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2007-460 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: P20070460 Date Issued: Monday, March 26, 2012 This is to certify that work requested to be done as shown by Permit Number P20070460 has been completed. Tax Map Number: 523400-289-007-0001-036-000-0000 Location: 19 REARDON Rd Owner: DANIEL J LAWLER Applicant: DANIEL J LAWLER This structure may be occupied as a: Septic Alteration Residential Test Pit/Perc Test Review 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&Yode 046rcernent Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20070460 Application Number. A20070460 Tax Map No: 523400-289-007-0001-036-000-0000 Permission is hereby granted to: DANIEL J LAWLER For property located at: 19 REARDON 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. Tyne of Construction Value Owner Address: DANIEL J LAWLER 12 JONES Ave Septic Alteration Residential HUDSON FALLS, NY. 12839 Test Pit/Perc Test Review Total Value Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2007-460 deep hole perc test for replacement septic system ENGINEER: NACE ENGINEERING AGENT: JAY SWEET $225.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, September 20,2008 (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 Tor�? eens , September 20, 2007 SIGNED BY ` for the Town of Queensbury. Director of Building&Code Enforcement OFFICE USE ONLY - Q / I-'-'3,...6....................................... T MAP N0. PERMIT NO. PERMIT F D 0 41�f v 7 APPROVALS: ZONING TOWN CLERK ' , Fp 4 2�OI ....................................... __--_-- _-_TO N ' E Bl7fnr-- APPLICATION FOR SEPTIC DISPOSAL SYSTEM NG CODES A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER:_ �` 0 �tJ , r INSTALLER: 4rz.., C c'" ADDRESS:,A/— ADDRESS: �f PHONE NOS. PHONE NOS. LOCATION OF INSTALLATION/!� _��' -�'�t�a w ................._........_...................'........................................................#..........................................................................1.....r............................................................................... RESIDENCE INFORMATION. i YEAR BUILT i NO.OF X 1 COMPUTATION= TOTAL DAILY FLOW .... .BEDROOMS j................................................... GARBAGE GRIf�pER ........ ................................... 9 .................................... ...,... 1980 or older X '• 150 gallon per bedroom I = ! INSTALLED? _.............................,......................_. s..........1....................................................,...............................i............,............................................................; 1981 -1991 i X . 130 gallon per bedroom .. a 1 ............ ..... ....... ............................................................................. SPA OR HOT TUQ _..._. ...................................... / ......1992-present ......................��...............X..........110gattonperbedroom ...i...=...y...........: ... ..C.....................................1 INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING_ STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND_ LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? /G BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELLZ-L (IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS,�e) FT. ) ✓ PERCOLATION TEST: RATE IS -Ail(i 3S- PER 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 the septic tank and leach field for each garbage grinder, spa or whirlpool tub. ✓ SEPTIC TANK �' 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:# - /DEPTH OR THICKNESS l FT. ✓ BED SYSTEM SIZE: � X ✓ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE ✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: /SIZE OF EACH ✓ GALLONS./TOTAL CAPACITY. GAL. t............:.....:.:...............................:.:.....:.:.:.......:.:.:.....................:..............:.....:.....:.......:.:.:.:.:.....:.:....................:.,.,.,..,.:.,....:...,.,.,.,.:.,.:.:.:...................................:.:.,..............:...,.,.....................................,.................,.,.,.,........... ,, NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN E APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. r.