2004-375 _ TOWN OF QUE E NSB URY
w742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20040375 Date Issued: Monday, January 28, 2008
This is to certify that work requested to be done as shown by Permit Number P20040375
has been completed.
Tax Map Number. 523400-289-006-0001-026-000-0000
Location: 48 DINEEN Rd
Owner. ROBERT SLACK
Applicant: SLACK PROPERTY MANAGEMENT, LLC
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
fil
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& ode E oitement
Planning Board or Zoning Board of Appeals.
1
gia.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Fli T4r0
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040375 Application Number: A20040375
Tax Map No: 523400-289-006-0001-026-000-0000
Permission is hereby granted to: SI,ACK PROPERTY MANAGEMENT. 1J,C;
For property located at: 48 DINEEN 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: SLACK PROPERTY MANAGEMEN
124 BAY St Septic Alteration Residential
Total Value
GLENS FALLS, NY 12801-0000
Contractor or Builder's Name / Address Electrical Inspection Agency
OI TEENSBI TRY SEWER
JAY SWEET
Plans&Specifications
2004-375
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, June 02, 2005
(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; Wednesday, June 02, 2004
SIGNED BY(7.1) W for the Town of Queensbury.
Director of Build C Enforcement
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
Office Use
Location of installation: 115 e e4 .091 -7
File Permit No. Q u _3/ 5
Tax Map No.287,4, / / / ,
DD • Fee Paid .950
Owner's Name: TIGbe/'1 5/, c, '
Address: )Z &y sr, iP.y.5 C/-:,/111
2. INSTALLER'S NAME : in/ S4/e e f PHONE NO. 36'/-W
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 =
1991-presenter 3 x 110 gal/bdrm = 3,3e5
1%111/re/ /iet' A/Po0/e Pornp�.,7 (176r,1,es kk
Garbage Grinder Installed yes_ / no
Spa or Whirlpool Installed yes_ / no y
Y r .Y
4. PARCEL INFORMATION: (circle applicable information&indicate micasurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
Flat at what depth at what depth municipal
Rolling oam feet �I `" eet well
Steep slope clay if well;water supply
slope other
N� 0 n/15 from any septic-system
depth: 7Ze absorption is f t.
other //}-,ye G�j}TP,•
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: i{m:ti/7S0( 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: f/OPO gallon(min. size 1,000 gal.)
T. • each trench ft. Total System Length:
Seepage Pit(s): number o o each: ft. by ft•
Size of Stone to be us • I depth or t i eet
m Size:Alternative System: .?/si,lV lti/,'7-1u5 length and/or size %G 4 F
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.
V-.1-‘717/0"2 0//eel
Signature of responsible rson Date
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection
Queensbury Building&Code Enforcement Arrive: it: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's I als: -�-�
NAME: 5/4 ERMIT NO.: 2- J 7S
LOCATION: INSPECT ON: ( Z_h—OP)
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
End Cap
Inlet/Outlet Pipes&Baffles Y N
Location/ Separations
Foundation to tank _____ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan ...T.N
Engineer Report and As-Built N
Location of System on Property:
Front Rear Left Side Right Side
Middle Fro Middle Rear
m s:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
Septic Inspection Report
Office No. (518) 761-8256 Date Ins ection eq -st ,,•-iv-,.
Queensbury Building&Code Enforcement Arrive: kry, 0, �D .. : 1.,' ji,'� .-
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initia :. s"�
NAME: t��0\G PE' IT NO.: 7.- 4-
5F4
�r.1 INSPECT ON: . --
RECHECK:C
Comments and/or diagram
Soil Typ : Sa d oam/Cla
Type of Municipal/ Villir
Waterline separation distance D D ft.
Well separation distance ir')c"'ft.
Other wells: ft.
Absorption Field: Total length T ?. ft.
Length of each trench /, w lip ft. -��e_s -Zt• ^,.A,l
Depth of trenches ft.
