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92-728 BUILDING PERMIT TOWN OF QUEENSBURY No. 92-728 WARREN COUNTY, NEW YORK N I--. PERMISSION is hereby granted to JOHN MATTHEWS to OWNER of property located at Route 9L Street,Road or Ave. in the Town of Queensbury,To Construct or place a Septic al terati nn 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. 1. OWNER'S Address is RD#1 Box 1154 Lake George NY 12845 N 2. CONTRACTOR or BUILDER'S Name C, O self 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address `t t0 r 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications Septic alteration to include 1500 gallon tank, 250 foot tite field with ` °O ft trenches #2 stone at 12 " + as per plot plan, specifications and application. 8. Proposed Use fD rt Septic system $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 10 19 94 rD sv (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ct town of Queensbury before the expiration date.) 0 Dated at the Town of Queensbury this ay o mber 19 92 SIGNED BY for the Town of Queensbury Building and Zoning In r /nei► TOWN OF QUEENSBURY �� ta APPLICATIOf1 FOR SEPTIC DISPOSAL PERMS OF QUEENSBU RECEIVED DATE: 10 NOV 6 1992 LOCATION OF PROPERTY FOR INSTALLATION N � U— ' r-- :_Dc,. & CODE DEPT. Owner's Name: ` (' ir-f.) Address: ±3GK ( l S4) k - )) LAra Installer' s Name: Telephone: Number of bedrooms (residential only) c.�Total daily flow (compute @ 150 gal per bedroom) v00 1oo ci eD t3 Topography: Circle one: Flat Rolling Steep Slope % of Slope � Soil Nature: Circle one: Sand j Loam 0 Other ��-/Depth�:"( Ground Water: At what depth? Feet Bedrock or Impervious Material : At what depth? - Feet Percolation test: Circle one: not required required Rate - Min. Per Inch Domestic water supply: Circle one: Municipal Well Other If domestic water supply is a well : Separation: Water supply from any septic absorption \ feet. PROPOSED SYSTEM: Septic Tank l Sa) gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench , wi feet/Total system length 2 sV feet SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used #. '2---- /Depthr'br*Thi c kn$s .<.. 1 21/ 1— feet ...may ._...., • ry ***************4t4'************4 HOLDING TANK SYSTEM IF REQUIRED° NO. of Tanks .Size'3of0Eagh ,ic, Gal . ., , *Alarm system and associated electrical work to be, inspeO l; ,by In approved t agency. . I have read the regulation on the reverse side of this :sheet and a ree. to abide by these and all requirements of the Town of Queensbury. Sanitary tkagi. Dtsp stly/-.'t. Ordinance. SIGNATURE OF RESPONSIBLE PERSON: avi -- DATE: 04'1 11 Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance. shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1.) the proposed location of tho system 2.) location and distance to lot lines 3.) location and distance co structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes. tile fields and/or drywalls B. Nu system shall be covered before inspection and approval by the Building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installa— tion, alteration or repair of an approved system. a new proposal must bu submitted to the Queensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 kemarks: TOWN CF QUEiNSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name 9 d j S Location !