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2011-176 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: P20110176 Date Issued: Friday, February 21, 2014 This is to certify that work requested to be done as shown by Permit Number P20110176 has been completed. Tax Map Number: 523400-308-014-0001-052-000-0000 Location: 183 PITCHER Rd Owner: FOREST PARK MHC, LLC Applicant: ARC COMMUNITIES 14, LLC This structure may be occupied as a: Septic Alteration Residential By Order of Town Board TOWN OF QU NSBURY Issuance of this Certificate of ComP liance 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: P20110176 Application Number: A20110176 Tax Map No: 523400-308-014-0001-052-000-0000 Permission is hereby granted to: ARC COMMUNITIES 14, LLC For property located at. 183 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. T"e of Construction Value Owner Address: ARC COMMUNITIES 14, LLC Septic Alteration Residential 900 Total Value PO BOX 790830 SAN ANTONIO, TX 78279-0000 Contractor or Builders Name%Address Electrical Inspection Agency Plans&Specifications 2011-176 repolacement drywell between 29 Briwood&30 Woodland $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,May 13,2012 (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; Friday,May 13,2011 SIGNED BY �� for the Town of Queensbury. 0Director of Buildin8t Ce Enforcement' OFFICE U, 6P�NO. (/VERM e, ,1—6 Wo! IT FEE \ APPROVALS: ZONING TOWN CLERK 14 APPLICATION FOR SEPTIC DISPOSAL ^° " ~°""—M PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT T0 ftEVAEVV B—EF-0�Rs ISSUANCE 0FA VALID PERMIT. PHONE NOS. PHONE NOS.-12)a��-s6n Spa � ,rinab LOCATION OF INSTALLATION: RESIDENCE INFORMATION: YEAR BUILT NO.OF COMPUTATION TOTAL DAILY FLOW BEDROOMS X (Gallons per bedroom) GARBAGE GRINDER 1981-1991 x 130 SPA OR HOT TUB PARCEL INFORMATION: TOPOGRAPHY: FLAT.ROLU --XSTEEP SLOPE %SLOPE V' SOIL NATURE: SAND 7— LOAM CLAY OTHER / *r WHAT DEPTH? _________ ' • aT WHAT DEPTH? / MUNICIPAL_��_ vvsLL ____(If well:water supply from any septic system absorption is: fd / RATE IS PER m||wuTs PER INCH[nnU (Test mu000mpmteauva licensed professional engineer u,architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer o,architect(unless installed mo Planning Board approved ovudiwown). TANK SIZE: GALLON(MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for 000h garb aso grinder,spa or whirlpool tub. SYSTEM TYPE: o ABSORPTION FIELD(WITH NO.2STONE) Total length ft. Each trench______X ��EEPAGEP|T(G)ON|THNO.5STONE) How many? ���� Size?'' o ALTERNATIVE SYSTEM Bed or other type? oHOLD|NGJ7\NKSYSTEM Total required capacity?_Tank size? Number cf tanks? _____ NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. ` For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit orapproval gnomud which is based upon or in granted in m|ionoa upon any mo0ohal misrepresentation or failure m make u mooaha|fact or circumstance known byoron behalf ofun applicant,shall bovoid. |have read the regulations with respect tv this application and agree to abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL San' Sewage Disposal 0 dinan::� /� VISIT OUR WEBSITE FOR MORE INFORMATION // ,. S -TNUS Septic Inspection Report Office No. (518) 761-8256 Date Inspection-mque ecelved: Queensbury Building &Code Enforcement Arrive: 1 �7� ar Be. = a m 742 Bay Rd.,Queensbury, NY 12804 Inspector's Initials: � 11 a NAME: R eLwAAg PERMIT NO.: LOCATION: 3.b WatAl2t n A INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand/ Loam Clay Type of Water: Munici al/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/ - Y N N/A 150'to well required if NO 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 Size Type Building to tank Tank to Distribution Box Distribution Box to Field Pit Opening Sealed: _Y_N End Ca Y_ N Inlet/Outlet Pipes&Baffles Y N Ax\10 Manholes 12"or less below grade _Y—N [provide extension collar if Yes Y_N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan _ _N Engineer Report and As-Built Y N ETU Maintenance Contract Y_N provided Location of System on Property: 4Frontar Left Side Right Side Middle Front Middle Rear S stem pproved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Fortes\Inspection Forms\Septic Inspection Report-03 2910.doc NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 March 6,2013 Project#49335 Mr. John O'Brien HAND DELIVERED 742 Bay Road Queensbury,NY 12804 Re: Septic System Repair 27, 29 & 31 Woodland Path&28-30 Briwood Circle Forest Park Mobile Home Park Queensbury,NY Dear John: As discussed in the field with Mr. Hatin, we observed the existing drywells serving the above mentioned mobile homes and confirmed that the owner had installed a new distribution box and 4"PVC laterals between the existing 2,500 gal septic tank and the existing drywells. It appears from our observations that one of the existing laterals had collapsed and unequal flow was distributed to the existing drywells. At the time of repair the owner was systematically replacing existing systems and the plan was to replace systems that were in failure or closer to failure and this repair was a temporary fix. Please find a sketch of the work observed. Please feel free to contact me at 796-2515 if you have any questions. Sincerely, Thomas R. Center, Jr.,PE . Cc: American Residential Communities ,is i RV rlpl - . NE W 0- '+y Ve- PI is 4_5 3 l3 A 1 Septic Inspection/rrNO.: Office No. (518)761-8256 Date In " on Queensbury Building&Code Enforcement Arrive: 1rt: y 742 Bay Rd., Queensbury, NY 12804 Inspector's Initi NAME: PLOCATION: 2� \� I — RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/Clay Type of Water: Municipal Well Water Waterline separation distance Well separation distance ft. Other wells: ft. oL2 Z>t3 Well Casing Length 50'+/- I Y N N/A 150'to well required if NO Absorption Field: Total length Length of each trench ft. Depth of trenches ft. \`J Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size T Building to tank 1 F may- ®� Tank to Distribution Box � e— Distribution Box to Field Pit Opening Sealed: Y N End Cap N Inlet/Outlet Pipes&Baffles Y N Manholes 12"or less below grade _Y_ N [provide extension collar if Yes Y N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built —Y—N ETU Maintenance Contract Y_N provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspecdon Report-03 2910.doc Cornmunitu Develo meat O "ice 1 vzv�i of Queensbury • 742 Bu}/rct, Queensbury, New York •128U4 PLOT PLAN Show all existing and proposed structures.Indicate the setbacks of all structures nd buildings from.all property lines. �1 3: b` �D 00 Cy) (5 SIDE PROPERTY LINE ! _...' ............ i ! T : ; i _.1 t 1T8"'I•• --.-i-'"_:,....._.L......__.i..... _........._... ..... .i ..... + ! i _ .... !.0... : f t _._._._._.._... 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