Size of Stone C,00C,V
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank 10-1- 1brA
Tank to Distribution Box •U
Distribution Box to Field/P. 11't 601;1\ .`Fj
Opening Sealed: Y/N/ artial __-
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft. ZC`��
Conforms as per Plot Plan Y y-71
Location of System on Property:
1
Fron Rea Left Side Right Side
Middle Front Middle Rear
System Use Stat s:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
Li\SueHemingwayU3uilding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
i
row n
ACCESS HATCH \ 69z `ay • A
RECOMMEND ALL ACCESS 69a 4i. �Y
APPROXIMATE CIEANOUT OPENINGS
FINISH GRADE BE RAISED TO 8 BELOW CONCRETE OR STONE
FINISH GRADE. MARKER ABOVE ALL
BURIED COVERS `� �
FINISHED RECOMMENDED. 'Sa_
BELECTRICAL GRADE cc �
OXCTION
SON, pm INLET BAFFLE 12" MIN. COVER OVER 59 ��
ALL STRUCTURES bt /
8R : Z /1 DISTRIBUTION BOX
PUMP &k BY FORT MILLER OR
--i► 4" PVC
3 EQUAL
MIN. SLOPE _ i I
/ PER FOOT pA,
ALARM ON _ E 1-1 " FORCE MAIN 1 4• MIN. SLOPE
PUMP ON tO TO DRAIN 1/8" PER FOOT » 39
" BACK TO PUMP STATION o � 63 _.r•
SYSTEM 02 - 3 USE 2-1/2" PIPE IF � ALL OUTLET INVERTS ►o i� 3m mm _ _ 37 _Z.�
( SYSTEM #1 — 15CIO GAL SEPTIC TANK woo TO BE SET AT
PUMPING INTO SEPTIC TANK) SYSTEM �12 — tOCb GAL SEPTIC TANK PEA EXACTLY THE SAME ^" Y• —~� 36
GRAVEL ELEVATION.
PUMPS OFF .: '. CHECK VAL• BY FORT MILLER OR INLET & OUTLET
1 : USE OF SPEED LEVELERS
N 1 r . . EQUAL BAFFLES DISTRIBUTION BOX ENCOURAGED) _.R-
� SEPTIC TANKS � N.T.S. � %,, ,.,. ..., '•ti,,
' CONCRETE TO BE 1. ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK
° * TROWEL FINISHED STATE DEPARTMENT OF HEALTH AND SHALL BE PRECAST CONCRETE �,� z3 LIE
� \
4—0 I.D. PRECAST CONCRETE AS MANUFACTURED BY FORT MILLER OR EQUIVALENT.
MANHOLE WITH INTEGRAL BAS MERCURY FLOAT EFFLUENT PUMP 2 All STRUCTURES TO BE PLACED ON FIRM, COMPACT SAND OR
AND FLAT SLAB TOP. SWITCH WITH
AS MANUFACTURED BY FORT MILLER WEIGHT (TYP.) (USE SEWAGE PUMP ARE
E FOUNDA ON. WHEREVER
H•1ER V�EXISTING
FOUNDATION
DAc��D171ONs MINIMUM 2x NAorH
IF PUMPING INTO NECESSARY TO ACHIEVE A STABLE FOUNDATION. MAXIMUM 4x WIDTH \ev• 3i
OR EQUIVALENT SEPTIC TANK)
(NO LADDER RUNGS) CONSTRUCTION DESIGNED FORTH 20�L LOADING,BE EXTRA HEAVY � \\ n
PRCIJECT LOCATION
PROVIDE 3*PEA GRAVEL UNDER -��°��� SEPTIC TANK
SEWAGE PUMP STATION FOR SYSTEM #2 ,
N.T.S.
