2003-937 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Commumty Development-Building&Codes (518)761.8256
RTI�ICATE OF COMPLIANCE
Permit Number: P20030937' Date Issued: Tuesday,November 25,2003
This is to certify that work requested to be done as shown by Permit Number P20030937
has,been completed.
Tax Map Number: 523400.296-012-0001-001-000-0000
Location: 5 BAYBERRY Dr ,
Owner: PAUL&LAURA GIBALDI
Applicant: PAUL&LAURA GIBALDI. .
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: P20030937 Application Number: A20030937
Tax Map No: 523400-296-012-0001-001-000-0000
Permission is hereby granted to: PAT TL&LATTRACTT13ALDT
For property located at: 5 BAYBERRY Dr
in the Town 4Queensbury,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: PAUL&LAURA G113ALDI
Septic Alteration Residential
5BAYBE I BAYBERRY Dr. Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name Address Electrical Inspection Agency
§ANITARYSEWER
PAN DRELLOS
PO BOX 224
GLENS FALLS NY
Plans&Specifications
03-937
SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
$25.001 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 06 2004
(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 own o ueepl, Oty,November 06, 2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Permit—Septic Disposal System
Town Of Queensbury 742 Bev Road Queensbury,NY 12804 (518) 761-8256 b
1. OWNER INFORMATION: --
,/ Office Use
Location of installation: S yJA Y�er�_�i'a Y� �
File eiinitNo. t �
Tax Map No.
j Fej ai "r
Owner's Name: l�i7r/� /n lar/z K'i .I/��� t....._. .......... _._..
Address: i9�i/��r�✓
z
2. INSTALLER'S NAME //, yJ �i E'//�s - /}r�."1/2is✓teezr Spy 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 Computation . = Total Dailv Flow ce V/��
1980 or older x 150 gaVbdrm =
1980—1991 Y x 130 gal/bdrm
1491-- resent x 110 gallbdrm = 1�
P OF Q PNONCODE—
Garbage'Grinder Installed yes_ / no X
Spa or Whirlpool Installed yes_ / no C
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
To`o h Soil Nature Ground Water Bedrock or Impervious Material Do is Water Su 1
cry sand hat ih municipal
Rolling " oa feet feet we
Steep slope clay j�d /,�� �j if weXl;water supply
_/o slope other from any septic-system
depth:! ,fr .cfrf it absorption is ft
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate:' 3,3 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.
000 'gallon(min. size 1,000 gal.)
S c Tack: f, C`�•i�r�utr:orr.!
Tile Field- each trench ft Total System Length: 1
— e— —Seepage:Pit(s):_ number of size of each: 13 by .
Size of Stone to be used: .##�y I depth or thickness
fS�jd��C�/f16i9T" % / sr
Bed System Size: x 5—
Altemative System: length andlor 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
i 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 lmown 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.
�. Signature of responsib parson
Septic Inspection Report
Office No. (518)761-8256 Date Ins tion r es ec ive '
Queensbury Building&Code Enforcement Arrive: a m rt: an
742 Bay Rd., sbury,NY l 2 4 spector's Initia
NAME: P NO.:
LOCATION: PECT ON: --
RECHECK:
Comments and/or diagram
Soil Type: (San /1,oawY Clay
Type of Wat Munici a /Well Water
Waterline separation-distance ft.
Well separation distance ft.
Other.wells: ft.
Abso tion Field: Total length ft.
Length of each trench 97, ft.
Depth of trenches
Size of Stone
Seepage Pits: Number
Size: �X
Stone Size:
Piping Size T e
Building to tank
Tank to Distribution Box "
Distribution Box to Field/Pit t4 11
Opening Sealed Y/N/Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan N
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
S stem Use St us°
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:1SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
SITE NOTES
1. IT IS THE SOLE RESPONSIBILITY OF THE
CONTRACTOR TO COORDINATE THE FIELD LOCATION OF
ALL UTILITIES WITH THE UTILITY OWNERS.
2. IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO PROTECT
ALL EXISTING UTILITIES FROM DAMAGE DURING EXCAVATION, GRADING
AND CONSTRUCTION.
3. THE CONTRACTOR SHALL DISPOSE OF ALL DEBRIS AND EXCESS
MATERIAL OFF OF THE PROJECT SITE IN A LEGAL MANNER.
4. THE CONTRACTOR SHALL STAKE THE LOCATION AND GRADES
OF ALL NEW WORK IN THE FIELD PRIOR TO STARTING WORK.
ANY DISCREPANCIES OR QUESTIONS SHOULD BE IMMEDIATELY
BROUGHT TO THE ATTENTION OF THE ENGINEER FOR RESOLUTION
BEFORE PROCEEDING WITH THE WORK.
