98-312 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 q
This is to certify that work requested to be done as shown by Permit No. 98312
has been completed.
This structure may be used as a SEPTIC ALTERATION
Location 134 LAKE PARKWAY
Owner ADAMSON P CHARLES &
TAX MAP NO 9 > —1 -1� By Order of Town Board •
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No:
VALUE $ 0 98312
TAX MAP NO. 9.-1-10 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to ADAMSON, rmitit Y
OWNER of property located at
134 LAKE PARKWAY Street.Road or Ave.
in the Town of Oueensbury,To Construct or place a SEPTIC ALTERATION.
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.
t. OWNERS Address is
LILLIAN TRUST 134 LAKE PARKWAY
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDER'S Name.
•
QUEENSBURY SEWER
3. CONTRACTOR
or
BUILDER%Address
0
4. ARCHITECTS Name
5, ARCHITECTS Address
6..TYPE of Construction—(Please indicate by X) SEPTIC
1 1 Wood Frame ( I Masonry (.I Steel 1
7. PLANS and Specifications
SEPTIC ALTERATION. AS. PER. PLOT PLAN SPECIFICATIONS
No. - ,
8. Proposed Use
SEPTIC ALTERATION
25 June 5 2000
$ PERMIT FEE PAID—THIS PERMIT. EXPIRES '19
(If a longer period is required an application for an extension must,.be made to the Building and.Zoning inspector of the
town of Oueensbutybefore the expiration date.)
5. June 19
Dated at the Town of Queensbury this
..,Day of 19
SIGNED BY < for the Town of Queensbury
Building and Zoning I ctor
:T,tippiicauun iur air I tl, LiarlJ31-iL t'LK1V111 .
(
Town of Queensbury 9
Dept. of Community Development Permit No. V
Building &Codes Office
742 Bay Road , . — 1 V Fee Paid - $,,a5,
Queensbury, NY 12804
Location of property for installation: ‘ polc,e, (I—
oi
Property Owner's Name: C c-( ( ' S /7-c1 elk),_co-,C) t' { ,:�:tril
' c
Property Owner's Mailing Address: 1 ? V I u4 p v Lc% JUN .0 31998
Installer's Name: 4 nrs S. osj� Phone # ` ^`�
7
Number of bedrooms (if residential): 3 Total daily flow:
(residential - compute @ 150 gal./bdrm.)
Topography: flat, rolling, steep slope % of slope
Soil Nature: }C sand, loam, clay, other / depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet
Percolation test: not required, required [rate 7 min. per inch ]
i
Domestic'water supply: municipal, well, other (�/44' ,,-,i e,
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank: / U7)7) gallon (minimum size: 1,000 gal.)
Tile field: each trench L-`J feet / Total system length: _ OtV feet
Seepage pit(s): number of / size each: ft. by ft.
Size of stone to be used: # J1 Z / depth or thickness / feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
CAlarrn system and associated electrical work to be inspected by a certified agency. J
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 , ce.
Signature of responsible person: �'" Date: 6 ' J - 7
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804 •
(518) 761-8256
SEPTIC DISPOSAL S TEM I S ECTION
Name - _ t►,_ . : A,,,_
Location 1 i. N,i-..
Date (0 — --(1 'e rm i t # `.. —
SOIL TYPE: Sand-Lom-Clay-
Results of Percolation Test-
(if applicable) Rat -Minute/Inch
TYPE OF SYSTEM:
ABSORPTION T tal Length
Length of eac Mncyh k57� c'i)
Depth of trenches
Size of stone Q OA
SEEPAGE PIT mber�
Size - t.
Stone size
PIPING: Size Type
Bldg. to Tank Viz ;- % ;6PE,C -V,
Tank to Dist. Box- - " /Vovc _ i'-'irto
Dist. Box to Field/Pit A'. oOP
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS. ~ ‘v39E0
Foundation to Tank ►
�,�, feet
Foundation to Absorption feet
Separation of Pits / - feet
Conforms as per Plot plan -.4: ' .
LOCATION OF SYSTEM ON' PROPP`' :
(circle one)
Front - Rear Left1 Side - Rig t Side
• e . t - dle Rear
C ENTS: ,/
h l' Pit— ,, --1--E_C-TVA ,\
SYSTEM USE APPROVED: E NO
Arrived: 0'
0
Depart
Buildin ctor
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name C-VAPP-L F- ' Ant- 4 k\
Location % �L4 , �_ p l
Date Kqp n Permit # o --
i
SOIL TYPE: Sand Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inc
TYPE OF SYSTEM: -
ABSORPTION FIELI Total Length
Length of each' wench
Depth of trench-
Size of stone
SEEPAGE PITS: N mber-
Size - f . x f .
