2008-328 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Pen-nit Number. P20080328 Date Issued: Monday, July 21, 2008
This is to certify that work requested to be done as shown by Permit Number P20080328
has been completed.
Tax Map Number. 523400-252-000-0001-036-006-0000
Location: 268 Lockhart Rd
Owner. DONALD MULLANEY
Applicant: DONALD MULLANEY
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,
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
(2t 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080328 Application Number. A20080328
Tax Map No: 523400-252-000-0001-036-006-0000
Permission is hereby granted to: DONALD MULLANEY
For property located at: 268 Lockhart 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 Value
Owner Address: DONALD MULLANEY
14639 CRAZY HORSE Ln Septic Alteration Residential
WEST PALM BEACH, FL 33418- Total value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2008-328
septic alteration residential
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,June 25,2009
(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 r
of ns ry; ednesday,June 25, 2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
'--- ` _`_'___/__/_ OFFICE USE ONLY T_5_;
/ 0,5 r
TAX MAP NO. PERMIT NO. 7 PERMIT FEE
APPROVALS: ZONING TOWN CLERK +
, r
:_..---------------------------------"_ "_."_."" ' r fIi i
r
APPLICATION FOR SEPTIC DISPOSAL SYSTEM _ ':
A PERMIT M T BE OBTA ED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.
�'-
OWNER: b C 71e- N----V,1X1Wr7yINSTALLER:
�UQ ADDRESS: �
/ / ..� ADDRESS:
�G� L Qyu G+�,�PHONE NOS. --
7"� PHONE NOS. O
LOCATION OF INSTALLATION: Pl
NO.OF RESIDENCE INFORMATION:
YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW
GARBAGE GRIN
1980 or older X 150 gallon per bedroom = INSTALLED?
1981 -1991 X 130 gallon per bedroom = SPA OR HOT
1992-present X 110 gallon per bedroom = INSTALLED?
PARCEL INFORMATION: 7
✓ TOPOGRAPHY: Flat rolling rSteeppe %Slope
i
✓ SOIL NATURE: Sand Loa Clay
✓ GROUNDWATER: At what depth?
✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth?
✓ DOMESTIC WATER SUPLY: Municipal Well (If well, ater s o ny septic
syste ti 1 ft.)
✓ PERCOLATION TEST: Rate is per minute per inch.
(Test to be completed by a licensed professional engi r hitect.)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage dispos stems t b s e
a licensed professional engineer or architect (unless installed in a Planning Board roved o
TANK SIZE: GALLON (MIN. SIZE IS 1,000 GAL.) Add 250 gallons to the s' of t s n
each garbage grinder, spa or whirlpool tub.
SYSTEM TYPE:
❑ ABSORPTION FIELD (WITH NO. 2 STONE) Total length ft. Each trench X
❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size?
❑ ALTERNATIVE SYSTEM Bed or other type?
❑ HOLDING TANK SYSTEM Total required capacity?
Tank size? Number of tanks?
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.
I have read the regulations with respect to this application and
agre abide by these and all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL
Queens ry Sanitar age Disposal Ordinance, codes�aueensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Z"—
www.ciueensbury.net
Si ature of I er n esponsibfe Dale'
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury,NY 12804
B 5-LGL 6/06
t
Septic Inspection Report
Office No. (518) 761-8256 Date Ins ion re�erest r e' .
Queensbury Building &Code Enforcement Arrive: a /_ e am/pm
742 Bay Rd., Queensbury, NY 12804 Inspect 's I itials: ✓
NAME: tj a. PERMIT NO.:
LOCATION: ,� INSPECT ON:
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 Ca Y N
Inlet/Outlet Pipes&Baffles Y N
Location Separations
Foundation to tank ft.
Foundation to absorption I ft.
Se ration otPits ft.
Conforms as la _N
Engineer Report bn As-Built Y N
Location of System on
Front ear Left Side Right Side Middle Front Middle Rear
Syskm Use
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
RECORD PLAN DRAWING SUBMISSION
FOR
REPLACEMENT SEPTIC SYSTEM
Date: July 8, 2008
To: Town of Queensbury
Building Department
742 Bay Road
Queensbury,NY 12804
Re: Mullaney Residence
268 Lock Hart Mountain Road
Lake George,NY 12845
To Whom It May Concern:
Find enclosed an l 1x17 record drawing depicting the replacement septic system as it
was constructed at the above noted address.
If you have any questions please call.
