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93-248 :SO CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date (,, 2- 19 9j? This is to certify that work requested to be done as shown by Permit No93-248 • has been completed. This structure may be used as a septic system - Location 29 Park View Owner - Chester South By Order of Town Board . OWN OF QUEENSBURY Director of Building & Code Enforcement BUILDING PERMIT ro TOWN OF QUEENSBURY No 93-248 I..,.. WARREN COUNTY, NEW YORK PERMISSION is hereby granted to CHESTER SOUTH 29 Park View OWNER of property located at Street, Road or Ave. Lri i- Septic Alts .ation in the Town of Queensbury,To Construct or place a P at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Cl) 1. OWNER'S Address is same x 2. CONTRACTOR or BUI LDER'S Name (D Queensbury Sewer Service co rt CD n 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name tv ro a n 5. ARCHITECT'S Address Y` H- m 6. TYPE of Construction— (Please indicate by X) ( I Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications Septic alteration to include 1000 gallon tank with one No10 ' x4 ' Seepage Pit with #3 stone at 2 ft. as per plot p. plan and application. 8. Proposed Use C!] 1-0 ID Septic system. rt N• $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 1995 rr (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the fi town of Queensbury before the expiration date.) rt Dated at the Town of Queensbury this 1St Day of June 1993 0 SIGNED BY /�'/%{�jZ(/' � for the Town of Queensbury and Zoning Inspector ssizz d•-Are TOWN OF QUEENSBUR • APPLICATION FOR SEPTIC DISPOSAOilI 31s , Permit #13. 4 4 d, Fee Paid ,.,0" TA Date: " JUN 1993 - / • Red ewed By ecelvee LOCATION OF PROPERTY FOR INSTALLATION: wBldg,..�Den�`' ,c J Owner' s Name: r /11&?. 'owe Owner' s Mailing Address: �� �� j, ( ) Installer' s Name: % .q � C '/ �r- Phone #: :j/- i3CSL'd" Number of bedrooms (if residential ) : Total daily flow (residential-compute @ 150 gal . per bedroom): /3 0 Topography-Circle One: it, Rolling Steep Slope % of Slope Soil Nature-Circle One: San _ Loam Clay Other /Depth: Ground Water-At What Depth? r Feet Bedrock or Impervious Material-At What Depth? Feet Percolation Test-Circle One: of Require Required/Rate Min. Per Inch Domestic Water Supply-Circle One: uni ipal Well Other If domestic water supply is a we - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank -& gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench feet//Total System Length feet Seepage Pit(s): Number of l / Size each: /a ft. x V- ft. Size of Stone to be used: # / Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size\of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. **************** I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: t DATE: ‘-' / -t / i-eli-e-077 ii‘ceof4.: r I a.2 r,-e-lfrj s:y-v. 2 ,c' T"'-‘ .? cto4i,,,, -- /de-Zez-e>07---1 . v c M �� cj�d O°Q �1 J \I: cpcx v44). iL(..?,1 /I/ . 0 \ f :: _ . , -.=), ._.. ....... s ( ‘2.4,(..-6,,_vc.., \ t _ , ,E, v M T0H' OF QUEENSBURY BUILDING 8 CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name ja., 5 A95 / Location a.e./ Date e;/9 3 Permit # �.�erg SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenche Size of stone I SEEPAGE PITS: N'imber- Size - ft. x / ft. Stone size i � PIPING: Size Type s'� Bldg. to Tank Tank to Dist. i . Bo/4 Dist. Box to Fi l\/Pit Openings Sealed. Yes No Partial LOCATION/sEP TIC1 S: Foundation o Tank feet Foundatio to Absorption feet Separatio of Pits _ feet Conformp(as per Plot P1 an Yes No LOi N OF SYSTEM ON 'PROPERTY: (c one) FrontRear - Left Side\ - Right Side Miront - Middle Rear CO : 't, r1 , i.e,;(7Z-4‘. 9 '-17) usle-- vied/ to k y aeY wdl/. SYSTEM USE APPROVED: YES NO Arrive', : Delii: -------- ''Illk "'"l ilding Inspector TO OF QUEENSBURY. BUILDING Ai tE ENFORCEMENT G 531 Bay Road Queensbury NY 12804 nC- 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name �1/49,424 >d-p c,C-f Location Pcp.,i41J) Date 5/ zf __5 Permit # SOIL TYPE: an Loam-Clay- l t C e Results of Percolation Test- (if applicable) .Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number- / Size - y ft. x ,o ft. Stone size PIPING: Size' Type Bldg. to Tank `/ / sr 4 O Tank to Dist. B y / Dist. Box to Fi,. d/P 't y ,/ Openings Sealed?` Yes / No Partial LOCATIO /SEPARAT S: Foundation to Tank // feet Foundation to Absorption feet Separation of Pits," = feet Conforms as per Plot Plan No LOCATION OF SYSTEM oN PROPERTY: (c •rcle one) roe - - Rear �•Y/L f t S,de - Right Side Middle Front Middle Aear COMMENTS: / sin LI t° SYSTEM USE APPROVED: NO Arrived: "],' 'to Departed: aL5S Building nspector ,6, / E-P-A14,777 og€41--e- 0 9/'& i,,. •.' e 5 7 8 91 7 Gi.17 , Gt� /' c Ci C6t"'-' f? "A'txx, ----"Z . / e.."—e-e20,7--7 ro.. 62 ,r7 , p p� 6 O7 % tiZaj 4 1 . - IF , \ 1 © d %1�' . F 1 't A M n 1 j 71 1-=Dnr ,1 Z ( }/ a ;, )