•u,,,.,,.,,,.u,.u.,,u.............u,u,.....•.,.u....,,.,.,.,,.,u,......,u..u,u.u,.,.,,,.,..u.,,.u,...u„u,.,,u,.,.u,..,..,,.u.u..u...uu,,...,.,.u..uu,u„+u,. li 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 781-82 OR EMAIL Queensbury Sanitary Sewage Disposal Ordinance. codes�aueensaurv.net VISIT OUR WEBSITE FOR MORE INFORMATION Z www.aueeosbury.net Signature f P rson Responsible Date Town of Queensbury • Community Development Office- 742 Bay Road, Queensbury,NY 12804 f TOWN,N OF QUECODE$ Y 4c)BUILD►NG& . z i Y 7 7 . i i 4 � i } 4 Zp� `yt,'Z©1 A0bo4�►�a3 PEO'; E. X-+b�"�e.}� 1 ; t TOWN OF UE B,_ 4 ________ BUILDING Reviewed By /f �, 7-7 i >.�; k°`.;. -= ; �. Septic Inspection Report Office No. (518)761-8256 Date In9INSPECT ffON: Queensbury Building&Code Enforcement Arrive: am/pm742 Bay Rd., Queensbury, NY 12804 InspectNAME: `�LOCATION: RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/Clay Type of Water: Municipal Well Water i 1� f Waterline separation distance ft. 6-" Well separation distance ft. Other wells: ft. Well Casing Length 50' +/- Y N N/A 150'to well required If NO 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 C Distribution Box to Field Pit " �_� O \ Opening Sealed: Y N End Cap N J - In Outlet Pipes&Baffles Y N Manholes 12"or less below grade Y_N 1 [provide extension collar if Yes Y N UJ Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built —Y—N ETU Maintenance Contract Y N provided :Location of System on roperty: Front r Left Side Right Side Middle Front Middle Rear m S s: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved L:\Pam Whidng\2010\Buiiding Codes Forms\Inspectlon Forms\Septic Inspectlon Report,_03 2910.doc NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury, NY 12804 � � Phone-518-745-4400 Fax -518-792-851 D E C E 9 V E August 24, 2007 Dave Hatin Project#49252 Code Enforcement Officer SEP 14 2007 Town of Queensbury 742 Bay Road TOWN OF QUEENSBURY Queensbury, NY 12804 BUILDING& CODES Re: Tim Lawler- 19 Reardon Rd—Replacement Septic System Dear Dave: On July 26, 2007, we performed a deep soil test pit and percolation test at the Lawler property located at 19 Reardon Road in Queensbury. The test was performed to the south of the existing residence in the location where construction of a replacement leach field is proposed and was observed by the Town Engineer Dan Ryan. The residence has an existing septic system that currently requires frequent pump outs, 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 —4" Topsoil Stabilization percolation rate - 1" in 1 min., 38 sec. 4—20" Loamy Fine Sand 20—72 " Fine Sand No Mottling or groundwater observed Roots to 36", Soil became moist @ 108" The hole was presoaked and the test was run 5 times until it stabilized with three consecutive runs of 1:26, 1:33 and 1:38 respectively. The design flow for this 2 bedroom residence at 110 gpd per bedroom requires 231 sf of absorptive area. The replacement absorption bed system for the proposed residence should consist of a new 1,000 gallon septic tank located on the south side of the residence and a 20 foot wide by 20 foot long absorption bed with a distribution box & 4 — 15 foot long laterals located to the south of the residence. Please call me if you have any questions. Sincerely, Thomas R. Center Jr, P.E. Cc w/encl.: Tim Lawler Septic Inspection Report Office No. (518) 761-8256 Date Ins ion r t r c " e . Queensbury Building &Code Enforcement Arrive: D rt: 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials. NAME: -.+At1-) 1=R E IT NO.: Q-7 — y� LOCATION: QEA 9yow> RCS I PECT ON: 9 —t°� —(�7 RECHECK: Comments and/or diagram Soil Type San am Cla Type of Water: Mun ci al ell A&qQ Waterline se aration i nce ft. Well separation distance ►6\ t_tx-lP�€IEft. - v.? t l-- \ 1• �J�'�� Other wells: ft. