92-426 rit
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSDURY
WARREN COUNTY, NEW YORK
Date 9,dxf ,,'!/ 19 9,t
This is to certify that work requested to be done as shown by Permit No. 92-426
has been completed.
This structure may be used as a Septic Alteration
Location 4ssembly Point
Owner Dr. Richard Provenzano
By Order of Town Board
OWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 92-426
WARREN COUNTY, NEW YORK
.r
PERMISSION is hereby granted to Dr. Richard Provenzano
03
OWNER of property located at Assembly Point Street, Road or Ave.
in the Town of Queensbury,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.
mai
1. OWNER'S Address is
11 Catamount Lane
Bennington, VT 05201 a
2. CONTRACTOR or BUILDER'S Name O
Friedman Excavating
N
0
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name fD
B
Q
and
5. ARCHITECT'S Address 0
Vf
fD
6. TYPE of Construction—(Please indicate by X) �-F
( )Wood Frame ( 1 Masonry ( )Steel ( )
e+
fD
7. PLANS and Specifications
No. Septic Alteration as per plot plan specifications and application c
8. Proposed Use
Septic Alteration
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 21, 19 94
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this St D of ' July 19 92
r �
SIGNED BY for the Town of Queensbury
Buil and oning In ctor
`Ift j TOWN OF QUEEI SBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # t c)- o`'6
Fee Paid
Date: '1 -70 - 92- Reviewed By
LOCATION OF PROPERTY FOR INSTALLATION: / Ss M CL- 1 jG c �iT
Owner`s Name: ��,-1 �r2 � � 9 � 0
Owner's Mailing Address: 1/ { l (1 Mom rU 1-.0(3w r� �3��,�v . U 1 OJ 7C 1
Installer's Name: «. rn, L., LS< C (A4.T n Phone #: 632 - 463.5
Number of bedrooms (if residential ):
Total daily flow (residential-compute @ 150 gal . per bedroom):
Topography-Circle One: AIM Rolling Steep Slope % of Slope
5jow-e
Soil Nature-Circle One: Sandlik) Clay Other O a-r- /Depth:
Ground Water-At What Depth? Feet
Bedrock or Impervious Material-At What Depth? Feet
Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: Municipal Well Other ,o (fie_ c.v.Cru...- --
If domestic water supply is a well -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank /a b gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench feet//Total System Length feet�t
cS;
Seepage Pit(s): Number of / Size each: ft. x ft.
Size of Stone to be used: # / Depth or
Thickness feet
(-7)40/7-
**************
HOLDING TANK SYSTEM IF REQUIRED
No. of Tanks f Size\of Each /a 5b Gal .
Alarm system and associated electrical work to be inspected by a certified
agency.
**.**************
I have read the regulation on the reverse side of this sheet and agree to abide
by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: C Lo- Lc,Al w7 DATE: 7 lD p�
.yv
1
Septic System Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1) the proposed location of the system
2) location and distance to lot lines
3) location and distance to structures
4) location and distance to any water supply
5) size acid dimensions of all tanks, distribution boxes, tile fields
and/or drywells
B. No system shall be covered before inspection and approval by the Building
Inspector. Failure to comply wi ::h this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen prbbierns =istructi-on nt Droner installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
Town of Queensbury
Building & Code Enforcement
Department
531 Bay Road
Queensbury NY 12804
Remarks:
l )30
r _ own of Queenibur y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME �Y. l) �� 7--CIM.CD
LOCATION -. ; 1- 1)I e:>)
a !l
DATE 7 /09y PERMIT NO. (7 —L�
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit 1
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS: ;'
Foundation to tank ft.
Foundation to absor , ion ft.
Absorption to lot lne ft.
Separation of pits' ft.
LOCATION OF SYSTF, I ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS: .�
Lfi..D`ST6A1 I ,V,', A-Lctf P a ew&f, -
1160
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A-- '9i1Qu6 PLA
SYSTEM USE APPROVED YE NO
B 'lding ns ector
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LOCATION STAKE--,,. --FINISHED GRADE
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1.2 .\ .,.'\'1�� t �1,��,1�''i",�,1✓ "T11-�`.�,��1�.` Tom, .. r, �"
. ir\ L MANHOLE COVER--� -�- �--MANHOLE COVER
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Q � ? ' '• i ASPHALTIC SEAT ---..� ••
_[• INVERT OF INLET 2" AEG _ i -
INLET i ( INVERT OF OUTLET r I i
1 1 OUTLET
LIQUID LEVEL i 1
CAULK JOINT- ! `DI x -CAULK JOINT
SANITARY TEE-�i - ! -- --SANITARY TEE
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USED INSTEAD OF
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--- _--- ------__ _ —�,poR�$E� .SEG✓.4CE L]is.�!'.LSAL �PE9
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ram/ZaT-c�-94S 6P -1/9' L'4,o LEVE�� - -- ----- -- _ PLACE CONC.
