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2005-762 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20050762 Date Issued: Friday, May 12, 2006 This is to certify that work requested to be done as shown by Permit Number P20050762 has been completed. Tax Map Number: 523400-226-019-0001-005-000-0000 Location: 30 SUNSET Ln Owner: PAUL SHERMAN JR Applicant: PAUL SHERMAN JR 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 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&Code En rceme Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY (2t 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050762 Application Number: A20050762 Tax Map No: 523400-226-019-0001-005-000-0000 Permission is hereby granted to: PAUL SHERMAN JR For property located at: 30 SUNSET Ln 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: PAUL SHERMAN JR STEPHANIE SHERMAN Septic Alteration Residential 703 MAPLE Ln Total Value NISKAYUNA, NY 12309-0000 Contractor or Builder's Name /Address Electrical Inspection Agency CRANDALL EXCAVATING NY Plans& Specifications 2005-762 SEPTIC ALTERATION $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 04, 2006 (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 T wn of e 4A4 , October 04, 2005 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: �/Q .................................................................................................... Sj/ /-/&— �jOlflt'A Office Use Location of installation: l�/(�J / //7/ _ File Permit 'o. Tax Map No. 0 Fee Paid Owner's Name: 0�/7/ Address: 2. INSTALLER'S NAME � �� /�� PHONE NO. �J� 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 Z x 150 gal/bdrm = 3X dw 1980— 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = Garbage Grinder Installed yes— / no X �1 1 Spa or Hot Tub Installed yes` / no � 1G"i~ 4. PARCEL INFORMATION: (circle applicable information& indicate measurements) Topography S ature Ground Water Bedrock or Im ervious Material Domestic Water Suoi3ty Flat s at what depth at what depth m oa feet feet well Steep slope clay if well; water supply �%slope other from any septic-.system depth: 5er—� Percolation Test: (To be completed by licensed professional engi; /)��( Rate:. i°O minute per inch /C 1 10 Z -T--':>CC> P,A,A)_ 5. PROPOSED SYSTEM: For New Construction: All individual sewag( professional engineer or architect(unless installed in a Planning Board apl of the septic tank and leach field for each Garbage Grinder, Spa or Whirlp Septic Tank: !a—gallon (min. size 1,000 gal.) Tile Field: each trench ft. Total System Length: 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: Glfflfl / /pfQ length andior sizeC� 6. HOLDING TANK SYSTEM: (if required) Number of tanks: 1 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 Quee ry San' ry Sewa e Disposal Ordinance. f-&--or bi Si a re of replInsible person Date AWL Got �a� Town of Queensbury Sewers and Sewage Disposal Chapter Appendix C ABSORPTION FIELD SEPARATION REQUIREMENTS POND TRW CtS$-? ✓�y3y "F"fitJK.. .. Appendix C _ ABSORPTION FIELD SEPARATION REQUIREMENTS P0. W - :4W`L4t 1 A r lLlc}�7 flR4MY e Septic Inspection Report Office No. (518)761-8256 Date Ins*Initials: uest received: Queensbury Building&Code Enforcement Arrive: m/ /Dart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspecto NAME: �fZ /� A�_ PERMIT NO.: LOCATION: INSPECT ON: Z �J RECHECK: Comments and/or diagram Soil T e: Sand Lo Cla Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance _-i'fl. Other wells: ft. Absorption Field: Total length ft. Length of each