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2004-834 i :TOWN OF QUEENSBUKY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE 'OV COMPLIANCE Permit Number. P20040834 Date Issued: Monday, October 25, 2004 This is to certify that work requested to be done as shown by Permit Number P20040834 has been completed. Tax Map Number. 523400-308-014-0001-001-000-0000 Location: 57 PITCHER Rd Owner: PHILIP & HOLLY SIMAYS Applicant: PHILIP &HOLLY SIMAYS This structure maybe occupied as a: By Order of Town Board Septic Alteration Residential TOWN OF QUEENSBURY eie d Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040834 Application Number: A20040834 Tax Map No: 523400-308-014-0001-001-000-0000 Permission is hereby granted to: PT-M,TP &HnT,T,Y STN4AYS For property located at: 57 PITCHER 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: PHILIP &HOLLY SEWAYS 24 CANDLEBERRY Dr Septic Alteration Residential Total Value QUEENSBURY, NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-834 DANIELLE&ERIC ANDERSON SEPTIC ALTERATION $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, October 21, 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 To o eensbJ�d rctober 21, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Application for Permit=Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: i..................................................................................................................................... Office Use Location of installation: File Permit No. Tax Map No. Fee Paid Owners Name: ....................................................... . Address: 2. INSTALLER'S NAME PHONE NO. � ��d� 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No of Bedrooms x Computation = Total Daily Flow 1980 of-older - x 150 gal/lidrm = _ �d 1980— 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = 13& Garbage Grinder Installed yes_ / now Spa or Hot Tub Installed yes` / no-+ 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material . Domestic Water Supply Flat sand at what depth at what depth municipal Rolling loam feet feet 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) Rate: 1 i j(otGminute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board 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: �Q�gallon (min. size 1,000 gal) Tile Field: each trench ft. Total System Length:_1 C6,.-. ft. �CTT "JED Seepage Pit(s): number of size of each: ft. by t. Size of Stone to be used: # / depth or thickness feet OCT 0 2004 1QVJI`i Or l i I{N�:1�:v�J'J i Bed System Size: xL ElJ1G;iv�, Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: i Size of each: gallons 1 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 regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. look V I hlc�n- 661 Signature of resp sible person Date .'I ow"le of (Iliac»�Inii•v sq-,vol-s :l,itl SewiiR1= I)isj>c gal Chapter Appmulix C. • AI�,�;(lli.�'•''1'I(k�I Ii'II�I�I.> '. Ibuatr Q �1: • , �ta�" tfr;>vszr G ...W4 C.I.- t. SC r'r 1C+ ' IAW ty —......« \ .