Ryan K. Riper, P.E.
225 Ruggles Rd.
Saratoga Springs,NY 12866
Ph. 518-817-0099
Encl.
s1V
1
Septic Inspection Report
Office No. (518) 761-8256 Date InspectioD request received:
Queensbury Building &Code Enforcement Arrive: am/prr� Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's nl ials: —tom
NAME: PERMIT NO.: 'J
LOCATION: h�l INSPECT ON: —
RECHECK:
Comments and/or diagram
Soil Type: nd Loa
Type of Water: Mun ell at
Waterline se arat nce ft.
Well separation distance ' -ft.
Other wells: ft.
Well Casing Lencith 50' + - Y N N/A
Absorption Field: Total length ft.
Length of each trench ft.
De th of trenches
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: N
End Ca Y N
Inlet/Outlet Pipes&BafFles Y N
Location Separations
Foundation to tank ft.
Foundation to absorption ft.
Se ration of Pits ��ftConforms as r Plot Plan
Engineer Report and As-Built Y N
Location of System on Property:
r�
Front R ar Left Side Right Side Middle Front Middle Rear �� j�
System Use t
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
""'ITIONDISTANCESFROM WASTEWATER SYSTEM COMPONENTS Disposal Field Re—
Min,W cS$ing
vftumar Requirements
#of
to ;;;7),I Design Length of
'-wrow Mft) is) Req'd
Septh,tank J-%K Bdrms Pere. Rate Absorption Trench W 4 1-5 min/inch 184 NORTH General Not
So, tor See NYSDOH's"Appendix 75-A,Wastewater
b� too, 10,
Ab-,Pd—N.W 10111
20"
for
Treatment Standards-Individual Household systems.
too,Is) 20' Number of Laterals
pit low 20' to 20, 4 E C IE 9 W E
D'y"I(',W 100' 1. to- 20' Len th Of Each Lateral So- F &"Individual Residential Wastewater Treatment
S, Systems-Design Handbook"for additional design
MW-d Syoi�tom) so, 25' 2W 10, Total 200,
'c' +oo cal 10, 20,
FBfr loo JUN 2 i 2008 and installation requirements.
ft0ftd Or
Soils Info
ao PT Percolation information on this sheet is for septic system
C-== 1007-1tar tion Test design
27 10, Xr DTP=Deep Test pit TOWN OF QUIP: 11%,`-,-BURY Purposes only,
3,
an.it"Pnvr IQ- 10, On 5" BULDING �'S Construction shall be
- compact SANDY Topsoil �)DES
ftl---out.V.. 100, so, 20' lo- 2W OPE as shown on this drawing and in
NOTES: aw w, 20' lo, IQ, 5'!-84" Light Brown SAND loam,few cobbles accordance with all NYSDOH and system
("I)P when
fsde,,Wi,",e,,trt.,&,mmr'1 Syarsms are located In Copret,gravel Of Upgrade andin t PT&DTP Performed on 05/19/08 manufacturer's requirements.
genera feet away from the well
((bl Malin high water Me*011'the closes'Parr or the treatment system shall be at fee he Stabilized Percolation Rate=3 MirOnch BARN All
work must comply with local,state&federal safety
C)For all yet. mark. all 20D
Measured from the Me,InvO No Ground Water or Rock observed. regulations,(OSHA,NYSDOT).
(d) I"the pleceme"I of fit#material,Separation dishmoes am Any waterloo a,"lope or the��nr®m
LOT 5 29AC
servi . Service S, --------- AN utilities shag be
Service I no,we "S'Undo'Pressure(I a.Public water au Site Information: 4-50,LATERALS
Seepage Pit or slatnosrousehoid$"fee tine)local* ' PPly Ma household located prior to excavating.
the privy shall be ad Within ten feet Of any absorption llaid Topography at disposal Potable water supply installed Inside 4 target diameter water mah,to P�et held is relatively level. Heavy equipment shag be kept away from the disposal
(a) Any water serjoe line under
0 well or body Of water within 100,. 1250GAL.SEPTIC TANK
Service fine, pressure(I a.,public Water supply
main,household field-No vehicles allowed on disposal field.
h of water Mai"centered above the 80wer so both ware,con "stalled with one full
Possible from**IJ to household service 11"e)'Os sing a Sewer Shall be I Recent renovations newer Plumbing fbitures,
the Sewer. Section&6 of the GLU nec"110 Joints are an for as FENCE Smeared trench floor$and walls are to be raked,
Works,Shelf be 1`0110Wd'for- MRS Recommended Standards 10,Water
If) The minimum Separation of water Mains,Sanitary sewers and storm sewers.
