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2004-907 / TOWN. OF QUEENSBURY w � 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518).761-8256 CERTIFICATE OF COMPLIANCE . . Permit Number: P20040907 Date Issued: Friday, December 03,,.2004 -- -= --. - - -- This-is to certify that work requested to be_done as shown by Permit Number - P20040907 - has been completed. Tax Map Number: 523400-239-016-0001-025-000-0000 Location: 18 TALL TIMBERS Rd Owner: ROBERT & MARILYN SNARE Applicant: ROBERT &MARILYN SNARE This structure may:be occupied as a: Septic Alteration Residential . By Order of Town Board , TOWN OF QUEENSBURY (-3ewAY di, :414- -— 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 Enforcement Planning Board or Zoning Board of Appeals. .- -- � ` TOWN OF QUEENSBURY '• 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040907 Application Number: A20040907 Tax Map No: 523400-239-016-0001-025-000-0000 Permission is hereby granted to: ROBF,RT &MARIT,YN SNARE For property located at: 18 TALL TIMBERS Rd 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: ROBERT&MARILYN SNARE 10 SOUTH HOLLOW Dr Septic Alteration Residential Total Value BALLSTON LAKE,NY 12019 Contractor or Builder's Name /Address Electrical Inspection Agency CRANDALL EXCAVATING Plans&Specifications 2004-907 SEPTIC ALTERATION $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 16, 2005 (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 Town of Queensbury; Tuesday,November 16, 2004 SIGNED BY for the Town of Queensbury. Di or o •uilding& •y e.4N orcement • Application for Permit.—Septic Disposal System O ,,,: P. 1 own of Quecnshiiy 742 Bay Rood Queensbuy,NY 1280d (518) 761-8256 \ -��•— 1 k 1. OWNER INFORMATION: . Office Use Location of installation: 18 Tall Timbers Road . File Permit No:OLF907 • Tax Map No. / / Fee Paid Owner's Name: Robert E. Snare. . . Address: 10 South Hollow Drive • Ballston Lake, NY 12019 2. INSTALLER'S NAME : Crandall Excavating. PHONE NO. 793-0431 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate.11 bedroom(s) and multiply II of . bedrooms with.applicable gallons per bedroom to equal total daily floJr i. ¢ `k CAI V Year of House: No. of Bedrooms x Computation = Total Daily Flow �® "' . 1980 or older x 150 gal/bdrm = 2004 1980—1991 . x 130 gal/bdrtn = . BUIf OFQUE f 'cy` ,' 1991 —present .3 x 110 gal/bdrm = . 330 DIA/GA�DcO��Y o��° Garbage Grinder Installed yes= / no x V 1,-Spa or Whirlpool Installed yes / no x .. ` �' 5 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) • Top_osmaLw SQilNaturc .Qroilnd W for Bedrock or liiihprvious Malcrial__noin stic:_Wa(or Supply Mat sand at what depth at what depth . . - nnniicipal . Rolling loam feet fret well Steep slope •clay • if well; water supply _%slope other from any septic-system • depth: • - absorption is ft. other Percolation Test: .