�"r•,. �.r,r. t tJ]'btrtrtalrtr`t t .rr �n Ap'�t?RPtlq 1 E`1 ti.LA � ' 1 7. SMINATURE &INFORMATION FOB�LI:�YVI�I�isss.����wv�, �y o,..�.�.•.:;: n ; Septic Inspection Report Office No. (518)761-8256 Date InsLection requ ei Queensbury Building&Code Enforcement Arrive: a e rt: a pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial ` f NAME: N r ^r)c�.� E IT NO.: 0q_ X- T LOCATION: SPECT ON: RECHECK: Comments and/or diagram FTEe Type- San ,/Loam/Clayr of r: Municipal/Well Water J Waterline separation distance ft. Well separation distance fl ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone aJ Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank E �j Tank to Distribution Box C-1 Distribution Box to Field/Pit O ening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Location of System on Property: Fro Rear jifftt�Side ight Side Middle Front iddle Rear System Use Sta s• Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 OVERFILL FOR 1T-Q" OUTLET (TYR OF 8) q SETTLEMENT r 7 GROUT uNta�a a�INc� =12- CoVIER n n n -EACH OUTLET RTTED ( I I I WITH FEED LEVELERS 'BAFFLE 6»-12" EARTH `? 3 I I ! I I I 3TRE°a � ,.) 40 MET PIPE ; �A INLET T A! BACKFILL 1 1 ( WN. SLOPE 1/8 -/FT. ay ,OUTLET PIPE T ` i I SEE DETAIL 00 I I I I I 3 LEACH LINES- •i- •i 1 r WN• COURSE I I I f I 0 LONG SAND OR PEA STONE mow; _ _ SECTION A—A DISTRIBUTION sox TO � No. 2 D® IPLAN VIEW13Y FORT N4 x i i I I I PVIDE OR - RO QUAL COLLAR IF COVER g � i ! ! I am"IDrSRON i i i I I I DISTRIBUTION BOX OVER Box ©ccr1o5 Ir. � ' 3'-0* TRENCH 11 I I I I NOT TO SCALE t w LEVEL TRENCH BOTTOM #' a• . o 2 -0 MIN. TO GROUND ,. WATER OR ROCK. CONTRACTOR TO VERIFY • THIS DEWN IS FOR A REPLIENT $ 4' PVC FORT MipILER NO. 2 NOTE: htMl 1. SEPTIC TANK TO BE FORT MILLER OR EQUAL. SLOPE 1/8 -/FT' DISTMBUTION BOX fi TANK TO BE HEAVY DUTY IF WITHIN TRAFRIDED jjDr= AREA. TANK T O PREFERABLY BE SEAMLESSGRAVELLES { {�N 1.) SEMNktaE 3 AT MENSH DETAIL ' NOT PROVIDE SECURE WATERPROOF JOINTS, 2. PROVIDE 6•-12w OF COVER OVER TANK. PROVIDE NOT TO SCALE = ABSORPTION SYSTEM PLAN EXTENSION COLLAR IF COVER OVER TANK EXCEEDS 2.) SEPTIC TANK DESIGN '.. NOT TO SCALE 12»• t 3.) CONVENTIONAL tiRA1AEW.E55 J31OM1 Tfih0 t ` t 3. PROVIDE MIN. 3" PEA STONE, COARSE SAND OR GRAVEL PERO}„ATION TEST RESULTS: PERCOLATION RATE " 1-5 MUTES - BASE UNDER SEPTIC TANK. 4. MMOE SEASONAL HIGH GROUNDWATER (94 ►W) CAN PERC. FtATE DEPTH RISE ABOVE THE TANK BASE ANCHOR AGAINST No. (,WN:SEC CH) DATE (IN.) FLOTATION AND DO NOT PUMP DURING SHOW PERIOD. 31Q GPD, FL - 325 SF TRENCH AREA 5. IT IS RECOMMENDED THAT MODEL A1801-4x18-VT-B35 PT 1 1 min. 06 Sec. 9/20/04 24 1.2 ZABEL EFFLUENT FILTER BE PROVIDED ON 'IHE SEPTIC PT 2 1 min. 05 sec. 9/20/04 24 TANK OUTLET. PROVIDE A ZUES RISER' AND LID TO -- AT 2' MADE TRENCH WIDTH. t83 LF TRENCH REQUIRED ACCESS ZABEL FILTER PERCOLATION TESTS PERFORMED BY BRIAN FEAR P.E.. — TRENCHES ARE 3 FEET ON 13UT ONLY RECEIVE MEDIT FOR 2, FEET — USE 3 LINES AT 56 LF EACH - LEACH FMA SIM = 17'x58' —MAX. SLOPE IN EXISTING SOILS IS LESS THAN 21 TEST PIT RESULTS No. DESCRIPTION 4.) CONTRACTOR SHALL AT ALL TIMES