water th, I for distance between 8 Septic tank and a co D-BOX ................................. ........ 7. Disposal field shag be graded to shed rainfall and to
=.PP Y well Should be 100 feet Distribut
Ion trenChes/beds,goaps., '- 'On bOxad,and absorption mmunity type Pubf
at I"W 2W feel from Pll�,raised systems Mound n facilities(e.g
• systems,etc.)Shoul�'be Ic •
0 DECK divert surface runoff from adjacent areas.
I Recommended&a community type Public water sup.,3 paration distances. y wells.
12-WX 8. Remove all leaves,roots,plants and Or debris
raWAMECOV.,
. . . . . . . . . . . . . frOrn the
TAM
G"DUM W^-AM IINLET RVIfte disposal field area.
"IER eMwtaLW 371'+/- 9. Recommendation:Install Effluent Fitter in septic tank,
Alhom *485'+/-
OWLAT COW;. (Poly-Lok PL-122)with I rise,or equal.
PATIO
1.E& To the best
SEPTIC TANK of my knowledge this plan conforms to
W ASPH. UNDER CONCRETE F
A;TIO TO BE all town,county,and or state regulations
INLRT
....... DRIVE PUMPED OUT AND FILLED IN
y
LK"D 91 LEVEL 0< DWELLING WITH COMPACTED SAND. or 1-Q:ft,
2.PROVIDE SLEEVE OVER NEW A:
CALILM SEPTIC LINE FROM HOUSE
UNDER CONCRETE PATIO.
46 WAW BE MW 101SITAD 1.Pipe joints to be sealed liquid tight. • 100,
4 4 4 &V*VWYU 2.Speed leveling devices shag be 100'+ ,
Pipes. used on all outlet 0 Lu
a.
PO N%�10EWO" box and distribution laterals should be sloped at least TO WELL 0795 1%
WA MONAN 3.The slope Of Outlet Pipes between the
distribution
4
1/327/fOot and constructed of 4"PVC Sch.40 withSstONP
wey"V111W liquid tight joints.
_W AM Ir WN.MR tD
4.Septic tank to D-box:4"PVc Sch.40 Pipe,liquid
,W
LD 1WAM-WLpoRWZW
LD"Liam DFPM tight joints,min slope 1/8"per foot
Rev. Date
-JP4scription
A Distribution Box
A&14WTM
nsta
T escri tion of Topsoilro
R 0 ettling
Replace
existing septic system With
L FIELD LAYOUT PLAN GravellesS Absorption system.
.,k 4 Earth B ckfill S —__
0
IS P2 lt
a Scale
IV 11 .9 9 Plot plan information obtained from Queensbury GI$
E E
.4 d 4 = =
4 , (0
hLotes. Spacing Of absorption trenches 6'o.c. LIEN Donald& Deborah rah Mullaney
86" SITE LOCATION:
aggregate 0-75"-1.5"diarneter shall be placed under tank.
I-A minimum of 3"of clean sand or pea gravel,or 5"Of washed
2.Minimum tank capacity shag be as follows. 268 Lock Hart Mountain Rd
-For 3 bedrooms or less tank shall be I Ooo gallons. Disposal Tie-in Dimensions QueensburY, NY 12804
-4 bedrooms shag have a 1,250 gallon tank.For each additional
ns;
bedroom add 250 gallons.For hot tub/spa an onal C 250 gallons to tank size for each, and/or garbage grinder add Component A Structure Omer —COUNTY 0-F- Warren, NY
3-House to septic tank:4"PVC Sch.40 pipe, 15„ Tank Outlet B C TOWN OF, Queensbury
1/4"per foot. liquid tight joints,min slope 87" Groundwater Bedrock or 2'Min. D-Box
-box:4-PVC Sch.40 Pipe,liquid tight joints,min slope Invert Lateral 1
4.Septic tank to D impervious layer
per foot. HANCOR 811102IFFUSER 15" NARROW End Lateral I Ryan K. Riper, P.E.
(Model No. 1500BDHCHAMBER DETAIL 225 Ruggles Road,Saratoga Springs,NY 128W
Invert Lateral 4
NTS er rYanrip@nycap.rr.r
End Lateral 4 OM
Phone:518-817.0099
SKETCHES IAGRAMS ARF