2004-646 .41111% TOWN OF QUEENSBURY
742vrio
Bay
ay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040646 Date Issued: Friday, August 20, 2004
This is to certify that work requested to be done as shown by Permit Number P20040646
has been completed.
Tax Map Number: 523400-226-016-0001-041-000-0000
Location: 280 CLEVERDALE Rd
Owner: MICHAEL &LINDA MONTEMARANO
Applicant: MICHAEL &LINDA MONTEMARANO
This structure may be occupied as a:
By Order of Town Board
Septic Alteration Residential TOWN OF QUEENSBURY
41
(": 414469
Director of Building&Code Enforcement
� � TOWN OF QUEENSBURY
A 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040646 Application Number: A20040646
Tax Map No: 523400-226-016-0001-041-000-0000
Permission is hereby granted to: MTCHAEI,&LINDA MONTEMARANO
For property located at: 280 CLEVERDALE 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: MICHAEL & LINDA MONTEMARA
14 WALNUT Dr Septic Alteration Residential
Total Value
SOMERVILLE, NJ 08876-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
OI TEENSBI TRY SEWER
NY 12804-0000
Plans&Specifications
2004-646
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, August 19, 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' 'own Quee ; f, i ay,August 19, 2004
.14
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:
Location of installation: c J Office Use
Tax Map No. / / File Permit No.
ff '
Owner's Name Y\ 1 C n a e hi
� /e had (
Fee Paid
Address: C
2. INSTALLER'S NAME : N c PHONE NO. 7 -` c
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 = 3 c
1980— 1991 x 130 gal/bdrm =
1991—present x 110 gal/bdrm
Garbage Grinder Installed yes— /
Spa or Hot Tub Installed yes
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
•••uraohv •ii Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
Fl• at what depth at what depth municipal
•oiling loam 0--' feet p
Steep slope clay feet well
_%slope other if well; water supply
depth: from any septic-system
absorption is ft.
other 4 e
Percolation Test:
(To be completed by licensed professional engineer or architect)
Rate: a 7 /v'- 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: /`es rev gallon(min.size 1,000 gal) %) r °r-k'
s io s -
Tile Field: each french ft. Total System Length: fl.
Seepage Pit(s): number of size of each: ft. by ft.
Size 7f Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: 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,
• turfs of responsible person Date
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Septic Inspection Report
Office No. (518) 761-8256 Date Inspection re: est r"e; vet
Queensbury Building&Code Enforcement Arrive: am/p Vp art: ye\ a
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi: :
NAME: ., IT
nO NO.:
LOCATION: ► PECT ON:
RECHECK:
)
Comments and/or diagram
Soil T e:
Type of Wa . • ipal/ 11 ater
Waterline separation distance ft.
UNV,ieil'separation distance 0 0 ft.*•
9tyv _ ft.
Absorption Field: Total length °VD ft.
Length of each trench Q3)ft. _
Depth of trenches ft.
Size of Stone C,A)1•
Seepage Pits: Number
Size: x_
Stone Size:
Piping Size Type
Building to tank
Tank to Drgfritratityrrtmc VorQ
VUAAS?ToDistribution Box Feld Pit 1e(Z)► ,6( 4—YTO kb D n,
Opening Sealed. Y Partial 'v `l"mil
Location/Separations —
Foundation to tank r.
Foundation to absorption .
Separation of Pits .