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' & ' ALL LATER4L3 To 86 vDR-35 PvC
�•E..��. I I I
I - _ .�eo�czsEo L�,1 �9aso,QPT�ow BEa �' SECTION — VIEW
I LAKE __
GEORG ET---
' - ASPHALIC I
SEAL �. 1
h _)HEF - i 20" MIN.
T --1 I o OUTLET=--
HOUSE
STONE
RING BOLTS -I
WALL I
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C.O.T.cj v V-1
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PLAN VIEW
e TYPICAL CONCRETE_ SEPTIC TANK
Not to Scale
Q `
- X2SO 6�41 BARRIER MATERIAL
'7�
/7/� M
\- \y�\�% i BACKFILL 6" TO 12"
L
GARAGE -----"le -GisEO '>!"'wc .Soe 3S /y%r. ��r�v,) S(/R I/E y 2" OF STONE----
• r /yDr A �PE'�T Y OVER PIPE
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-�PaoctsEb No./ ��sreiBVTicw 1 6 OF STONE 12" OF STOPIE
j Box By ��Pr �i�Ewe Oe Ec,v4L
UNDER PIPE 1" PERFOR•4TED PIPE- 0 T AL
�\
LFF. 11"
i� CONVENTIONAL ABSORPTION BED
- -----------------------
20 Not to Scale
NorE
6EPTIC DESIGN
PRoPER7YY Z/NE /NF0,4M4 7-/O A1 FROM DEED
/"IAD,E Ong THE 2/£-r DAYOF NOI/6/178ER /983 BASED ON 4 BEDROOM RESIDENCE
9Erw,6161 BASED ON PERCOLATION RATE OF 21-30 MIN.
GUY A. HA/7 AND E"D/Ti3i G. /1A/`'I (ACTUAL PERCOLATION RATE - 18 MIN. 30 SEC. )
APPLICATION RATE .60 GPD/S.F. X .75 (BED) = . 45 GPD/S.F.
TO 150 GPD X . 80 (WATER SAVER FIXTURES) = 120 GPD
.T PRo✓ENzAAvo 4,►•o .T/4,09 A.FRfF1%9 / 120 GAL./BEDROOM X 4 BEDROOMS = 4 8 0 . GALLONS PER DAY
,45 REC RIL--D AT 77VE WARREN COUNTY 480 GPD - . 45 GPD/S.F. = 1067 S.F. REQUIRED i
CI-EPA15 OFF/Gt on/ NOVE/17,6ER JO, /9d3 USE BED. 20 FT. WIDE X 54 ' LONG = 1080 S.F. PROPOSED
131
/A/ SOO/l "8 Gs -PAGE 97. h
AL50 4-ROM ,9M,9P OF THE F/RST Sv6-D/✓/S/ON VEST PIT INFORMATION - 7/15/92 TOWN 0F �r�� U
R
of RROP.E'RTY OWNED ,BY TiYE ZAfIE GEO,QGE
T ASS Pe/Wr O/✓ LAKE GE0.46E W,9RREN TEST PIT N0. 1 BUILDING & OE
A
CQUW N. Y. AA10 F/EEO /N THE WfRpe5A/CDUNTY 4" TOPSOIL
CLEi4/lS oPF/cE DEG'EMBE 7 /9i " _ " � 2° REVIEWED BY
R µ� DES16W4rF.0 22 MED. TAN/YELLOW SAND
AS LOT mo. 8. 22" - 66" MED. TO FINE TAN SAND INLET DATE
66" - 100" MED. TAN SAND
WATER AT 84"
MOTTLING AT 80"
° p A REV.: BY. DATE: NOTE:
�-OUTLETS-FIVE 4° W ,,` PROVENZANO RESIDENCE DEMNED: CAD ME:
NOTE I / KNOCKOUTS WITH _ J. HUNTINGTON
M/,✓/M41AI SET-BAl/lS. \ HIGH DENSITY POLY- /' DRAYM: SCAM
HOUSE TO SEPTIC TA.VI,( /O ' ETHYLENE PIPE SEALS.- J C M AS NOTED
To s�Pric TAN - SEPTIC DESIGN CHECKED: PROJECT NO.:
LAK,t K so'
f1aZE Tb LEACH EED - 2o' R.S. MO: 92
LAA1E rb LEAC// BEo TYPICAL DISTRIBUTION BOX '
� DRAWING NO.:
TOWN OF QUEENSBURY-WARREN COUNTY-STATE OF NEW YORK
PROPERTY LIME TO NOT TO SCALE •' � .�'' o `�
LL'ACN BED OR O/ST. 6s'Dx - /O' Dr MORBE ENC�INEEF'iIWQ P.C.
99 LOWER ENK AVE,
f Cl 1Y.KY =1Q4 SHEET DATE PRINTED.
OF 1992