NOT TO SCALE t
O
i. PUMP TO BE EFFLUENT PUMP RATED AT A MINIMUM OF 20 GPM
LOCATION MAP
AT 15 FEET TOTAL DYNAMIC HEAD. PUMP TO BE 1/3 HP GOULDS
MODEL 3885WE03L OR EQUAL. z
F� Fil2. IF PUMPING INTO SEPTIC TANK, PUMP TO BE RATED FOR RAW SEWAGE. r , �
PUMP TO BE 1/2 HP GOULDS MODEL 3886WS05 OR EQUAL. INSTALLATION OF DISPOSAL FIELDS �./ a
SOILS DATA SEPTIC SYSTEM DESIGN H 0
3. PUMP CONTROL PACKAGE TO BE SUPPLIED BY MANUFACTURER. T^ 3
AUDIBLE AND VISIBLE ALARM TO BE ACTIVATED BY ALARM FLOAT V1
1. CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING, SYSTEM w
AND SHALL BE IN ACCORDANCE WITH THE N.Y.S. TEST PIT #1
DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS, AND 0-31 MISC. GRANULAR FILL DESIGN FLOW - 4 BEDROOM HOUSE �+ A
ASTM F481-76 INSTALLATION OF THERMOPLASTIC PIPE AND 31-36" ORIGINAL TOPSOIL - 4 BEDROOMS ® 110 GAL./DAY/BDRM = 440 GPD C � „CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS. 36-72" SAND W/ GRAVEL & COBBLES TRACE SILT 0
2. NO HEAVY EQUIPMENT SHALL BE ALLOWED WITHIN THE LIMITS SYSTEM #2 U
OF THE DISPOSAL FIELDS AFTER PIPE INSTALLATION HAS BEGUN. M� W A
DESIGN FLOW - 3 BEDROOM HOUSE
3. AFTER EXCAVATION OF 4' WIDE TRENCH TO THE DEPTHS REQUIRED, NO MOTTLING OBSERVED C"'I �MY1 0
THE WALLS AND FLOOR OF EACH TRENCH SHOULD BE CLEANED - 3 BEDROOMS ® 110 GAL./DAY/BDRM = 330 GPD ^ � w
AND RAKED TO ACHIEVE AN EVEN SURFACE AND TO LOOSEN PERCOLATION RATE - 2 MINUTES 17 SECONDS PER INCH a4 0 �
SMEARED SECTIONS OF TRENCH. N a)
SEPTIC TANK - USE 1250 GAL TANK FOR SYSTEM #1 & 1000 GAL TANK FOR SYSTEM #2 W F+� 1
4. PLACEMENT OF CONCRETE SAND IN-DRAIN UNITS, PERFORATED PIPE, TEST PIT AND PERC TEST BY NACE ENGINEERING - 5/1/04
AND GEO TEXTILE SHALL BE AS SHOWN AND IN ACCORDANCE WITH M ^
ELJEN IN-DRAIN DESIGN MANUAL AND NYSDOH APPROVAL CONDITIONS. c h+l
ABSORPTION FIELD - TEST PIT SHOWS MISC. FILL & TOP SOIL TO 36"
5. THE PIPE E IN-DRAIN UNITS SHOULD BE LAID AT THE GRADES - CONTRACTOR SHALL REMOVE MISC. FILL & TOP SOIL COMPLETELY AND
AND TO THE RELATIONSHIPS SHOWN ON THIS DRAWING, MAINTAINING O
STRAIGHT CONTINUOUS GRADES WITHOUT SAGS, HUMPS, SEPARATED NEW GRASSED AREA TO 5' OUTSIDE NEW SEPTIC SYSTEM & REPLACE WITH GRANULAR FILL. 0
JOINTS OR OTHER UNSUITABLE CONDITIONS. THE PIPE SHALL BE LAID - PERCOLATION RATE OF FILL MATERIAL SHALL BE BETWEEN 1 MIN/INCH
WITH THE HOLES DOWN IN ALL CASES. MINIMUM AND 5 MIN/IN MAXIMUM.
6. ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL
AND TO DIVERT SURFACE RUNOFF FROM ADJACENT AREAS AWAY - ELJEN IN-DRAIN SYSTEM PROPOSED DUE TO SITE CONSTRAINTS.
FROM THE DISPOSAL FIELD.
7. NO PART OF THE DISPOSAL FIELD SHALL BE INSTALLED UNDER DRIVEWAYS. I 100 SYSTEM #1 - AT NYSDOH APPLICATION RATE 52 L.F. OF ELJEN TRENCH REQUIRED.
4" PERFORATED PIPE GEO-TEXTILE COVER (� - USE BED WITH 2 LATERALS EACH 28' LONG = 56 L.F. TOTAL.
_ C
TYPAR 3401 OR EQUAL ; t SYSTEM #2 - AT NYSDOH APPLICATION RATE 39 L.F. OF ELJEN TRENCH REQUIRED.
17" MAX. — — - •,
" " ' OAD
- USE BED WITH 2 LATERALS EACH 20' LONG = 40 L.F. TOTAL.