Conforms as per Plot Plan N
Location of System on Property:
Front Rear Left Side Right Side
Middle Fro Middle Rear
S stem Use S s:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
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50I L5 DATA PROVIDE OWNER WITH AS-BUILT 226o � I W
08
MEASUREMENTS TO ALL BURIED COVERS a
TEST PIT FROM AT LEAST 3 FIXED. PERMWW ' o
AFMOXMA17E OBJECTS S t AS MAIM CORNERS. �
O-e" TOP 501L FINISH GRADE LEAVE 6" LONG IRON REM BURIED i a
8-28" FINE SILTY SAND 2• BELOW SURFACE TO MARK COVER
MOTTLING • 19"+/- o
WATER • 24"+/- T " O
INLET BAFFLE 12" MN. COVER OVER
PERCOLATION RATE - 1" IN 27 MINUTES. 20 SECONDS ALL STRUCTURES s� W
#1 DISTRIBUTION BOX " • ���///
TEST BORING BY NAGS ENGINEERING - 5/G/04 a D
GROUT wmrr NON-Sh1RNC BBYY FORT HIM OR a — y RECEIVE PERCOLATION TE5T BY NACE ENGINEERING - 05/G/04 GROUT cnp-)
5EPTIC 5Y5TEM DE516N La•• o 0 0 - - AUG 1 9 2004 0
TOWN OF QUEENSBURY co
$�003 BUILDING AND CODE
DESIGN FLOW - EXISTING 3 BEDROOM CAMP ��� ° o�cPo� ALL OUTLET INVERTS
- REPLACE ALL OLD PLUMBING FIXTURES WITH NEW EX.SEPTIC
GAL. d'd'O°O PEA MUST BE SET AT Z
CODE COMPLIANT FIXTURES SEPTIC TANK DIC, �x GRAVEL EXACTLY THE SAME
ELEVATION. LEVEL BOX ON �•
- 3 BEDROOMS • 110 GAL./DAY/BDRM = 330 GPD
PEA GRAVEL AND USE SPEED '
NOT TO SCALE LEVELERS ON ALL OUTLETS. _ `D
ADJUST SPEED LEVELERS � � � 226 , 12
°F i`��� •„�a.�!V/eJ��ij
SEPTIC TANK - USE EX. 1.000 GAL. TANK + PUMP STATION WITH WATER. ����` •,;�/�,�i��
ABSORPTION FIELD - TEST PIT SHOWS 19" TO MOTTLING
74
- USE STABILIZED FILL ABSORPTION SYSTEM KEEPING BOTTOM OF SYSTEM
3'+ MINIMUM ABOVE MOTTLING - PLACE APPROX. 3'+ OF FILL
BEFORE INSTALLING SYSTEM + MECHANICALLY COMPACT.. n Q '- p
- PERCOLATION RATE OF FILL TO BE 1• IN 3 TO 5 MINUTES. " " - • $ 'y�P
- PERCOLATION TEST OF IN-PLACE FILL MATERIAL TO BE CONDUCTED BY . a 226 , 16
y .•• •,, ```
ENGINEER BEFORE ELJEN SYSTEM 15 INSTALLED.
- ELJEN IN-DRAIN 5Y5TEM PROPOSED DUE TO SITE CONSTRAINTS. " a 1" mar"toll,
- AT NYSDOH APPLICATION RATE 90 L.F. OF ELJEN TRENCH REQUIRED. " p '
- USE BED WITH 3 LATERALS EACH 30 L.F. LONG - 90 L.F.TOTAL. � ;. � " • ' A
EX. 5EPTI G TANK „ - • ' n
n � �
NOT TO PROJECT
SCALE - a
LAKE GEORGE LOCATION • „ g W o
31
a INI
41
LINE
,1 - ' 3- M�~
TOVv'N OF QUEENSBURY BUILDING DEPARTMENT � z
E TT 11
LOCATION C A TI O N MAP �1
Based on our limited examination, V
00'I► compliance with our comments shall inC
0-4C cOj Ey
OAi not a construed as indicating the '' ram,
plans and specifications are full Z h+1
compliance with the Building Codes 04 w
PUW •(�� of New York State. W ao a A
— 4• PVC, Qqd
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ALARM ON .-� I-L/2' FORGE MAN S " `� `x F v 1 Eiji t�
PUMP ON Ls SLOPE TO DRAM FILE
PV
i�UILDIN z
� NEW L4' WEEP HOLE BACK TO PUMP STATION G �c O D T. F-+ z
PUMPS
REVIEWEcy
D W W w
N DATE
0 w
�y O
c� cU
N N MERCURY FLOAT I►a
(U SWITCH WITH CL EFFLUENT PUMP ^ O
IWEIGHT CTYP.) t�l E
EXISTING 3 N
4" PERFORATED PPE CEO-TEXTILE COVER w
APPROX. LOCATION OF _
w CAMPDROOM o EX15TNG SEPTIC TANK 17- MAX. _IIII = —1111= TYPAR 3401 OR EQUAL SLOPE 1/16'-1/32' PER FT.
