SEP-0354-2021 SEPTIC DISPOSAL PERMIT Office Use only
APPLICATION Permit#: SEP - 0:-;,� - z®21
Town ofQueensbury Q i
Permit Fee: $ (�
Invoice#: ���'
742 Bay Road,Queensbury,NY 12804NAS
P:518-7.61-8256 www.gueensbury.net IAY 13 2021 Flood Zone? Y N eviewed BOF QUEENSBURYLDING&COD``S
Project Location: sVE
Tax Map #: 301.12-3-60
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? (choose one)
1981-1991 130 Spa or Hot Tub Yes
1992-Present 110 3 110 330 Installed? (choose one)
PARCEL-INFORMATION:
Topography Flat Rolling Steep Slope % Slope
Soil Nature Sand V Loam Clay Other, explain:
Groundwater At what depth? GREATER THAN 6 FT
Bedrock/Impervious material At what depth? GREATER THAN 6,FT
Domestic Water Supply Municipal Well Lake
(if well or lake, water supply from any septic system absorption is
ft.)
Percolation Test Rate: 1-5MIN per minute per inch (test to be completed by a
licensed engineer/architect)
PROPOSED SYSTEM INFORMATION:
Tank size l000 gallons (min. size 1,000 gallons, add 250 gallons for each garbage cylinder or
spa/hot tub EXISTING 1000 GAL CONCRETE
System Absorption field w/#2 stone Total length ft.; Each Trench ft.
Seepage Pit w/#3 stone How many: ; Size:
Alternative System Bed or other type:20 FT X 25 FT
Holding Tank System Total required capacity? ; tank size ;
# of tanks
Santir Onnlirntinn
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant•
Name(s): ROSEMARY CROOP
Mailing Address, C/S/Z: 9 ZENAS DR. QUEENSBURYNY-12804
Cell Phone: Land Line:
Email:
• Primary Owner(s):
Name(s): SAME AS APPLICANT
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
Check if all work will be performed by property owner only
• Contractor•
Contact Name(s):SANITARY SEWER SERVICES
Contractor Trade'.
Mailing Address, C/S/Z:LUZERNE RD, QUEENSBURY
Cell Phone: Land Line:518-796-3760
Email:
**Workers' Comp documentation must be submitted with this application**
• Engineer(s)•
Name(s): CENTER PROJECT SERVICES
Mailing Address, C/S/Z:73 SHERIDAN STREET, GLENS FALLS NY 12801
Cell Phone: Land Line:
Email•
Contact Person for Compliance in regards to this project: GEORGE DRELLOS
Cell Phone: Land Line: 518-796-3760
Email:
NOTES: 1. Alarm system and 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. 3. As-
built drawings must.be submitted prior to the inspection, if there has been.a change to the submitted
plans: 4..If, for any reason, the building permit application is withdrawn, 30% of the fee is retained by the
Town of Queensbury. After 1 year from the initial application date, 100% of the fee is retained.
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. I have read the regulations and agree to abide by these and all requirements of the Town of Queensbury
Sanitary Sewage Disposal Ordinance.
PRINT NAME:GEORGE RE LO
SIGNATURE: DATE: .S
301.12_3.60 SEP-03542021
CrooP, Rosemary
9 Zenas Dr
Residential Septic Alteration
XZD
(6 �� V
ti a i v"e t
of
k z TOWN OF QUE � Y
x } BUILDING & DT?T.
Reviewed Byo k.
I Date:
iC or n
D �
' =13
TOWN OF QU&CODES Y
BUILDING , ..,_DE
CENTER PROJECT
SERVICES
73 Sheridan Street, Glens Falls,NY 12801
Phone-518-796-2515
_ �My 11, 2021
aject#337
George Drellos C E 0 E s
Sanitary Sewer Service [Rj�
`
Queensbury, NY 12804 MAY 13 2-01
Re: Proposed Replacement Septic TOWN OF QUEENSSURY
9 Zenas Drive Queensbury,NY BUILDING CODES.
Dear George:
At your request, we have reviewed your proposed replacement septic system design of the
existing 3-bedroom house at 9 Zenas Dr. 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 330 GPD and a percolation rate of
1 to 5 minutes, you will need a minimum of 367 sf of absorption area. We recommend using 20
ft wide by 25 ft long absorption bed with 4 — 20 ft long laterals. The absorption system can be
constructed with the existing 1,000-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.