Stone size
PIPING: Size Type
Bldg. to Tank
Tank. to Dist. Box
Dist. Box to Field Pit /
Openings Sealed? Yes No Partial
LOCATION/SEPARATION :
Foundation to Tank feet
Foundation to Absorp, io feet
Separation of Pits _ feet
Conforms as per Plot ,°1 an Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Lef/t Si e - Right Side
Middle Front - Middle R ar
COMMENTS:
-1-6 '
vi
SYSTEM USE APPROVED: YES
Arrived: i_ i
Departed: 1 N-_
i
iding Inspe . o, ""
i
j � r
i
SITE P
s�Oye. -
V •
to
1 =
__
__ Z
1S
..................�r-I
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no
u? �� •'
EXISTING REES
_BEING MOVED LOCATION PLAN
_ -----
ISTRIBUTION
BOX
MIN.
Z
EFFLUEN
5' ,Y , �- `f F�RC PUMP ST TI❑N G A R A G E
I�NcA ' MAIN A
EXISTI G
W
S , _ oa `V
1 QED
1,000 G L.
SEPTIC TANK
APR❑XIMATE LOCATION
EXISTING SEPTIC -
SYSTEM
_
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E
wo
SIDEN zW
z RE
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f--
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z
a_
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a
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• >lnr ft*bnee of,
r but fellCeS etc., �
t f atbo represent that I have
d n the diagram."
w
} IGNA DATE
Ftia re z
TE w
LEGENn
w
� M
Qi
Z
1� PERCOLATIOM TEST
TEST PIT Date: APRIL 24, 1998
EXISTING GRADE
Scale: 1" = 10'
G 330 FINISH GRADE
� P
49017
SHEET 1 OF 2
co Nnr
CONCRETE OR STONE
FINISHED
MARKER ABOVE ALL
BURRIED COVERS �
GRADE RECOMMENDED. W $Zo
Z w
ACCESS HATCH4 _ _ 1
INLET BAFFLE 12" MIN. COVER OVER 12" MAX. I'i
o ALL STRUCTURES
ELECTRICAL p 6" MIN.
JUNCTION D oo$ Op dJ0
. ► •' .. O O 0 �� INTERCONNECT ENDS
6" MIN. g� OQU BOTTOM OF BED 4" PERFORATED PVCTar OF LATERALS
N $� ALL OUTLET INVERTS
LATERAL, LAID LEVEL
4" BUILDING SEWER ' TO BE SET AT
UBMERSIBL
PUMP EXACTLY THE SAME
4" PVC ELEVATION.
PEA GRAVEL STANDARD ABS_ ORPTION BED PROFILE
ALARM ON— _ � E 2" FORCE MAIN DISTRIBUTION BOX z SLOPE TO DRAIN N•T•S• �f" ,
PUMP ON 2" DIA. PIPE BACK TO PUMP STATION ^ w
N.T.S. ` 0 0
PUMPS OFF •� OD
CHECK VALVE., T�� �-i1 �
iv Z.
V1
: . : � A a
e, a a. *. ► ► ►. ► , CONCRETE TO BE ~
TROWEL FINISHED 91
" SWALE AT UPHILL SIDE
O �
4-0 LD. PRECAST CONCRETE MERCURY FLOAT OF BED TO DRAIN RUNOFF w 4)
MANHOLE WITH INTEGRAL BASE EFFLUENT PUMP
AND FLAT SLAB TOP. SWITCH WITH AWAY FROM BED SLOPED TO DRAIN w
AS MANUFACTURED BY FORT MILLER WEIGHT (TYP.)
OR EQUIVALENT O
(NO LADDER RUNGS)
EARTH _ w
FILL FEII �I 6" TO 12" BACKFILLT
11 FILTER FABRIC
EXISTING_ SEPTIC TANK PUMP STATION OR GEOTEXTILE
N.T.S. 4" PERFORATED
N.T.S. 2" MIN.
1. PUMP TO BE EFFLUENT PUMP RATED AT A MINIMUM OF 30 GPM LATERAL
AT 20 FEET TOTAL DYNAMIC HEAD. PUMP TO BE 1/3 HP GOULDS
MODEL 3885WE03L OR EQUAL
2. PUMP CONTROL PACKAGE TO BE SUPPLIED BY MANUFACTURER.
000
AUDIBLE AND VISIBLE ALARM TO BE ACTIVATED BY ALARM FLOAT to
��p0 ���0�
p o 0 3/4" TO 1 1/2-
CRUSHED STONE
'-0" 2.-6"
(TYP.) 36" MIN.
