2004-888 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040888 Date Issued: Monday, February 07, 2005
This is to certify that work requested to be done as shown by Permit Number P20040888
has been completed.
Tax Map Number: 523400-239-017-0001-007-000-0000
Location: 23 ANTIGUA Rd
Owner: ROBERT WALL
Applicant: ROBERT WALL
This structure may be occupied as a:
By Order of Town Board
Septic Alteration Residential TOWN OF QUEENSBURY
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: P20040888 Application Number: A20040888
Tax Map No: 523400-239-017-0001-007-000-0000
Permission is hereby granted to: ROBERT WATT,
For property located at: 23 ANTIGUA 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 WALL
23 ANTIGUA Rd Septic Alteration Residential
Total Value
LAKE GEORGE, NY 12845-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
CRANDALL EXCAVATING
Plans&Specifications
2004-888
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, November 15, 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 of Q'U ,bu ; nd ,November 15, 2004
SIGNED BY for the Town of Queensbury.
r .Y
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:
Office Use
Location of installation:
File Permit No. .
Tax Map No.2j 2 %
F F
1 Fee Paid t l s
Owner's Name: !�0 6Pi^r �✓�l-r/ i i
Address: ,3 &'7'1 W21" --�
2. INSTALLER'S NAME ;. L�l'�9//G��/ X�°/�Gd9f�s PHONE NO.
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 C=Vutation = Total Daily Flow
1980 or older x 150 gal/bdrm = �;
1980— 1991 x 130 gal/bdrm
1991—present x 110 gal/bdrm = Ss`o 41,
Garbage Grinder Installed yes_ / no �"
Spa or Whirlpool Installed yes_ / no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements) l y
Togo,& phy Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
Flat at what depth at what depth municipal
Rolling Qpam _feet -&� feet well
Steep slope clay if well;water supply
�%slope other from any septic-system
depth: �' absorption is
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: 4,^,f/DsPC- minute 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.
�5'GG,yll•��h
Septic Tank: /2,�U_gallon(min.size 1,000 gal.) -r
Tile Field: each trench'fr. Total System Length:
Seepage Pit(s): number of size of each: ,ft. by �t
Size of Stone to be used: # / depth or thickness feet �rrr�flls
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number oftanks: / Size of each: gallons /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 pursuantto Section 136-29 ofthe Code ofthe 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 ofthe Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible p9pf6n Date
-Z .� . 7
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received: '
Queensbury Building&Code Enforcement Arrive: a Depart: am/pm
742 Bay Rd., Queensbury,NY 1,2804 Inspector's Initial • - ` .
1 L-r
NAME: t1v UGC. PERMIT NO.: 0 �
LOCATION: c v 7Zr.7 , INSPECT ON: 6
RECHECK:
Comments and/or diagram
Soil T e. m/Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance 7 ft.
Other wells: ft.
Absorption Field: Total length
Length of each trench t ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Siz T
Building to tank Gp
Tank to Distribution Box
Distribution Box ield/Pit /Z
Opening Sealed:(Yj N/Partial
U
Location/Separations
Foundation to tank ju ft.
Foundation to absorption
Separation of Pits ft.