trench Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank L'J Tank to DistributiqABox V Distribution Bo to ield/Pit t" Opening Seale : Y N/Partial End Cap Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan V Y N Engineer Report and As-Built Y N Location of S on Property: Fron Re Left Side Right Side Middle Fro Middle Rear System Use Sta Approved Partial Approved and needs to be re-inspected,please call the Building& Codes Office Disapproved Last revised 1/6/05 SEPTIC SYSTEM DESIGN 2 BEDROOM RESIDENCE WATER SAVING FIXTURES (1.6 GPF MAX. FLUSH, 3.0 GPM MAX. FAUCETS) DESIGN FLOW — 150 GPD/BEDROOM SYSTEM DESIGN FLOW — 300 GPD SEPTIC TANK — 1000 GAL PRECAST CONCRETE LEACH FIELD — ELJEN IN—DRAIN TYPE 8 GEOTEXTILE SAND FILTER UNITS DESIGN PERCOLATION RATE IN NATIVE MATERIAL= 1-5 MIN/IN APPLICATION RATE= 1.2 GPD/SF 75.52' ABSORPTION TRENCH AREA REQUIRED: 250 SF ELJEN IN—DRAIN PROVIDES 6 SF/LF 75.52' ELJEN IN—DRAIN LENGTH REQUIRED: 42 LF EACN ELJEN IN—DRAIN UNIT PROVIDES 4 LF USE 14 ELJEN IN—DRAIN UNITS PROPOSED PRECAST CONCRETE 75.52' USE 2 TRENCHES AT 28' LONG (56 LF PROVIDED) DISTRIBUTION BOX 6" TOPSOIL AND SEED APPROXIMATE LIMIT OF POTABLE WATER SUPPLY TO BE ON—SITE WELL PROPOSED 4" SCH 40 PVC EFFLUENT EXISTING CLEARING APPROXIMATE EXISTING GRADE, CLUMP OF (3) — 10' SPACING MIN. WELL SEPARATION FROM SEPTIC TANK=50' SEWER, 1/8" PER FT MIN SLOPE 24" INES ELJEN IN—DRAIN TRENCH, NATIVE MATERIAL TO REMAIN MIN. WELL SEPARATION FROM LEACH FIELD=100' APPROXIMATE LOCA11ON OF EXISTING — ELJEN IN—DRAIN ABSORPTION 2 TRENCHES ® 28' EACH 6' MIN WASTEWATER SYSTEM TRENCHES, 2 TRENCHES ® — 1 PT-1 28' EACH, MAINTAIN 20' __f j _, _! I 1=j ! ! SITE SOILS DATA PROPOSED 1000 GAL PRECAST 10 MIN DOWNGRADE TAPER • SETBACK FROM HOUSE E _ !_—_! I !_( I !- SITE SOILS GENERALLY CONSIST OF MEDIUM BROWN FINE SANDY LOAM CONCRETE TANK; MAINTAIN 10 _ �!i 1231 MIN'! I !I�! I I=I � —' SETBACK FROM CABIN I _ i i —, I I-1 , !<<-i WITH FEW BOULDERS AND COBBLES PT-2 �_1 _— I I—III—i I=1 I I. —30" " EXISTING _ PROPOSED 4 SCH 40 PVC HOUSE _ j f " TEST PIT SEWER PIPE, 1/4 PER FT MIN SLOPE Co PROPOSED I_ { TP-1 — 9/12/05 BY T. HUTCHINS /\ BATH OO�uI • ! �_, iI � f=li !_!I— — _ ! (_��—!�I=1 ! i=�I�=-!�L-i ! I i—i�I- -Ili=f�! ! —Iil-1 � �=i ! !-_! I !_��!- 64" DEPTH _,•—, =_I-�I =1 ! —! I !�! I (; ! ! !_! 0-6" FOREST LITTER & DARK BROWN TOPSOIL iMIN-! — _ 6-55" MEDIUM BROWN SANDY LOAM I !-! i I—! I !=! I I—= I 1=1 I !=i I --' \ PROPOSED GARAGE \ !---! ! !_) ! 1=! ! I 1--1 I !=1 ! I—I ! ! !_! I i i 1=I ! !-� l 1=! ! !=i i I=! I !-! ! !- i ! 1=i ! !—! i !-1 i 1— f V--! I VERY FIRM LAYER ® 55" \ > PROPOSEq I I=i I i I !=I I --1 — FEW BOULDERS AND COBBLES DECKBEDRO ! _� I K OR ROOTS ENTIRE DEPTH OF PIT \\ / PROPOSED EXISTING CABIN — — J !—`�!�_� t ! i !—!I . !�I ! I==1 I I-! I I- _! I I=I i !=III— _-_' IMPERMEABLE LAYER NO MOTTLING OR GROUNDWATER OBSERVED ENCLOSED U i —! i—I,! I—! I — i I . I !WALKWAY 1 I I —� I— NEW FILL WITH COMPOS111ON AND PERCOLATION PERCOLATION TESTS RATE SIMILAR TO NATIVE MATERIAL AS NEEDED TO PT-1 — 9/12/05 BY T. HUTCHINS REGRADE AREA FOR ABSORPTION FIELD TO A MAX 24" DEPTH DOWNSLOPE GRADE OF 10% AND NEARLY LEVEL MEDIUM BROWN SANDY LOAM ALONG THE LENGTH OF TRENCHES. STABILIZED PERCOLATION RATE = 2 MIN, 30 SECONDS/IN NOTE: EVEN IN-DRAIN ABSORPTION FIELD SECTION PROPERTY LINES ARE APPROXIMATE PT-2 — 9/12/05 BY T. HUTCHINS AND AS REPORTED BY OWNER AND NTS 22" DEPTH WERE CONSTRUCTED WITHOUT THE BENEFIT OF A SURVEY. MEDIUM BROWN SANDY LOAM STABILIZED PERCOLATION RATE = 2 MIN, 45 SECONDS/IN 75' 75' 75' SYSTEM INSTALLATION