(To be completed by licensed professional engineer or architect) - O • Rate: minute per inch S�E�P�T�IyC�TANK,REPLACEMENT ONLY.. 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or a rchilecl-(unless installed in a Planning 13o,ird approved subdivision). Add 250 gallons to the size • of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic,Tank: /an gallon (min. size 1,000 gal) Tile Field: each trench -• fi. Total System Length: ji. Seepage Pit(s): number of - . . size of each: ft. by • ft. • • Size of Stone to be used.' It / depth or thickness _Pet Bed System Size:. •x . Alternative System: . - length and/or size 6. HOLDING TANK.SYSTEM: .(if required) _Nlunber_of tanks: _ _/—Size--of-each: --- gallons 4—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 re!ulations with respect to this application and.agree to abide by these and all . • requirements ofwn of Queensbury Sanitary Sewage Disposal Ordinance. ' • / INP /00 O Slgnatur, of responsible person Dat - ' / ti ) -- i) • Septic Inspection Report Oueen bce No. (B u)ildinl-8256&Code Enforcement �1e�enspection r aquest,received: f � %Ld Q ury g p t Depart: I i m/prn 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials. NAME: C _ 0 q— 6l 07 ft_� v 0., ''' PERMIT NO.: LOCATION: _ E• .2 _— 4 INSPECT ON: / �� — O RECHECK: - — �� is • Comments and/or diagram Soil Type: Sand/Loam/Clay ' Type of Water: Municipal/Well Water, L,,41 & & Waterline separation distance ft. //-/f g 0-1° -,Ae.-1,eA)/ Well separation distance 1) ` ft. Other wells: 2i /L' hl) ft. ON C_ L� Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: • Piping Si Type /�, • Building to tank ' t0 ?t1 Tank to Distribute Box vI 0Distribution Box ield/Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank /0 ft. Foundation to absorption ft. • Separation of Pits t. Conforms as per Plot Plan ___ N Location of System on Property: __ • Front. Rear Left Side Right Si e e /!�� Middle Front Middle Rear 7 System Use Stat s: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:LSueHemingway\Building.Codes.Inspection.FORMS1Septic Inspection Report.doc January 28,2003 GENERAL NOTES: G-1) PLAN BASED ON SURVEY MAP "MAP OF LANDS OF CHRISTIAN DANTSIZEN BEING THE SLY. HALF OF THE EXISTING 'BURNT RIDGE LOT' SITUATE IN LOT #33 FRENCH MT. TRACT, TOWN OF QUEENSBURY, WARREN COUNTY, NEW PROPERTY LIPJE GARAGE j/ YORK, NOV. 26, 1958", BY LESLIE W. COULTER, REVISED MAY 26, 1976. G-2) CONTRACTOR TO LOCATE EXISTING UTILITIES PRIOR TO CONSTRUCTION; CONTACT DIG SAFELY NEW YORK APPROXIMATE "~ �, AND RECORD FILE #. VERIFY BUILDING CONNECTIONS, LOCATION AND ELEVATIOI`t, PRIOR TO INITIATING CONSTRUCTION; CONFLICTS