PUMP STATION EX15T1NG 5EINAGE PUMP 5TA77ION ►-i i i i-
OD NOT TO SCALE 10' MIN.
co z
v� F — — 1. PUMP CONTROL PACKAGE TO BE SUPPLIED BY CONTRACTOR. •-1
NEW vE1NF.R FORCE I WOOD I AUDIBLE AND V151BLE ALARM TO BE ACTIVATED BY ALARM FLOAT w
MAN _\ I DECK i TYPE B IN-DRAIN UNIT CONCRETE SAND w QO
BY ELJEN CORPORATION— — — 1 NYSDOT ITEM #703-07 Go
EXI5TING 28' V
TREE TO REMAIN B10-MAT AB5ORPTION 5Y5TEM w
O
OVERFILL TO ALLOW 4" MN. TOPSOIL.
5TANDARD BED PROFILE '"
FOR SETTLEMENT SEED AND MULCH N.T.S.
..... ........ BACKFLL WITH SUITABLE MATERIAL
i
.::':' z
....... . ..
. ..............
.. . .....
ueO+wN Ad501'rTWN AREA 1.
TO SFED STORMWATM ..... END OF ALL DISTRIBUTOR PIPES MUST BE U
3re"
PLUGGED UNLE55 INTERCONNECTED.
... �•• 4" PERFORATED PPE
AREA p CEO-TEXTILE COVER 2. ALL LATERALS TO BE OF EQUAL LENGTH.
NEW FILLI I I I I TYPAR 3401 OR EQUAL In
s
TP
..... -..... .. " :-.... ,. TYPE B N DRAM UNIT
23.5' VERSA LOK RETAMIG WALL OR EGLIAL. I I BY ELJEN CORPORATION
u
21.5' CTO M IXGK M ♦ NSTALLED BY C WMTOR 3 I---- 2 G� --I CONCRETE SAND b
uu _ Cd
c
17.5' _ NYSDOT REM #703-07
1► GROUNDWATER NAIL WA- INSTAL xriON OF DISPOSAL FIELDS w `�
OR BEDROCK w Pic$
1. CONSTIWTION SHALL BE AS SHOWN ON THIS DRAWING, t►�1
B10-MAT AB50RPTION 5Y5TEM AND SHALL BE N ACCORDANCE WITH THE N.Y.S.
AND
5TANDARD BED 5ECTION ASTM 1*481T76 N Of 5 AALLA ALTH INDIVIDUAL
PLASTIC RAND
EXISTING
GORRU;ATED TUBING IN SEPTIC SEPTIC TA LEACH FIELDS. w
N.T.S. HE%VY EQUIPMENT SHALL BE
WITHIN THE
GARAGE 2. OF TW DISPOSAL FIELDS AFTER PPE WNSDTALLATIONN HAS BEGUN. w .--1
3. AFTER EXCAVATION OF BED AREA TO THE DEPTHS REQUIRED.
THE W�kLLS AND FLOOR SHOULD BE CLEANED AND RAKE TO •�
N p2°4s'50'E 60.0' FILL USED IN AREA OF ABSORPTION BED SHALL BE OF FACE AND To LooSEN SMEARED, sECTM z
FINE SANDY LOAM WITH AN IN—PLACE PERCOLATION RATE OF 4. PLACEMENT OF CONCRETE SAND IN-DRAIN UNITS. PERFORATED PPE.AND G1.0 TEXTILE SHALL BE AS SHOWN AND INACCORDANCE WITH
ROAD 3 TO 5 MINUTES. ELJEN IN-DRAM DESIGN MAMJN. AND NYSDOM APPROVAL CONDITIONS.
OLEVE RDALE PLACE FILL IN 12 INCH LIFTS AND LIGHTLY COMPACT WITH 5. THE PINE AND N-DRAIN UNITS SHOULD BE LAID AT THE GRADES Date, JUNE , 2004
TRACK EQUIPMENT. DO NOT ALLOW RUBBER TIRE EQUIPMENT AND To TIo5511P6 QWN ON THIS DRAWN .Mp�TAI MAINTAINING Scale, AS NOTED
G rn I rtOUT SAGS S��Pr
OR TRUCKS IN ABSORPTION TRENCH AREA. �HEOlt Do N ALL I T S. TML SMALL PIZ
PLANENGINEER TO PERFORM PERCOLATION TEST IN FILL PRIOR 6. 015P sAL ALL BE To RANF
FROM ThtE OOq?A06 OFFWAD EN7 AREAS WAY
TO CONSTRUCTION OF ABSORPTION SYSTEM. 49138
SCALE: 1" = 20' 7. NO PART OF THE DISPOSAL FIELD SHALL BE INSTALLED UNDER DRIVEWAYS.
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