Conforms as per Plot Plan Y N
Location of System on Property:
Front Rear Left Side Right Side 4AW 4ID&
Middle Fro' Middle Rear
System Use Stata s:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
LASueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
W
SOILS DATA
� O
PROVIDE OWNER WITH AS-BUILT U a'
TEST PIT
a
MEASUREMENTS TO ALL BURIED COVERS W
FROM AT LEAST 3 FIXED, a W Z
0-56" MEDIUM TO COARSE SAND (TRACE SILT) SOME BOULDERS XED, PERMANENT
OBJECTS SUCH AS BUILDING CORNERS. m w a
56-72' MEDIUM TO COURSE SAND APPROXIMATE �i
FINISH GRADE LEAVE 6" LONG IRON REBAR BURIED can j N
NO MOTTLING OR GROUNDWATER OBSERVED 2" BELOW SURFACE TO MARK COVER 0 N O W
� J 0
STABILIZED PERCOLATION RATE - 1" IN 6 MINUTES, 10 SECONDS INLET BAFFLE ta
�O O
TEST PIT & PERC TEST BY NICE ENGINEERING - 6/2/04 12" MIN. COVER OVER GROUT WITH ALL STRUCTURES C
NON-SHRINK
EXISTING DOCK GROUT ( ') FORT BUTION BOX
MILLEROR EQUAL o 0
SEPTIC SYSTEM DESIGN
_ MIN. SLOPE 1
L
ICE
DESIGN FLOW _ PROPOSED 4 BEDROOM HOUSE & 1 BEDROOM IN GARAGE _ 1 „ --y O O Q \ o Q
REPLACE ALL OLD PLUMBING FIXTURES WITH NEW ExlsnNc /8 PER FOOT
DE COMPLIANT FIXTURES BOATHOUSE
12' ALL OUTLET INVERTS p
- 5 BEDROOMS ® 110 GAL/DAY/BDRM = 550 GPD SEAMLESS SEPTIC TANKS �� INLET dt (hI-AWOFNNPEA MUST BE SET AT Z
EXACTLY THE SAME
v
1500 GALLON FOR MAIN HOUSE DISTRIBUTION BOX GRAVEL ELEVATION. LEVEL BOX ON
SEPTIC TANK - USE 1.500 GAL. TANK 1250 GALLON FOR CARRIAGE HOUSE wa BAFFLES a ►Ilrrr�,,
o PEA GRAVEL AND USE SPEED
FORT MILLER OR EQUAL 30" MIN. NOT TO SCALE LEVELERS ON ALL OUTLETS.
ABSORPTION FIELD NEW ABSORPTION TRENCHES TO BE CONSTRUCTED WITH EQUALIZER 24 INFILTRATORS. �� gp" MAX. � ADJUST SPEED
- AT NYSDOH APPLICATION RATE 275 L.F. ABSORPTION TRENCH REQUIRED. LEVELERS `��O:Vcv •,�
- USE 5 LATERALS WITH 7 INFILTRATORS EACH = 295 L.F. OF TRENCH TOTAL TOTAL LIQUID DEPTH cyNTH WATER.
LAKE GEORGE ' —��
�� 00 Cr0
2620
/ • o p i y MINIMUM 2x WIDTH ''•�,'�6= ��:
—324 MAXIMUM 4x WIDTH
• ooho . PROVIDE 3" SAND OR 009000O
324 - w - -! �°/ --- - - - PEA GRAVEL UNDER TANK~� O
—3n SEPTIC TANKS
-- - -� ice— �� • °gip / , -
NOT M SCALE 0
0 0°00° // EXISTING STONE WALL — \_ ` INSTALLATION OF DISPOSAL FIELDS "
_ _ 1. ALL UNITS SHALL COMPLY NTH THE REQUIREMENTS OF THE NEW YORK
3� - - m _o00o EwsnNc STONE WALL ao o moo�o / 328 STATE DEPARTMENT OF HEALTH AND SHALL BE PRECAST CONCRETE '«�+
i �p �i � i
QOp0 zo.a �p 0� i _ AS MANUFACTURED BY FORT MILLER OR EQUIVALENT. a
a 0 `o - • 1. CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING, w ►tiO'
�• -
w RESIDENCE "o — —--— EXISnNG STONE-WA4!— - 2. ALL STRUCTURES TO BE PLACED ON FIRM, COMPACT SAND OR AND SHALL BE IN ACCORDANCE WITH THE N.Y.S. 7
_iz_s MATH 4 BEDROOMS 25'- _°O _ - - - - - ` _ GRAVEL FOUNDATION. WHEREVER EXISTING FOUNDATION CONDITIONS DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS, AND
EXMING HELL �• 4 • / •• ul
ARE UNSUITABLE, CRUSHED STONE SHALL BE PLACED AS ASTM F481-76 INSTALLATION OF THERMOPLASTIC PIPE AND a
328 , - b Tip BE DISCOtINECTED b ® O - _ NECESSARY TO ACHIEVE A STABLE FOUNDATION. CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS.
