.11•.OWICURING WM.CD1.11.11 cocce mowoor WWI.nov on/ono/ors 1 MC.11.1 RAIAS Ms, I i C POEM ISSUED FOR CONSTRUCTION r.„,,,,n,N,/,,, If•K.SW COPE r0.9041.1, • OW.) Pc'r•ct 1.WOSKOW111.EWE , MIK PK 1L-....0 Ow) 0.AFFv, CAST IN PLACE HOLDING TANK DESI C1. I TANKrKIK i eV VO.S1 43 ,''' WASTEWATER HOLDING TANK F, ' FREEDOM BOAT CLUB SECTION VIEW pout..."ME WID CMEENKIlar fIEWIOW E.E.t JARRETT Engineers,PLLC Eno roman./Engineer, KNOWS YAK rl CAST IN PLACE HOLDING TANK DESIGN P E.•Snal if MT EKWIWITON MEET f ne,r k. N• MK.MO?MOW SCALE:ILLS 1.1==.....----=. ......... EDARWOOD E_ - O '3q ^ \q ENGINEERING SERVICES PLLC FIELD REPORT r,fAq ` Date: 6/22/2019 Job No.: Job Name: Dunham's Bay SITE CONDITIONS: Freedom Boat Club Sanitary Hold and Haul WEATHER: Sunny, 61 deg. F Attending: Jon Soukup (Cedarwood) The following was observed: Met with Bob Springer(concrete contractor) and Adam Riley (client)at approximately 6 AM on Saturday, June 22, 2019. 1. Inspected forms for the tank base with a 4' level, and the top of all forms all appeared to be level. 2. After concrete truck arrived, a slump test was performed at approximately 6:50 AM at the tank site. Due to only one truck required for the pour, only one slump test was conducted. a. The slump was observed to be true, and was tested at 3.25"which was within the limits specified on the plans ("slump at point of placement: not less than 2"nor more than 4") 3. The tank cover was poured on the trailer following the tank base pour at Chris Crandell's shop located at 63 Woodchuck Hill Road in Lake George. 4. 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' O''• 7 A, _,''/,goi .,,..., - , .."..;•*-0 i ;--.•':-?•,' '-'f,--•....----,-. 7".••• -:,, 4.$ i‘. se i, ''..., 00".. 4,71-,eirizq V. ... 1, ft'saitlik.J. 0 404e,4 4- ' " iti: '-;..•,1Al\,•••%. I, ' :Z..?:.' .„ • gill511tflogii,,,. , i• EDAR WOOD ENGINEERING SERVICES PICC FIELD REPORT Date: 6/20/2019 Job No.:16-035 Job Name: Dunham's Bay SITE CONDITIONS: Freedom Boat Club Sanitary Hold and Haul WEATHER: Sunny, 82 deg. F Attending: P.Black(Cedarwood), Adam Riley(FBC) The following was observed: 1. The form used is a standard premanufactured wood concrete form with form ties. r vim.,,, -... q - Base of wall form with Waterstop Waterstop installed correctly. Page 1 NIP aw",er „. r' sr.as-ti - i' A s.... z' y Waterstop installed correctly(inside outermost reinf.)and secured with adhesive. s dd rr j', w. _ ' 1 wN}^NIct i r Horiz. Reinf. Bar at 16"O.C. Page 2 Vert. Reinf.Bar at 15-1/2"O.C. Inspected forms and all sides appeared to be plumb and level. After concrete truck arrived at approx. 4:00 pm,a slump test was performed. Only one truck was required for the pour,only one slump test was performed. a. The slump was observed to be true, and was measured at 2.75 inches,within the limits specified on the plans. Additional pictures from the inspection are attached below. Page 3 t.r- 7 .l: L f s io• '•r..i;.jj, . ' 74 4•' I. vs mar No ems- t - Beginning at North Wall Page 4 t -* f,re 4 ryr , , 401/4 IP N.y r yy 0. w.- of i r y i a w.''gym"` 4 y i.. r ' 4 fi s t r1 T: : "::.:: 75% overall complete Page 5 i vl 1 y•• de it--- n /r E k 1''''. t '"kr•aki,....r S i 4"4 iT 90%complete Page 6 a a Concrete Design/Delivery Slip SIGNED: Peter M. Black(Cedarwood Engineering,P.L.C.) Page 7 EDAR WOOD ENGINEERING SERVICES PLLC FIELD REPORT Date: 6/21/2019 Job No.: Job Name: Dunham's Bay SITE CONDITIONS: Freedom Boat Club Sanitary Hold and Haul WEATHER: Cloudy, 66 deg. F Attending: Jon Soukup (Cedarwood) The following was observed: Met with Bob Springer(concrete contractor) and Adam Riley(client). 1. Observed the tank cover rebar at Chris Crandell's shop at 63 Woodchuck Hill Road, Lake George, NY. a. I was told by contractor and Adam that they are planning to make sidewalls of tank 8" thick instead of 6" called out on plans. This will make the outer dimensions larger, see pictures below. 2. I was informed that they do not have a time when the concrete truck will be around for the pour, and they will call Cedarwood asap once they know the time. b i* R l r . •1 f Approx.3.5"clear span from edge of form. This varied throughout,although 2"min.clear appeared to be met around edges. Page 1 ee 1i ,,...,.. i 6, ... _ 4 1146.: .• t '. 0 S I , , fr l•. t 4 0 8- tall form. A• 0 .1, , •, • *, V . ; • do 1• , 0 1 i 41, ,,, 4 4 . A 7 4 I I e .. .r.' ....", . i. .., J. 5.5"(called out for 6"on center)for short direction. Measured some areas near edges with 6.5"center to center span. Page 2 i A . 4 1 rim irt 4 d 0 a J i z ; . I 4. ti, ' co r t r 4 1 r I, r ' 0,1 1r .1. ' ,,, A. 1$•IF I iiIr i • 4 w f f ' 1, ti I i i t116 4" spacing for access cover rebar. i 01110 tilikr. .ftlf 4 lfAii 4 I Ir A f 1\ la 71 p, r,.IA e• 1 • .\ a 12"on center for long direction rebar. Page 3 4 • , • a ti `7 ! I r I girt' 11111111MEL. Aif r'....".' C AP, Approx. 4" (rebar was centered) in top slab thickness. kw A 1111160.1111111.1•4011;11.1:10•14144Vp, r ' Sy t . p ,. M' t.' Overall picture of rebar and forms. Overall dimensions were 9'-4"x 17'-4",as contractor is making the tank side walls 8" thick,instead of 6"thickness called out on plans. SIGNED: Page 4