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length 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 LAY 0 nin Sealed: N End Cap N Inlet/Outlet Pipes&Baffles Y_ N N Location/ Separations " Foundation to tank ft. Foundation to absorption Separation of Pits ft. s per Plot Plan Y N n ineer Re rt nd As-Built Y N Location of System on Property: Front Rear Left Side Ri ht Side Middle Front Xiddle\Rear stem Use!7'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-01-13\13uilding&Codes\Inspection Forms\Septic Inspection Report.doc NACE ENGINEERING., P.C. 169 Haviland Road, Queensbury, NY 12804 Phone-518-7454400 Fax -518-792-851 July 18, 2007 Project#49253 Dave Hatin Code Enforcement Officer Town of Queensbury 742 Bay Road Queensbury,NY 12804 Re: Lawler Property - 19 Reardon Rd—Out of Season Test Pit Request Dear Dave: We are currently working with Jay Sweet to design a replacement septic system for the Lawler Property at 19 Road in the Town of Queensbury. (See map attached) The existing septic system currently runs very slow and we are requesting your approval for out of season high groundwater determination so that we can continue with the replacement septic system design. As you can see on the map provided, we have field measured all boundary conditions and we feel that we can install a replacement septic system without any variances. We would like to schedule this work as soon as possible so that we can complete our design, submit to the Town of Queensbury Building Department for a Septic System Permit and start construction as soon as possible. Please feel free to contact me at 796-2515 if you have any questions and that you for your assistance with this request. Sincerely, Thomas R. Center Jr, P.E. Cc w/encl.: Jay Sweet Septic Inspection Report Office No. (518) 761-8256 Date Inspection uest Queensbury Building &Code Enforcement Arrive: 1;I(\- De �' am/ 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials, NAME: M ' =s' MIT NO.: LOCATION: eC-..f}tZpotJ , �17 NSPECT ON: G— p? RECHECK: Comments and/or diagram Sal!Type: Sand Loam Clay M .-Type of Water: Municipal Well Water Waterline separation distance Well separation distance ft, Other wells: , -Absorption Field: Total lengthft, -Length of each trench ft. 2-- ��- CAR"t Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type \ Rwli Building to tank Tank to Distribution Box Distribution Box to Field Pit Opening Sealed: Y N Partial _ End Ca Inlet/Outlet Pipes&Baffles Y N Location/Se rations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 o? -460 Town of Queensbury• Building&Codes Enforcement Office•742 Bay Road■ Queensbury,NY 12804 DEEP HOLE/PERC TEST Request for Town Engineer Review w. Property Owner: Z z _ u/ �� Phone: Property Owner's l Address: ! ` Ar'_16�k Location of Test: �+ar P-n -Q_ Tax ID#: *Applicant's Engineer: b/4 e-e 4,S,h-eel- 1 j Phone: 7 9�c S-Z 5 Applicant's Agent: .1 w GC�r- Phone: Additional Notes: 1. Reason for Request? New Septic System Replacement Septic System Failed Septic System Subdivision Site Plan Review 2.Are Wetlands present? YES NO UNKNOWN *Note: Applicant is required to engage an engineer for desiqn and testing of the system. The Town Engineer's responsibility is to witness system testing only. PLOT PLAN: Plot plan, to scale, to be submitted with application FEE SCHEDULE: a. $ 200 Flat Fee Date Paid: 7 Z?a10—7 Check No.: CAS kl b. OR Fee to be determined during To Be Determined: Site Plan/Subdivision review process SIGNATURE: In carrying out the provisions of Article IV, the Local Board of Health or the enforcement officer may engage the services of a qualified professional consultant for expert review and recommendation arising from the carrying out of the provisions of Art. IV, including but not limited to the review of plans, specifications and reports, attendance at inspections, dye tests, deep hole test pits, septic related deep hole and percolation tests, system installations, and any other aspect of any matter contained in this Art. IV, and any costs incurred in such review shall be paid to the Town by the owner of the property before any approval can be granted under this Art. IV shall become effective within 30 days of presentment of an invoice for same, whichever is sooner. Such costs shall not exceed $1,500 without prior written notice to the party to be charged with same. My signature below indicates I have thoroughly read and understand the instructions, agree to the submission requirements and have completed the application. I also fully understand that additional engineering fees may be necessary per Town of Queensbury Local Law 136-14D. SIGNATURE OF APPLICANT: Date: SIGNATURE OF AGENT: Date: Original (B &C File) Canary (Planning) Pink(Applicant) Gold (Town Clerk)