NOTES SUNSET LANE CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING AND IN ACCORDANCE NTH THE N.Y.S. DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS AND ASTM F481 INSTALLATION OF THERMOPLASTIC PIPE AND CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS. WASTEWATER PLAN THIS DESIGN UTILIZES ELJEN CORPORA11ON TYPE B IN—DRAIN GEOTEXTILE SAND SCALE: 1" = 20' FILTER UNITS INSTALLED IN TRENCH CONFIGURATION. INSTALLATION SHOULD BE .IN ACCORDANCE WITH THIS DRAWING, NYS DEPARTMENT OF HEALTH REQUIREMENTS, AND MANUFACTURERS INSTRUCTIONS. SUGGESTED: POLYETHYLENE BRING IN SANDY LOAM FILL AS NEEDED TO PROVIDE A NEAR LEVEL GRADE APPROXIMATE EXTENSION TO GRADE WITH TAMPER OVER THE LENGTH OF THE ABSORPTION TRENCH AND TO REGRADE EXISTING FINISH GRADE RESISTANT ACCESS COVER —15% GRADE TO 10% IN THE AREA OF ABSORPTION FIELD. NEW FILL TO BE STABILIZED IN 6" LIFTS WITH TRACKED EQUIPMENT. CONSTRUCT ELJEN IN DRAIN TRENCHES IN REGRADED AREA WITH TRENCH BOTTOM AT 3' MIN SUGGESTED: INSTALL ZABEL A1800 FILTER SEPARATION FROM GROUNDWATER, BEDROCK OR IMPERMEABLE STRATA. SEE 12"f SUCH THAT IT IS READILY REMOVABLE ABSORPTION FIELD DETAIL. THROUGH TANK ACCESS COVER t PRECAST CONCRETE ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND DIVERT INLET 4" PVC SCH 40 • 3" DISBRIBU11ON BOX SURFACE RUNOFF AWAY FROM THE DISPOSAL FIELD. SUITABLE BACKFILL HOLES 5 & 7 O'CLOCK MIN. SLOPE d LIQUID LEVEL OUTLET (COBBLES, ROCKS TO BE REMOVED) FINISHED GRADE 1/4" PER FOOT 4" PVC SCH 40 EFFLUENT SEWER, ® DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION AREA AFTER 1/8" PER FOOT MIN SLOPE IN—DRAIN UNITS HAVE BEEN INSTALLED. TOPSOIL = 15" BAFFLE 18"MIN. -7/ WAlER11GHT SLEEVE -. � ALL OUTLET INVERTS TO BE SET (p 4" PERFORATED PIPE 10-17" AND SEAL (TYP.) AT EXACTLY THE SAME ELEVATION; a_ x USE SPEED LEVELERS GEO—TEXTILE COVER w ? Q BANDING STRAPS 23 MIN. _ 4 PVC SCH-40 SOLID HEADER �`� J EVG h�'" C " o 30 MAX. b o TO PERFORATED TRENC PI IN TGa�i� r J 'ANT " 1000 GAL PRECAShall T co 61 u� ' ed examination, SAP J. ZU05 IN—DRAIN UNIT - " H P G eIl on our Limn.c - s CONCRETE SEPTIC TANK .� 1/8 PER FOOT MIN SLOPE fiancr�doas indi�2sig lfhtl�L �� Or;Np "� and speGf Coce.. e fiGatiQns are in 5 � ►s t��� MINIMUM 2X WIDTH cp E once vkhth the 13 ,F. _- - wilding _ _ Y0 _ r i;;�:`i..,_ - MIN U 6 .3.. a� MAXIMUM 4X WIDTH . , —.rd+<'�\-`� .v'1 � —-Y:�::�\ate->ae.:.' _may: ..'Y�:lT._;,,> _ • , WASHED CONCRETE SAND E E N S B U RY - 36" f: TOWN OF QUA CONFORMING TO NYSDOT SPECIFICATION 703-07 6" MIN BUILDING & D T. , �� sEP11c TANK NOTES REVIE NED BY EVEN IN-DRAIN TRENCH SECTION 1. ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK STATE DEPARTMENT OF HEALTH DATE 4$ 3 NTS AND SHALL BE OF PRECAST CONCRETE AS MANUFACTURED BY FORT MILLER OR EQUIVALENT. 2. ALL STRUCTURES SHALL BE PLACED ON FIRM, COMPACT SAND OR GRAVEL BASE. WHERE EXISTING SOIL ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL CONDITIONS ARE UNSUITABLE, CRUSHED STONE SHALL BE PLACED AS NECESSARY TO ACHIEVE A ENGINEER IS A VIOLATION OF NYS EDUCATION LAW. STABLE BASE. 3. SEPTIC TANKS INSTALLED IN TRAFFIC AREAS SHALL BE OF EXTRA HEAVY CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADING. 4. ALL JOINTS MUST BE SEALED. SEPTIC TANK DETAIL NTS No. Revisions Date REPLACEMENT WASTEWATER SYSTEM DESIGN prepared for: PETER SHERMAN 30 Sunset Ln. Assembly Point Town of Queensbury,Warren County,New York Drawn: LWD Checked: GTH I Scale: NOTED Date: 9/12/05 169 Haviland Road Queensbury, NY 12804 29115-01 Hutchins Engineering (518) 745-0307 Phone 9 9 518 745-0308 Fax