5. THE CONTRACTOR SHALL PUMP OUT AND INSPECT THE EXISTING
SEPTIC TANK AND PIPING FROM THE HOUSE TO ASCERTAIN THAT THEY
ARE IN GOOD REPAIR AND WORKING ORDER. NOTIFY ENGINEER OR
OWNER OF ANY DEFICIENCIES.
6. THE CONTRACTOR SHALL REMOVE THE EXISTING
DISTRIBUTION BOX AND ANY PORTIONS OF THE LEACH FILED
ENCOUNTERED DURING THE EXCAVATION IN PREPARATION FOR
PLACING FILL IN THE AREA OF THE NEW LEACH FIELD.
ALL PORTIONS OF THE EXISTING SYSTEM SHALL BE REMOVED
FROM THE SITE AND DISPOSED OF IN A LEGAL MANNER.
7. THE CONTRACTOR SHALL NOTIFY THE ENGINEER AT LEAST 24 HOURS
PRIOR TO REQUIRED INSPECTIONS. REQUIRED INSPECTIONS ARE: PRIOR TO
PLACEMENT OF FILL, PRIOR TO BACKFILLING OF LATERALS AND UPON COMPLETION
OF WORK.
S. THE CONTRACTOR SHALL KEEP RECORDS DOCUMENTING ANY CHANGES FROM
THE CONTRACT PLANS AND SPECIFICATIONS. THESE DOCUMENTS SHALL BE
PROVIDED TO THE ENGINEER AT THE COMPLETION OF THE WORK FOR THE
PURPOSE OF PREPARING AS —BUILT PLANS.
SITE PROTECTION & RESTORATION
1. PROTECT ALL AREAS OF THE SITE FROM UNNECESSARY
DISTURBANCE.
2. PROTECT EXISTING TREES FROM SKINNING AND FILLING
AROUND BASE.
3. PROTECT ALL ASPHALT ROAD AND DRIVEWAY SURFACES
FROM DAMAGE BY CONSTRUCTION EQUIPMENT.
4. UPON COMPLETION OF SEPTIC SYSTEM INSTALLATION,
ROUGH GRADE DISTURBED PORTION OF SITE AND PLACE
A MINIMUM OF 4" OF TOPSOIL IN ALL DISTURBED AREAS.
5. FINE GRADE TOPSOIL, FERTILIZE WITH STARTER FERTILIZER
(5-10-5 AT 40 Ibs. PER 1,000 sf, SEED WITH LOFT'S TRIPLEX
GENERAL MIX OR APPROVED EQUAL AT 5 Ibs. PER 1,000 sf AND
MULCH WITH STRAW — OR HYDROSEED.
SEQUENCE OF WORK
1. PUMP OUT EXISTING SEPTIC TANK AND PLUG OUTLET.
USE EXISTING SEPTIC TANK AS TEMPORARY HOLDING TANK.
2. REMOVE EXISTING SUBSURFACE DISPOSAL SYSTEM
AS SHOWN AND NOTED.
3. INSTALL REPLACEMENT ABSORPTION SYSTEM
AND PIPING AS SHOWN AND NOTED.
4. RESTORE AND MAINTAIN ALL DISTURBED AREAS AS NOTED.
SEPTIC SYSTEM DESIGN
DESIGN FLOW — EXISTING 4 BEDROOM HOUSE WITH 1989 FIXTURES.
— DESIGN FLOW REQUIRED 520 GPD
SEPTIC TANK — USE EXISTING SEPTIC TANK
ABSORPTION FIELDS — FAILURES OF EXISTING ABSORPTION TRENCHES MAKE
EXISTING ABSORPTION TRENCH SYSTEM UNUSABLE.
— THEREFORE EXISTING SOIL MUST BE REMOVED TO 6" BELOW
ORIGINAL ABSORPTION TRENCH GRAVEL BEFORE REPLACING
WITH NEW SOIL.
— EXCAVATE SOIL IN AREA OF FIELD AND PLACE NEW FILL
WITH IN —PLACE PERCOLATION RATE OF 10 TO 15 MINUTES PER INCH.
SOILS DATA
TEST PIT
0-6" TOP SOIL
6-31" LIGHT BROWN MEDIUM FINE SILTY SAND
31-37" LIGHT BROWN VERY FINE SILTY SAND
37-44" DARK BROWN VERY FINE SILTY SAND
44-63" DARK BROWN VERY FINE SILTY SAND SOME CLAY
63-69" CLAY WITH SILTY SAND
MOTTLING 0 44"+/—
PERCOLATION RATE — 33 MINUTES 44 SECONDS PER INCH
TEST PIT AND PERC TEST BY NACE ENGINEERING — 9/17/03 AND 10/14/03
1290 MAX.
2" MIN
47' BY 25' REPLACEMENT BED SYSTEM
1MTH 5 — 42' LONG LATERALS .
10'
MIN.
GEOTEXTILE FABRIC
l'-;'M 117 1
""'••..