NEW 1500 GAL SEPTIC TANK FROM DOMESTIC WATER SUPPLY oho /� -- - - - —332 TRENCH —
,.V ; O
� �' STATION .; ��, . �T n�,N �:•.�_.•� 2. NO HEAVY EQUIPMENT SHALL BE ALLOWED WITHIN THE LIMITS C_.
. Q`� OF THE DISPOSAL FIELDS AFTER PIPE INSTALLATION HAS BEGUN. v
10� m EXISTING 1 W
330 ' - \ � F 9�` DRIVEWASPHALAY v 3. AFTER EXCAVATION OF 2' WIDE TRENCH TO THE DEPTHS REQUIRED, � p�
a $ // �� \\ GARF.GE EXISTING ^ � C4 A
EXISTING s.s 54 b \o �zas� o.a MOTEL THE WALLS AND FLOOR OF EACH TRENCH SHOULD BE CLEANED 04 O
RESIDENCE zo.a 7 aN / �S$ FF �2 AND RAKED TO ACHIEVE AN EVEN SURFACE AND TO LOOSEN
zo.a W
I
/ SMEARED SECTIONS OF TRENCH. �,
� � Al
334
—334- - LAVE TRENG„ a SW - 4. THE INFILTRATORS SHOULD BE LAID LEVEL AND TO THE RELATIONSHIPS
332
_ _ —�'/ EXISTING STORMWA R SHOWN ON THIS DRAWING, MAINTAINING STRAIGHT CONTINUOUS GRADES z
;►� , - INV IN 328 j CHAM Rs WITHOUT SAGS, HUMPS, SEPARATED JOINTS OR OTHER UNSUITABLE w W
— - - - - -- -- — �Q—"� _✓ 2ROWS OF 4 W
6' CHAMBER EACH CONDITIONS. Z
E)OSTING SEPTIC T / / • - -PUMP ` / 5. ALL DISPOSAL FIELDS SHALL BE GRADEDO
�� FEND �— TO SHED RAINFALL
�. REMOVED Y 334— ' —� ` •` __/ I _33g— �/ • . � � "^TIC wwcVC
- DOSTNNG N OF AND TO DIVERT SURFACE RUNOFF FROM ADJACENT AREAS AWAY
L• j' _ _ / FROM THE DISPOSAL FIELD.
x I PT 6. NO PART OF THE DISPOSAL FIELD SHALL BE INSTALLED UNDER DRIVEWAYS.
�
OF
X IACA7= i
WALL / /
5 LATERALS WI1H
7 INFILTRATORS EACH
33e�
2'-0" 4'-011 2'-01.
EXISTING NEW WATER LINE - - ORIVEWAY TO BET
15X MAXIMUM
NOTE NEW WATER LINE RUN REPLAM DQS1" CROSS SLOPE
INSIDE FUSED HDPE SLEEVE. /// e o "wv wAY _ - � 14*
PIP
W HOUSE WITH
1 BEDROOM _
100 GALLON \ / - // EIIRIi 12" TO 19" .-•�
SEPTIC TANK 'A // A
DIVERT�AROUND N WAD 23" MIN.
