SEP-0184-2021 SEPTIC DISPOSAL PERMIT APPLICATION Office Use Only
742 Bay Road,Queensbury,NY 12804 _
Town of(Z7eencbury G n x
P:518-761-8256 www.gueensbury.net Permit#:
Tax Map ID#: 295.14-2-1 Permit Fee: $ y� •; Invoice#: �"
Project Location: 27 WHIPPOORWILL ROAD Septic Variance? Yes No
Primary Owner(s) ERIC GANGSAA
Mailing Address 27 WHIPPOORWILL ROAD QUEENSBURY,NY 12804
Phone & Email
Installer/Builder SANITARY SEWER SERVICE L In) C,
9 E7
Mailing Address LUZERNE ROAD, QUEENSBURY NY
-Phone & Email 518-796-3760 �9i'l 0 TO I
Engineer CENTER PROJECT SERVICES TOWN OE .i tt- Iv!PP!
Mailing Address 73 SHERIDAN STREET, GLENS FALLS,NY L BUILDING& CODES
Phone & Email 518-796-251S TCENTER36@YAHOO.COM
Contact Person for Building&Code Compliance: GEORGE DRELLOS Phone: 518-796-3760
RESIDENCE INFORMATION:
Year Built Gallons #of bedrooms X gallons per =total daily flow
per day bedroom Garbage Grinder - Yes No
1980 or older 150 Installed? (circle one)
1981-1991 130 Spa or Hot Tub Yes No
1992-Present 110 4 110 440 Installed? (circle one)
PARCEL INFORMATION:
Topography ✓ Flat Rolling Steep Slope %Slope
Soil Nature ✓ Sand Loam Clay Other
Groundwater At what depth?
Bedrock/Impervious material At what depth?
Domestic Water Suppl XX _Municipal _Well (if well, water supply from any septic system absorption is_ft.)
Percolation Test Rate: 1-5 per minute per inch (test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION:
Tank size 11,250 gallons (min. size 1,000 gallons, add 250 gallons for each garbage cylinder or spa/hot tub
System Absorption field with#2 stone Total length ft.; Each Trench ft.
Seepage Pit with#3 stone How many: ; Size:
Alternative System Bed or other type: 20x30 pipe-in-stone absorption bed
Holding Tank System Total required capacity? ; tank size ;#of tanks
NOTES: 1.Alarm system &associated electrical work must be inspected by a Town approved electrical inspection
agency; 2.We will no longer allow systems to be covered until such time as an as-built plan is received and approved.
The installed system must match the septic layout on file—no exceptions.
Declaration:Any permit or approval granted which is based upon or is granted in reliance upon any material
representation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void.
have read the regulations n agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage
Disposal Ordinance.
PRINT NAME: DATE: Z�
SIGNATURE: 2
Town of Queensbury Building&Cod Enforcement Revised March 2018
TOWN OF QUEENSBURY
BUILDING DEPARTMENT _
Based on our limited examination,compliance -
with our comments shall not be construed as
indicating plans and specifications are in
full com li ce with-the Building Codes of
Now York S te. � FILE COPY PLAN TO BE D I a SECT
Sl.i"C ES FOR THE
ION OF n y UCTION
.1
mLU
LU0
—1_ uJ Z
00
0 co
OrG� N
N
O
O P
j N
TOWN OF QUEENSBURV = Q
BUILDING & CODES DEPT. .� n
Review B S I � W o°
r, N � a
+,
Date: a r� l 14 :L
I
Lo
I' W
NcoNx
i
SERVICES
73 Sheridan Street, Glens Falls,NY 12801
Phone-518-796-2515
March 28, 2021
Project# 333
George Drellos
Sanitary Sewer Service
Queensbury,NY 12804
Re: Proposed Replacement Septic
27 Whippoorwill Road Queensbury,NY
Dear George:
At your request, we have reviewed your proposed replacement septic system design of the
existing 4-bedroom house at 27 Whippoorwill Road in Queensbury. As per our conversation the
residence has an existing failed septic system.
We have reviewed the proposed replacement septic system design and we agree that a standard
absorption bed is acceptable. Based upon a design flow rate of 440 GPD and a percolation rate of
1 to 5 minutes, you will need a minimum of 488 sf of absorption area. We recommend using 20
ft wide by 30 ft long absorption bed with 4 — 25 ft long laterals. The absorption system can be
constructed with a new 1,250-gallon septic tank, new distribution box, and 4-inch diameter
perforated pipe and stone.
Please feel free to contact me at 796-2515 if you have any questions and that you for your
assistance with this request.
Sincerely,
Thomas R. Center Jr, P.E.
APR d Z 26L
TOWN OF QUEENSBURY
BUILDING&CODES