111-11IM-11''
'SLOPE 1 %1R6� -1 /32'9 PERT FT.L
NOTES:
1. END OF ALL DISTRIBUTOR PIPES MUST BE
PLUGGED UNLESS INTERCONNECTED.
2. ALL LATERALS TO BE OF EQUAL LENGTH.
STANDARD ABSORPTION BED PROFILE
NOT TO SCALE
2" MIN.
SEE REPLACEMENT SYSTEM DETAIL. •
— SOIL PERCOLATION RATE OF NEW SOIL = 1" IN 33 MINUTES MAX.
— 520 GAL../DAY/.45 GAL/DAY/SF = 1155 SF REQUIRED T
REMOVE EXISTING ABSORPTION TRENCHES & SOIL
TO 6" BELOW BOTTOM OF EX. ABSORPTION
6" MIN.
T
2'-6" 2'-6" 15% MAXIMUM
OVERFILL TO ALLOW CROSS SLOPE
FOR SETTLEMENT ON SLOPED SITES
MIN. TOPSOIL, --�
SEED & MULCH 6 12 EARTH PERMEABLE GEOTEXTILE, UNTREATED BUILDING
FILL
PAPER OR e OF HAY OR STRAW
LATERAL
R.
r ✓
CRUSHED STONE
NZ
i
4 BEDROOM
HOUSE
10,
MIN.
WATER SHUT OFF
lM �
TRENCHES PRIOR TO PLACING NEW FILL. GROUNDWATER ELEVATION - CAREFULLY SELECTED FILL MATERIAL
G BEDROCK WELL -GRADED LOAMY SAND CONTAINING
or A MIN. 1OX SILT. NO ORGANIC MATERIAL
OR STONES LARGER THAN 3". IN -PLACE
PERCOLATION RATE BETWEEN 10 AND 15
MINUTES. SUBMIT PERCOLATION TEST RESULTS
OF MATERIAL PROPOSED FOR USE TO ENGINEER
REPLACEMENT ABSORPTION BED SECTION PRIOR TO BRINGING MATERIAL ON THE SITE.
NOT TO SCALE
PORCH J
EXISTING
SEPTIC 1
EXISTING
ASPHALT
DRIVEWAY
BAYBERRY DRIVE
PLAN
NOT TO SCALE
EXISTING SEPTIC TANK
NOT TO SCALE
APPROXIMATE
FINISH GRADE
IKLET BAFFLE
GROUT LIMTH NON—SHRIW
GROUT (TYPI
BUILDING &
REVIEWED BY "
DATE
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PROVIDE OWNER IMTH AS —BUILT
MEASUREMENTS TO ALL BURIED COVERS
FROM AT LEAST 3 FIXED. PERMANENT
OBJECTS SUCH AS BUILDING CORNERS.
POLL
LONG IRON REBAR BURIED
T_ O LL SURFACE TO MARK COVER
t
12" MIN. COVER OVER
ALL STRUCTURES
#1 DISTRIBUTION BOX
BY FORT MILLER OR
EQUAL
° `— ALL OUTLET INVERTS
ip '0 MUST ► EXACTLY SET A THE SAME
GRAVEL ELEVATION. LEVEL. BOX ON
_ DISTRIBUTION BOX PEA GRAVEL AND USE SPEED
NOT TO SCALE LEVELERS ON ALL OUTLETS.
ADJUST SPEED LEVELERS
WITH WATER.
INSTALLATION OF DISPOSAL FIELDS
1. CONSTRUCTION SHALL BE AS SHOWN ON HH THIS DRAWING,
DEPARTMENT OF HEALTH �NDiV�OUALi HOUSEhIOISD• SYSTEMS AND
ASTM F481-76 INSTALLATION OF THERMOPLASTIC PIPE ANb
CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS.
2. NO HEAVY EQUIPMENT SHALL BE ALLOWED WITHIN THE LIMITS
OF THE DISPOSAL FIELDS AFTER PIPE INSTALLATION HAS BEGUN.
3. AFTER EXCAVATION TO THE DEPTHS REQUIRED THE WALLS
AND FLOOR OF REPLACEMENT FIELD SHOULD 6E CLEANED
AND RAKED TO ACHIEVE AN EVEN SURFACE AND TO LOOSEN
SMEARED SECTIONS OF THE REPLACEMENT FIELD.
4. PLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND UNTREATED BUILDING
PAPER OR STRAW SHALL BE AS SHOWN AND CARE SHALL BE
EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND
OTHER WASTE MATERIAL IN THE STONE AND PIPE.
5. THE PIPE SHOULD BE LAID AT THE GRADES AND TO THE
WITH THE HOLES DOWN IN ALL CASES.
6. ALL DISPOSAL FIELDS SHALL BE GR?ED TO SHED RAINFALL
AND TO DIVERT SURFACE RUNOFF FROM ADJACENT AREAS AWAY
FROM THE DISPOSAL FIELD.
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Date, OCTOBER 31, 2003
Scales AS NOTED
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