MAXIMUM
GROUNDWATER
ELEVATION = w
4
O
cAq
Y�
I-
ABSORPTION BED SECTION
STANDARD z o
PIPN.T.S.
a �
z
Ii+
m
a
a�
U
a
z
INSTALLATION STALLATI GN OF DISPOSAL FIELDS
SEPTIC SYSTEM DESIGN SOILS DATA w
w
z
I~ 111
1
DESIGN FLOW — EXISTING 3 BEDROOM HOUSE WITH WATER SAVING
0 —12" TOPSOIL . CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING, CA
12-28" LOAMY SAND AND SHALL BE IN ACCORDANCE WITH THE N.Y.S.
DEVICES AND 1 GALLON FLUSH TOILETS = 270 GAL/DAY 28-48" FINE SAND W/TRACE SILT DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS, AND
AS
TANK — NEW 1,000 GALLON TANK INSTALLED 1997 MOTTLING AT 36" T'M F481-76 INSTALLATION OF THERMOPLASTIC PIPE AND w �
SEPTIC A CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS.
PERCOLATION TEST — 7 MIN. 10 SEC. STABILIZED RATE 2. NO HEAVY EQUIPMENT SHALL BE ALLOWED WITHIN THE LIMITS
ABSORPTION BED — 7 MINUTE, 10 SECOND PERCOLATION RATE = 0.8 GAL/DAY/SQ.FT. OF THE DISPOSAL FIELDS AFTER PIPE INSTALLATION HAS BEGUN. w U
270 GAL/DAY + 0.8 GAL/DAY/SQ.FT. — 337.5 SQ.FT. REQUIRED SOIL & PERC. TEST BY NACE ENGINEERING 12/21/97
USE 15FT X 25FT BED = 375 SQ.FT. 3. AFTER EXCAVATION TO THE DEPTHS REQUIRED, THE WALLS AND
— SYSTEM REQUIRES 3' SEPERATION TO SEASONAL HIGH GROUNDWATER FLOOR AND RA K THE BED OR TRENCHES SHOULD BE CLEANED <C
KED TO ACHIEVE AN EVEN SURFACE AND TO LOOSEN Z
— TEST PIT SHOWS 3' FROM EXISTING GRADE TO MOTTLING — THEREFORE SMEARED SECTIONS OF TRENCH.
SYSTEM WILL BE SHALLOW SYSTEM WITH FILL REQUIRED TO COVER BED.
— STRIP EXISTING TOPSOIL AND FILL AREA WITH FINE LOAMY SAND (PERC. RATE 4. PLACEMENT CRUSHED STONE, PERFORATED PIPE AN IL
FABRIC SHALLLL
OF 5 TO 10 MINUTES) TO ELEVATION REQUIRED TO MAINTAIN BOTTOM OF EXERCISED TO AVOID BE SHOWN, AND CARE SHALL BE
D INCLUSION OF FINE GRAINED SOILS AND
BED LEVEL AT MIN. 3' ABOVE MOTTLING. OTHER WASTE MATERIAL IN THE STONE AND PIPE. Date' AM 24o US
5. THE PIPE SHOULD BE LAID AT THE GRADES AND TO THE
SEWAGE PUMP USE GOULDS EFFLUENT PUMP MODEL 3885WE03L RELATIONSHIPS SHOWN ON THIS DRAWING, MAINTAINING STRAIGHT
— SIZE DOSE TO FILL 100% OF THE DISTRIBUTION PIPING = 62 GAL CONTINUOUS GRADES WITHOUT SAGS, HUMPS, SEPARATED JOINTS
— USING 4 FT DIAMETER MANHOLE NEED PUMPDOWN = 8 INCHES OR OTHER UNSUITABLE CONDITIONS. THE PIPE SHALL BE LAID .
— WITH THE HOLES DOWN IN ALL CASES.
USE STANDARD GOULDS PUMP PACKAGE WITH FLOAT CONTROLS
AND HIGH LEVEL ALARM. 6. ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL
I AND TO DIVERT SURFACE RUNOFF FROM ADJACENT AREAS AWAY
FROM THE DISPOSAL FIELD.
7. NO PART OF THE DISPOSAL SYSTEM SHALL BE INSTALLED UNDER DRIVEWAYS. 80ale AS NOTM
4901 '7
&*ET2OF2