_ / Date Permit #9./69 SOIL TYPE. Sa '-Loam-Clay- i/ Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length oZ 5;9 Length of each trench 5,D Depth of trenches is Size of stone . 14,2 SEEPAGE PITS: Number- Size - ft. x ft. Stone sizes PIPING: Sike Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pj't Openings Sealed? Yet No Partial LOCATION/SEPARATI! S: Foundation to Tank eet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot P1 4 Yes No LOCATION OF SYSTEM ON P OPERTY: (circle one) / Front - Rear - Left Sid e - ight Side Middle Front - Middle Pear COMMENTS: ig!!E!! Ctua '*>)? ' SYSTEM USE APPROVED: YES NO Arrived: `/;.+o Departed: !!.7o Building Inspector i 0 _ vis D .-/-y • TOWN OF QUEENSBURY • BUILDING & CODE ENFORCEMENT �/f 531 Bay Road / Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION paQ-L- - �i ti 0--it Name 966_ ..iu Location 9L Date 6/Z, 493 Permit # /2-7,?f 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 trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Y s ,/ No Partial LOCATION/SEPARATIONS: ,,' Foundation to Tank /I feet Foundation to Absorp'tidn feet Separation of Pits/ '_ feet Conforms as per Plot Plan -- Yes No LOCATION OF SYSJtM ON PROPERTY: (circle one) �/ Front - Rear -' Left Side - Right Side Middle Front - Middle Rear COMMENTS: p„,,,,/ , - /a () (' Ce(/ Fr/c 1-7. As, SYSTEM USE APPROVED: YES NO Arrived: Departed: /U 45 Building nspector O / Assembly Point /Speak eck Island CLE,gN, �t9E0/l/M / :a fI!'P20,e/MfITELy .3io" Of f/LL /NCLUO/NG -P4)VD f/LL �("tOF._SEND /AND 5+—"OF TOP.SO/L / Harris ABS02PT/O�cl T+?ENIy(5 L 9TE/zALJ s�gCED Ar/o'� l Bay •.(• 340 -' `'' TOP,SO/L , FEKT/L/zTE (01EE0 � •1• �=`^ r - ST,e/P 70P.!O/L 15Z 671eL 2O * -Tye PLAC/i(/G F/L L / . •% C �� Z4 t!/.(//Ai1UM --^ -•�.--+.. — L —r...-r D i a m o n - . Island !, DickWlslands N 1 G IEAS'0/t/FIL (/'��+ l -�ti L/Mira of ,:•, ;'I �+ 1 .1 J �+ �J "'J .�i " Happy Family �t. /r✓ici� c�eooNo wArE/e / �� i t _ Ex/fr-A/ c�gL�� r / Islands cs � L3A.fAL A/ZEfi' � •.f �; /1/0 TE Th/C TOTAL AeEA BE,t/EATh' f/E �� �� _ (LEJJ T,�/9N /.5?) l �_ ;• �` NlN• ., T AlO�e/�T�o/v �, —J.,�---- l �,QO J,E-C T t ,� T/eENC,�/ES, E.eTE,t/D/,VG 2.s FEET/�/ A.[L � (-__ __ � l ��1T.e/BUT/U•V L OCR T/0V _ T--- 1 yL329 M/A. 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Based on our limited examination, ROOTS TZ) 3(" t eompliancQ Kith our comments shall S Z-101 6, , ili/OTTL/iV G AT 32' t not be C,n,s ,-if as indicating the FLe `o ;?t- ;,tications are in full p� c • �,ti,the.code. �E -ON 17Z- J17- D EPT/� 574,B/L/Z FO 2.4T.E H TOW: C�� C��EE����U�1( S -Cr/ON /�" /„/4"//v. - �Ji��pG �t�ll��� G COS S CREPT. IJ TK 1LJ(J / �0N .(�(JX ' ttEVIi:V"JEt7 BY - F/LL S//AL L 13E G'/PAgVULA-2JS' N-D M�/Th/ 4 R-/ 0Z-AT/O�J - P/ZO10/pE SvFF/C/E/VT -nVE-2 DATE _� __- /l ( /ar 7o sc,4LE ) ,PATE OF /'/.S4,11'I /. TD iL1//t/ �E2 /�f/C,y. � ,U,���T�7' �,E CL FA 2 4A10 G,eUB ALL TeEEs f PO/fi! S/TE . f-2_o r�lC� LYf k)lq5Z D1J)D0JzoqL JYJ1rfM.DZJ ALL. P/?ECAST O'O�vC,eET� �4/tl0 �7 / n/ �/ - �S'T,P/.� A/VO JTOCE�i�/L E T4�1O/L FO,e ,PEU1E REDO//�! �4L L A-ZoC IA/D f0�`C (�Ol �/ V p Dl"Z7 / ,• W471TI ��l/V�/ I>/J'T- /3UT/Di(/ BOXE1 By G Y FO/PTM/LLE�2 C'OMPANy, - //V,5T,4LL F�o�?�ErHYLC/�E SEPTIC. T,,4AI,< ,44ilD �oSCE N1.4%/�l O e Ec>UAL . 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