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2003-487 TOWN OF QUEENSBURY 12��� 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20030487 Date Issued: Wednesday, July 02, 2003 This is to certify that work requested to be done as shown by Permit Number P20030487 has been completed. Tax Map Number: 523400-253-000-0001-019-000-0000 Location: 2080 RIDGE Rd Owner: DUNHAMS BAY FISH & GAME CLUB INC Applicant: DUNHAMS BAY FISH & GAME CLUB INC This structure may be occupied as a: By Order of Town Board Septic Alteration Residential TOWN OF QUEENSBURY (°°° J '` Director of Building&Code En'rcem�' TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030487 Application Number: A20030487 Tax Map No: 523400-253-000-0001-019-000-0000 Permission is hereby granted to: DUNHAMS BAY FISH & GAME CLUB INC For property located at: 2080 RIDGE 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: DUNHAMS BAY FISH& GAME C Septic Alteration Residential PO BOX 4265 Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans &Specifications 2003-487 DUNHAMS FISH& GAME SEPTIC ALTERATION AS PER PLOT PLAN $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,July 02,2004 (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 ensbu , W e ay,July 02,2003 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: --P,Location of installation: Office Use � �Tax Map No. / / ; File Permit No.3 Owner's Name �' s k ' Fee Paid c c u 1 t t�..�S S -f c-„ Address:____ a_ ',�`> ?cc v nn ri 2. INSTALLER'S NAME � s J �1 PHONE NO. ,72-161S7 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980- 1991 x 130 gal/bdrm = 991 -present x 110 gal/bdrm = Garbage Grinder Installed yes /) #v D Spa or Hot Tub Installed yes 4. PARCEL INFORMATION: (circle applicable information&indicate measurements N �'�NSC3URY TOWOF C� Topography �aphy Soil Nature Ground Water Bedrock or Imperviod8 � 'N-hm�ttiiic Water Supply a . at what depth at what depth municipal Rolling loam p Steep slope clay feet feet —%slope other if well; water supply from any septic-system depth: absorption is ft. Percolation Test: (To be completed by licensed professional engineer or architect) other Rate: .-. minute per inch 5. 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: I eP l o a 0 gallon (min. size 1,000 gal) Tile Field: each trench C 6 ft. Total System Length: </P) ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System:/h if r/ f(lq fc,ff: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) 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 Queensbury Sanitary Sewage Disposal Ordinance. Sign ur responsible person Date Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p D epart: 8 ,%'v am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: Dvd g t 4jc— PERMIT NO.: a 3 - LOCATION: yY1,G- INSPECT ON: D 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. 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/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N '�,D / 64'6'Location of System on Property: N(i4)G6V6'I) 06/6/�)" v� Front Rear Left Side Right Side Middle Font Middle Rear System Use S tus: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\SueHemingway'\I3uilding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ 1p1p��,� Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: --Dv,u tfrIA—g 6,464446— PERMIT NO.: O' jar LOCATION: INSPECT ON: d RECHECK: Comments and/or diagram Soil Typ : Sand/Loam Ci.•<' , Type of ter: Mu • al/ ater Waterline separation distanc- ft. Well separation distance ft. Other wells: _ ft. Absorption Field: Total length C ft. Length of each trench ft. Depth of trenches ft. Size of Stone isV Pi -14 rd 4- Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box K �� Distribution Box to Field/Pit Opening Sealed: Y/NI Partial Location/Separations ale R47 / Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan N Location of System on Property. Q Front Rear Left Side Right Side / 6/1iDf 6N6 STi f oA/ Middle Front Middle Rea System Use Status: Appr d P ial Approved and needs to be re-inspected,please call the Building&Codes Office isapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 ti NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury, NY 12804 Phone-518-745-4400 Fax -518-792-8511 July 1, 2003 Projto 49111 Mr. Jay Sweet ag Queensbury Septic Tank Ji1L PO Box 4283 1 2�03 Bay Road Lake George, NY 12845 Re: Percolation Test & Septic System Design Requirements Dunhams Bay Fish& Game Club, 2029 Ridge Road, Queensbury, NY Dear Jay: At your request, on June 27, 2003, I performed a percolation test at the Dunhams Bay Fish & Game Club on Ridge Road in Queensbury and a review of the proposed replacement septic system. Percolation Test The test was performed in fill material to the south of the existing main club building in the location where construction of a replacement leach field is proposed. The results of the testing provided a stabilization percolation rate - 1" in 2 minute, 35 seconds The test was run in the loamy sand fill at a depth of 24 inches in a 30 inch deep hole. The hole was presoaked with 6 gallons of water and the test was run 5 times until it stabilized with three consecutive runs of 2:11, 2:26 and 2:35 respectively. Septic System Review The proposed replacement septic system includes installing a 1,000 gallon septic tank, a new distribution box, 180 if of infiltrators in loamy sand fill. A maximum design flow of 375 gallons per day was derived from the maximum attendance of 125 people at 3 gpd/person attending a shooting match at the site. The 3 gpd/person was based on the common per person usage listed in NYS DEC Design Standards for Wastewater Treatment Works for assembly facilities. The proposed system is conservative in that it actually provides for a daily flow rate of 432 gpd, which is 57 gpd higher than the design daily flow rate of 375 gpd. Please call me if you have any questions. Sincerel Thomas R. Center Jr., EIT NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury, NY 12804 Phone-518-745-4400 Fax -518-792-8511 June 27, 2003 Project #49111 Mr. Jay Sweet 17 Queensbury Septic Tank "U"' r2 - PO Box 4283 TOw r, Bay RoadkiRy , Lake George, NY 12845 Re: Percolation Test Dunhams Bay Fish& Game Club, 2029 Ridge Road, Queensbury, NY Dear Jay: At your request, on June 27, 2003, I performed a percolation test at the Dunhams Bay Fish & Game Club on Ridge Road in Queensbury. The test was performed in fill material to the south of the existing main club building in the location where construction of a replacement leach field is proposed. The results of the testing are as follows: Percolation Test Stabilization percolation rate - 1" in 2 minute, 35 seconds The test was run in the native sand and gravel at a depth of 24 inches in a 30 inch deep hole. The hole was presoaked with 6 gallons of water and the test was run 5 times until it stabilized with three consecutive runs of 1:12, 1:33, 2:11, 2:26 and 2:35 respectively. Please call me if you have any questions. Sincer , Thomas R. Center Jr., EIT BUILDING 1 ; 'AEFT. REVIEWED BY , DATE 76 "I have seen or observed, or believe I saw evidenc of, REC C I\�F all objects such as houses, wells, trees, fences, etc., shown on this document. I also represent that I have / JUN 2 7 2003 personally measured the distances set forth on the diagram." 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