OR DISCREPANCIES SHALL BE REPORTED TO THE OWNER OR ENGINEER IMMEDIATELY. NOTIFY ENGINEER IMMEDIATELY IF SITE CONDITIONS ARE NOT AS INDICATED. CONNECT NEW SEPTIC WASTEWATER DESIGN INFORMATION: / TANK TO EXISTING —----- _ 1 LAKE EFFLUENT PIPE AND — --__ _ DESIGN BASIS y ' EX�STILEACHING SYSTEM NEW YORK STATE DEPARTMENT OF HEALTH � TOWN OF UEENSBURY %; �'E - E BOAT EXISTING SEPTIC TANK; Q HOUS1= REMOVE AND DISPOSE ; / fG // REPLACE EXISTING SEPTIC TANK POTABLE WATER SUPPLY R (d l��7 M 2 WI1rH NEW 1000 GALLON SEPTIC TANK NO KNOWN POTABLE WATER SUPPLIES WITHIN 50' OF PROPOSED SEPTIC TANK E4SU C 1 URST � R-.M el' (FORT MILLED OR EQUtiIALET� , DESIGN FLOW N) CONNECT TO EXISTING f 3 BEDROOMS A P = ;- � R00 S ( S PER OWNER} X 110 GPD/BEDROOM 330 GPD r� BUILDING SEWER EXISTING DRIVEWAY (INSTALLATION OF WATER SAVER FIXTURES THROUGHOUT RESIDENCE REQUIRED, NO GARBAGE GRINDERS OR SPAS/ HOTTUBS CONNECTED TO WASTEWATER DISPOSAL SYSTEM) F � 10 A4W o �O � � SEPTIC TANK 10Q0 GALLON MIN. CAPACITY REQUIRED PROVIDE 1000 GALLON SEPTIC TANK SITE LO TION ` ' I XISTING I SEPTIC TANK EFFLUENT FILTER CTOR: % PROVIDE (1) MODEL A1801-4X I8, "ZABEL" RESIDENTIAL FILTER. T U(-,CO HOUSE LEACHING SYSTEM EXISTING LEACHING SYSTEM TO BE REUSED LLAGE F LAKE 1� �� GEORG v� SPECIFICATIONS_ 0 TANKS / STRUCTURES: T-1) PRECAST STRUCTURES SHALL BE AS SUPPLIED BY FORT MILLER CO., INC., OR EQUIVALENT. REFERENCES TO LOCATION PLAN 1 / f HEAVY DUTY REFER TO FORT MILLER CO. DESIGNS FOR H-20 TRAFFIC LOADING. �.�..� T-2) THE LOCATIONS OF ALL BURIED STRUCTURES SHALL BE DOCUMENTED BY INSTALLATION OF PERMANENT SCALE: N.T.S. ..� MARKER(S) OVER COVER(S), AND MEASUREMENT "TIES" TO PERMANENT STRUCTURES SHOWN ON THE "RECORD DRAWINGS" (SEE GENERAL NOTES). / T-3) ALL TANKS SET BELOW SEASONALLY HIGH GROUNDWATER ELEVATIONS SHALL BE ANCHORED AGAINST POSSIBLE FLOTATION USING HEAVY DUTY TANKS W/ 6" EXTENDED INTEGRAL BASES, OR BY AN ALTERNATIVE METHOD APPROVED BY ENGINEER. T-4) TANKS/STRUCTURES SHALL BE SEAMLESS CONSTRUCTION OR SHALL HAVE WATERTIGHT JOINTS (ASTM C1227). WALL PENETRATIONS SHALL BE SLEEVED; SLEEVE TO BE SEALED TO THE WALL WITH NON-SHRINK GROUT, AND THE PIPE SEALED TO THE SLEEVE WITH WATERTIGHT ELASTOMERIC MATERIAL_ TANKS TO BE TESTED TO DOCUMENT WATER TIGHTNESS BY METHOD APPROVED BY ENGINEER. (ENGINEER TO WITNESS) T-5) TANKS/STRUCTURES INSTALLED IN TRAFFIC AREAS SHALL BE EXTRA HEAVY CONSTRUCTION DESIGNED FOR(H-20) i WHEEL LOADING. i T-6) CONTRACTOR TO INSTALL TANKS/STRUCTURES TO (RELATIVE) ELEVATIONS SHOWN; DOCUMENT ELEVATIONS OF EXISTING FEATURES PRIOR TO START OF CONSTRUCTION. y T-7) ALL EXISTING SEPTIC TANKS THAT WILL BE REMOVED FROM SERVICE ARE TO BE REMOVED, OR ABANDONED IN / PLACE AND BACKFILLED WITH CLEAN FILL AT DIRECTION OF PROPERTY OWNER. i SEPTIC TANK SITE PLAN GRAPHIC SCALE � , OJEC r �� {� I�I� 20 0 10 20 40 80 � 1L=JI SCALE: SEE GRAPHIC SCALE . � ' F ( IN FEET ) of WATERTIGHT JOINTS (TYP.)