COMPLY WITH THE OF THE N.Y.S.D.O.H. DESIGN DOCUMtNT APPEKIIX 73--A- 1 0 - 7" TOPSOIL TREATMENT STANDARDS FOR INDIVIDUAL HOUSEHOLD Aim **IE 7•-240 FINE SANDY LOAM N.Y.S.D.O.H. PUBL ICATiON *INDIVIDUAL RESM71AL WASTEftI +E 24"-48» MED. COARSE SANDS TREATMENT SYSTEMS DESIGN HANDBOOK`. NO MOTTLING, NO GROUNDWATER 5.) THE LOT INFORMATION HAS BEEN TAKEN FROM GMAT ! PRO1M firy SOIL TEST BORING COMPLETED 9/20/04 BY BRIAN FEAR P.E.. OWNER AND LIMITED FIELD MEASUREMENTS. 6.) EXISTING SEPTIC WAS PUMPED RECENTLY AND FOUND TOAE • � � � ' y WITH FUNCTIONAL BAF'f LE& SEPTIC TANK tx TAILS REPLACEMENT TANK MI FUTURE. PROPOSED LEACH FIELD 7.) CONTRACTOR SHALL F%Lft TM ICY 3 LINES AT 56 IT--— w ———————--—--n�'1 FROM{ THE !MPVW JAL NESWTIAL k AREA 17'x56' DESIGN iAhDeO �.cat (TYP.) f; 10' MIN .FROM PROPERTY LINE I I ; ��II 11�� b 8.) FKE, 0l AND 20' MIN. FROM HOUSE LET--�- I't I`I OUTLET . Trs TRAT uaIm, I LAt1�I9�:: .d PROPOSED i II II ! 9.) CONTRACTOR TO SECURE ALL RfflUIM POW= t Ems:. DISTRIBUTION BOX Il_...------- —__ —Ju j 10.) CONTRACTOR RESP"OAI 9LE Ft9R COMit ,LANE tl . SM— REQUIREMENTS. PLAN VIEW 11.) ALL WORK MUST CONFORM TO ALL FM"AL. STATE AM L.O . CWft. SETBACK LINE (TYP.) 40 INLET PIPE 4' OUTLET PIPE SPECIFICATIONS, ORDINANCES, RULES AND REGULATIONS. WN. SLOPE 1/4 •/FT. IrNM. SLOPE 1 • ` x K, — — — — — /8 12.) ALL UTILITY LOCATIONS, IF SHOVIN, ARE A�'QX�tATE. CONTRACTOR TO FELD VERIFY AND CONTACT UFPO AS REQUIRED.4 Ow LIQUID LEVEL 4 1 x 7 EXISTING I - SEPTIC TANK t8 13.) CONTRACTOR TO PROVIDE L1 DE RECORD FOR T1 ON-917E SE�IYI a DISPOSAL SYSTEM TO THE TOWN OF QUEEMSBURY. to W 8 BAFFLE (TYP.) 3' WALL 3 14.) THERE ARE NO KNOWN WATER SUPPLY WELLS WATH4 N 100 FEET OF THE PROPOM E---I (TyP,) 40 TYP. LEACH FIELD. 15.) 50X REPLACEMENT AREA IS LOCATED ADJACENT TO THE PROPS LEACH AMA ON THE SOUTH SIDE. o' EXISTING e'-8` 30 MIN. COARSE SAND GRAVEL OR 18.) All REFUSE, DEBRIS AND MISC. ITEMS M 13E REMOVED SHALL. BE LEDALLY �, �. 1 3 BEDROOM RES. PEA GRAVEL DISPOSED OF OFF SITE BY THE GENERAL CONTRACTOR. 00 E-I SECTION VIEW 17.) ALL POINTS OF CONSTRUCTION INGRESS OR EGRESS SHAM BE MAWAW TO PREVENT TRACKING OR FLU OF SEDIMENT OR OEM `*M A PUkX ROAD OR ON THE PAVED AREAS OF THE SITE. SEPTIC TANK DETAILS — 1000 GAL. _ 1 { I r NOT TO SCALE 18.) GRAVITY PIPING TO BE PVC SDR-36 OR SCH-4Q. 19.) CONTRACTOR TO FOLLOW fTtOSbN CONTRQI. 1 ALL. A _. FOR IN 01I YORK GUIDELINES FOR URi1N>1N me �"T. W APRIL 1997 OR ITS MOST CtIRRENT UPDATE. 1 1 20.) LEACH LINES TO BE INSTALLED PARALLE,L.. TO QVM OOM1TOLW& ,~ I PRESUMED EXISTING 1 �G LEACH AREA z F * SC V ' � .-� s� - OCT � 18402004 r_ �.t. 13 s tia c I . r� 0 2004 REVIEWEC) BY � t EXISTING DRILLED WELL DATE PITCHER ROAD MAINTAIN MIN. SEPARATION DISTANCES 50 FROM SEPTIC TANK 100' FROM LEACH FIELD LANDS OF ERIC ok DAME A 3E S N I�r raw TORN OF QUEENS&M voim CONY VM OF INK " of NEW SITE PLAN PQP�j`.R° ON SITE SEWAGE DI: 3AL SYSTEM SCALE - zo' w SITE Pl AN m 601 �� DATE: 10/08/04 WA 01l:D LE AS N DWG. NO. A P� fEsslo�' GARBY ROBINSON, P.E. P.E. UG ta: amss REV. (M NOTE 11 MAN DUNI If