I�I- SLOPE 1/16 -1/32 PER FT. LIMITS OF EXISTING �CRUSHED STONE
.....................
j
.• 10" MIN,
• .. .. SLOPE ; �•��-- �- .-•�
• .a ••• • MAP REFERENCE:
Cq
r' •'L••• •o •• ••O•• •�•�• �• •• ' \/�
t
o> i B I LC 0 ►...,
i SYSTEM - -
i
#1 2
.:,...... . .....:.... MAP
28 LF LATERALS OF la, r t �` OF A SURVEY MADE FOR
ELJEN IN DRAIN UNITS = 56 LF TOTAL -
t CHRISTINE BERGERON
o
TYPE B IN-DRAIN UNIT CONCRETE SANG MIN.; I � � A
BY ELJEN CORPORATION NYSDOT ITEM 1703-07 ( k to \'• t \\ - k DATED:VAN DUSEN & STEVES w
} \ NEW 1500 GAL. SEPTIC TANK OCTOBER 31, 1996 a z
UPDATED: APRIL, 2004
EXISTING WELL 1
TOWI*4 O� C �J ;�. �,.
GREATER THAN 90' I cs�OD 0 t LACABANA ���� ~
} RESTAURANT - BUILDING & D D T.
BIO-MAT ABSORPTION SYSTEM NOTES* PROPERTY LINE ` w
TOP OF CRO RE IE 0
00
I. END OF ALL DISTRIBUTOR PIPES MUST BE CIRF WED BY �
PLUGGED UNLESS INTERCONNECTED. ELEV. = 98.5 ,.,
STANDARD TRENCH PROFILE 2. ALL LATERALS TO BE OF EQUAL LENGTH. SYSTEM #2 - 2 - 20 LF LATERALS OF ,'I FF—gg 96' DA E Q
N.T.S.
ELJEN IN DRAIN UNITS = 40 LF TOTAL
/ 100 - I P F i NEW LIMIT F n
PARKING AR Z 4 BEDROOM
lot
1,4' HOUSE
BENCHMARK: NAIL.
IN 6" CEDAR .ti._ ';��
CRUSHED "
ELEV.=100.00' o + I F have see obser�:ed or believe I saw evidence of, a
105.E ;;` I oN STONE al -:bjects s as houses, Vvells, trees, I;ices, etc.,
PARKING .vrt on thl doc�l ==rt. ! also rear se ► save
7 NEW SEWER i �; I alit' It a_,ared he d' rwnces se' ;c,�r; on the diagram."
i�.
FORCE MAIN
4" MIN. TOPSOIL. i
OVERFILL TO ALLOW SEED AND MULCH �_ - --~, n t� E W
I)AT
FOR SETTLEMENT i i ;y`1{ I�- i - _ '' - O
GvIUE
BACKFILL WITH SUITABLE MATERIAL
W
a5 DATUM = ASSUMED T�
yam\/\\. / / / `/\ NEW GRASSED i ~
yr� ., AREA CONTOUR INTERVAL — 1 F00T lED
4 0 PERFORATED PIPE
•- GEO-TEXTI Y - / •�• ;,j; " �',, �f. - `` � ���4 w ,
MIN. 1 1 LE COVER i ;'` l.r !v: ,O
T i ;
•• Mail TYPAR 3401 OR EQUAL
00
-xf�-' URY
3. W
••••.• ••.e•• •,••, •, Raw • • • •• J �, TO�N'N C V
•• IP 95 STONE & HOUSE ° ` ' f~
' 9Q1 CONCRETE �EGEN � �+
Z z
STAIRS ,
PROPERTY LINE
.,:• .,-. .. .. ... . . ,..M••.. . : .:.......,.: .. TYPE B IN-DRAIN UNIT
BY ELJEN CORPORATION -
4' MIN. EXISTING CONTOUR Dater MAY,2004
4' MIN ao 3 BEDROOM PROPOSED CONTOUR
UNDISTURBED SOIL CONCRETE SAND
NYSDOT ITEM #703-07 ` HOUSE
2 STORY
MAXIMUM SEASONAL HIGH '—
GROUNDWATER ELEVATION _ WOOD FRAME
HOUSE
NEW 1000 GAL. SEPTIC TANK s� CIRF® = CAPPED IRON ROD FOUND I�Calar AS NOTED
PUMP STATION (SEE DETAILS)
IPF® = IRON PIPE FOUND
BIO- MAT ABSORPTION SYSTEM
� _�,PLAN 1RF® = IRON ROD FOUND '
STANDARD TRENCH SECTION � = UTILITY POLE 49131
LANDS N/F OF -
N.T.S. CORCORAN
%*ET 1 OF t