� WATERTIGHT L,1ANHOLE FRAME & COVER; ��,YP .CUBE C'� �,TINIIC� F,`2 OR EnUIVA-ENT; a Fii`�iSHED GRAI�E� � PERMANENT MARKER GRADE TO DL?AIN AWAY FROM COVER ?07� RECEIVED OVER COVER PRECAST CONCRETE �2'-0' RISEN AS REQ'D Nov 16 2004 "` is TOWN OF 12" (MIN.i T �i�v wI~' ( �f�"'� BUILDING UEENSBURY E NSBl J.' AND CODE SOIL PIPE: INSTALL ✓' FFFLU-1�IT PIPE; If,ISTALI - BUILDING �Y AS SHOWN ON PLAN AS SHOW! ON PLAN &LEGEND: \ 3 ; — — — — REVIEWED BY O TOWN OF QUEE>*ISBURY Bt111.D11VG ii r,K DATE Based on oUr Hrnited examinaticu�, INLET NON SHRINK rylEi� OUTLET 4" OUTLET TEE GROUT c�har�cewithourcomments3*nhall EXISTING / BY OTHERS: — = ' and as indicating the (existing features denoted by lower case lettering) 1 �," MODEL A1801 —4y: 18 RESIDENTIALp1m -a6ons .are in full OUTLET - dance Witt►the Building Code "ZABEL" FILTER OR EQUIVALENT OfNeW York State. NEW / PROPOSED IN THIS DESIGN: y j �. 1 PROPERTY LINE: FORT MILLER PRECAST M 4" PVC PIPEIN. . _ BACKFILL g �� SEPTIC TANK OR EQUIVALENT /� THORC� /�PROPERTY LINE SETBACK: OMPACTED �� a EFELUEN I FILTER C1 PROPOSED SANITARY FORAGE MAIN: NOTE: 11/10/04 A SUBMIT FOR PERMIT TO CONSTRUCT TJ/MA SILT FENCE / EROSION CONTROL: IF EXISTING OR NEW SEPTIC TANK CONTAINS A PRECAST CONCRETE TEE DATE REV # ISSUED / REVISIONS BY 0L'-� TT If,IST`= CF ar- r1C SAN =`,' TEE '-,IJBSTIT'..`7- ZABE- = DRAWING: TEST HOLE: - MOBIL WASTEWATER PLAN MODEL ;A1 8C '-4x 18 FOR A.18G1 4x 18. PERCOLATION TEST: 12" MIN.) s a a �� A� _�{ t C 1 e e ^ • 7 NOTE # REPLACEMENT OF SEPTIC TANK �� Uo°�? Q�o°C) Uo°� Uo°C Uo°C� �c4� (I, � O�cs� �c4� Uc4� �a� Uc�� �c9 `• �oo�000000���000�000�00000000000°00000000°o�o�00000000� IC (DISTURBED NATIVE SOIL moo oc{boo moo moo moo �o NOTE REFERENCE TAG: NOTE: G-1 Ilk SEE o�0°� o o� ROBERT E. SNARE 11 ����� SEE DRAWING # FOR NOTE V�\�� /,A�. �� ���V�/`�/V�/�,� /�/���/�/������ ���//��� � � s 18 TALL TIMBERS ROAD ` ASSEMBLY POINT LAKE GEORGE NY DETAIL # ���� DETAIL REFERENCE TAG: (a: � ES�4`��/"_:� STONE FOUNDATION, JARRETT - MARTIN ENGINEERS PLLC SEE DRAWING # FOR DETAIL 2 ' THOM S JARRETT PROFESSIONAL ENGINEERING l SECTION CUT DIRECTION 3 EFFLUENT FILTER P. #57509 12 EAST WASHINGTON STREET PHONE: (518) 792-2907 SECTION REFERENCE TAG: A SECTION LETTER 2 SEPTIC TANK SCALE: N.T.S. CO IGHT©2004 GLENS FALLS, N.Y. FAX: (518) 798-1864 D1 \C 1 SCALE' r�.T. ONEY COPIES OF THIS DRAWING WITH A SEE DRAWING # FOR SECTION BLUE SEAL SHALBECO SIDERIEDMUE NOVEMBER 2004 PRO#04-122 SHEET: 1 OF 1 VAL A BY OF THIS ENGINEER EN LAWFUL FILE: F/04 1 221 1 0804.DWG PLOTTED/REVISED:12/12/00 12:OOAM BY ALICENSED ENGINEER IS UNLAWFUL.