� / \ • 30" MAX. w p
ABSORTION FEND 342 - _ - \ li"t �
— — — EXISTING 24 1
TOEREMAIN — INFILTRATOR CHAMBER SYS z (I)82 SF — ACCESS HATCH5� Z
_ PROVIDE SOLID CONCRETE )-owl
- - - - ��- • - BLOCK SPLASH PAD UNDER
l 1. EQUALIZER 24 OR EQUIVALENT. =MAXIMUM SEASONAL HIGH
_ -- - - \ EIFCTRICAL FINIS♦ED INLET PIPE OF EACH TRENCH - GROUNDWATER ELEVATION
- - - - JUNCTION GRADE
— — BOX a�
goy INFILTRATOR ABSORPTION TRENCH SECTION —
\ �BU�OII� N.T.S. :I
ANTIQU � ROAD r
D�g �*
MERSI .;
—
�0 �, 1
\ -- PVC N•c PUMP TOPSOIL (6" min.). SEED AND N04 0 LION
to E MULCH SEPTIC SYSTEM AND ALL
DISTURBED AREAS IMMEDIATELY �.:
ALARM ON -- USE 1 1/2" INSTALLING AFTER INSTANG SYSTEM FINISHED GRADE F
PUMP ON SLOPE TO DRAIN n►,, . +* -
•: BACK TO PUMP STATION - -
T..�I"�ry Or
PLAN PUMPS OFF CHECK VALVE 19" MAX , -IIII--"'--.
_ BUIL.DI
Site Notes 1 ( ,, 12" MIN.
1�:.: ': REVIE 8
Scale: 1 =20 � � • • �� � -
1. EVIDENCE OF EXISTING UTILITIES IS INDICATED FOR THE ` •" •• r- •• INFILTRATOR CHA� � �
CONVENIENCE OF THE CONTRACTOR. IT IS THE SOLE RESPONSIBILITY
• . A'. CONCRETE TO BE A
BOTH ENDS OF INFILTRATOR CHAMBERS MUST BE
4'-0' I.D. PRECAST CONCRETE BOTTOM OF TRENCH TO BE LEVEL CO
OF THE CONTRACTOR TO COORDINATE THE FIELD LOCATION OF .--I
ALL UTILITIES WITH THE UTILITY OWNERS. MANHOLE WITH INTEGRAL BASE TROVa FINISHED NOTES: OTTOM OF TRENCH PIP
FLAT SLAB TOP. MERCURY FLOAT DUPLEX EFFLUENT PUMP
2. IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO PROTECT AS MANUFACTURED BY FORT MILLER SWITCH WITH 1.
ALL EXISTING UTIU11ES FROM DAMAGE DURING EXCAVATION, GRADING WEIGHT (T'YP.) CAPPED WITH END PLATES SECURED TO CHAMBERS y
AND CONSTRUCTION. OR EQUIVALENT 2. ALL LATERALS TO BE OF EQUAL LENGTH.
3. THE CONTRACTOR SHALL DISPOSE OF ALL DEBRIS AND EXCESS MAP REFERENCE (NO LADDER RUNGS) 3. MAXIMUM TRENCH LENGTH IS 60 FEET.
Dates JUNE, 2004
MATERIAL OFF OF THE PROJECT SITE IN A LEGAL MANNER. SEWAGE PULP STATION INFILTRATOR ABSORPTION TRENCH PROFILE _ _ Scaler AS NOTED
4. THE CONTRACTOR SHALL STAKE THE LOCATION AND GRADES
NOT M SCALE N.T.S
OF ALL NEW WORK IN THE FIELD PRIOR TO STARTING WORK. 1. IF PUMPING INTO SEPTIC TANK, PUMP TO BE RATED FOR RAW SEWAGE. '1 �Va
ANY DISCREPANCIES OR QUESTIONS SHOULD BE IMMEDIATELY BROUGHT TO THE ATTENTION OF THE ENGINEER FOR RESO PUMP TO BE 1/2 HP GOULDS MODEL 3885WE05H OR EQUAL ;' + ; > . � " -. �, ���•. �LUTION BEFORE PROCEEDING WITH THE WORK. 2. PUMP CONTROL PACKAGE TO BE SUPPLIED BY MANUFACTURER.
49., 140
AUDIBLE AND VISIBLE ALARM TO BE ACTIVATED BY ALARM FLOAT -
2. PUMP ALARM TO BE CONNECTED TO A SOLENOID VALVE ON THE WATER I �1 S�G`/ SHELT 1 OF:1
LINE WHICH WILL SHUT OFF WATER SUPPLY WHEN ALARM ACTIVATES. �--- ;,-- ----
�:t.; r,, I UAi