2001-189 0101i. TOWN OF QUEENSBURY
wo"ro742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010189 Date Issued: Tuesday, April 24, 2001
This is to certify that work requested to be done as shown by Permit Number P20010189
has been completed.
Tax Map Number: 523400-054-000-0003-012-005-0000
Location: 20 HOWE Dr
Owner: MARCY& SCOT BALLARD
Applicant: MARCY & SCOT BALLARD
This structure may be occupied as a:
By Order of Town Board
Septic Alteration Residential TOWN OF QUEENSBURY
(W4 -
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
eat
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010189 Application Number: A20010189
Tax Map No: 523400-054-000-0003-012-005-0000
Permission is hereby granted to: MARCY& SCOT BALLARD
For property located at: 20 HOWE Dr
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: MARCY& SCOT BALLARD Septic Alteration Residential
20 HOWE Dr Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
I.B.S. SEPTIC
2 LOWER WARREN STREET
OUEENSBURY,NY
Plans &Specifications
2001-189'
SEPTIC ALTERATION AS PER APPLICATION
$25.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,April 24,2003
(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 o f Que- I kes , a ri124,2001
Avi
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:
Location of installation: /(6 CSC r ( L C Office Use
Tax Map No. / / -
File PermitNo`"''�^ Id,
Owner's Name: 37Cr, /1 C1-0^ Fee Paid
.5= `�b
Addrees; WO c.,,, c d r i''v c— (ay _ . .
2. • INSTALLER'S NAME : , (J, I, Sc /i PHONE NO.
3. RESIDENCE INFORMATION: (circleyear of dwelling, indicate#bedroom(,)and multiply N of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No, of Bedrooms x Computation = . Total Daily Flow.--
•
*?
1980 or older 5- x 150 gal/bdnn = - FOPECEIVED
1980— 1991 x 130 gal/bdrm =
1991 — resent g APR -2 3 2001
p x 110 gal/bdrm =
f UWN OF Qt1EENSBURY
Garbage Grinder Installed.. yes / no BUILDING AND CODE
Spa or Whirlpool Installed yes / no
•
4, PARCEL INFORMATION: , (circle applicable information &indicate measurements) • .
at l_rc Q.r0.U04_1?4!Al.O.r.. _I394roCk.or i!iippLyIM_N1A.lQri:'ll _UomOslic_Watcr $npply
ling nn tit w feCtlr al VIM depth 41011)(/V VI feel
Steep slope clay if well; water supply •
_%slope other from m
any septic-syste
depth: absorption is/6 p fl.
other •
II
Percolation Test: (To be completed by licensed professional engineer or architect)
. Rate: 3 minute per Inch . •
S. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by ii licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 25(1 gallons to the size
of the septic tank and leach field for each Garbage Grinder, Spa or Whirllxiol Tub.
Septic Tank: 15 SO gallon (min. size 1,000 gal.)
T.
� A
Tile Field: each trench S ft. Total System Length: 11?/ d fi.
-
Seepage Pit(s): number of_ . , size of each: fl..by . it.
Size of Stone to be used: N c / depth or thickness __,/._____feet
•
Bed System Size: .x
Alternative System: length and/or size
•
6, . HOLDING TANK SYSTEM: (if required) .
.Number of tanks: / 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 pursuant to Section 136-29 of the Code of the Town
of Quoensbury, 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 those and all
requirements of the To of Queensbury Sanitary Sewage Disposal Ordinance.
-t C Cam( • c -eda De,`
Signature of respons le person Date
a CO
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Namec,E5 ,,,,At ,1,,,A
Location c(7] 14U, It
�f l` i /
Date LI ' .0 g(1 ) Permit i 06/-13(
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Te -
(if applicable) Rate-Mirk- t /Inch
TYPE OF SYSTEM: /
ABSORPTION FIELD: Total Length 310
Length of each trench / k : gwvx- NSE6
Depth of trenches l'
Size of storle I -7,-
SEEPAGE PITS:, Number^=
Size - _ft., ;c ft.
Stone size _
PIPING: Size Type
Bldg. to Tank LA".:,vc,, __
Tank to Dist. Box Leh��-3.5.-
Dist. Box to Field/Pit v
Openings Sealed? es NoParta
LOCATION/SEPARATIO
Foundation to Tank \ feet
Foundation to Ab s p rpti on . -(p .feet
Separation of Pi eet
Conforms as per Plot Plan •
LOCATION OF SYSTEM ON PROPER
(circle one)
Fr - eft Side - Right Side
fiddle Front - "Ale Rear
tog To m- z0 ‘ t-l_.--
SYSTEM USE APPROVED: YES NO
Arrived:
Depart: / -. ,/
/ J
Bu/ding In F
or
n 4,2O 519.-•798-1864 t2 EAST WASHIN':GTJH PAGE 02
•
JAR 'r r - MARTIN, LLP •
Professional Eng/neering _
Apriil20,2001
tiir. Scott 13a1lard
Howe Drive
Queensbu.17.,.^NY 12854
Dear Mik. Ballard:
On Wedv.esday, April 18, 2001 staff .f'rorrm, this office witnessed deep test pits and
percolation tests on your Howe Dr.i ve property in the town of Queensbur!
An area in the front yard. approximately 70'± to the west.of•the existiin? residence was
investi; aced to•determine the presence of suitable soils to locate a r;ew rec lace:rent
wastewat r disposal system.
The results and locations of the Test Pits and Percolation Tests in this are a are a,; follows:
Test Pt.41 •
Location: (See Sketch)
•
Depth below Grade Soil Description
(i - 18' Dark Brown Sandy Loam Topsoil
1 b"- 60 Medium Brown Fine Sand t r/ some Silt
(Moisture Increases with De pth)
60"- 78' Brownish Gray Clay .
78" bottom of Hole
52" Water entering Hole
48"± • High.Ground Water
Test Pit 42
Location. (See Sketch)
•
Depth below G_adt. Soil Description
0 : 9 Dark Brawn Sandy Loam Topsoil
9 ' - 58" Medium Brown Fine Sand ivi sonic: Sill
',Moisture Increases with Dopt_h)
• 8''- 79.' Brownish Gray Clay
• 79" Bottom of Hole
54 ' Water Entering Hole
High Ground Water •
12 East Washington St. • Glens Fa.lis, NY 12E01
518-•792-2907 f .i 1 i-792-2996 Fax �'J P trtpd 0„A ac clad Paper
Wil,fll '..�_X•:' .: '.WXI'3. I.J..,...CIlA=ec^K.tp_'yLmYlyWyr.,.e.,,,.. ,... ! �,_.
SYY 12 EAST WASHINGTON PAGE JØ
2
GJ4J2QIJ20e11 14::36 319-796-18364 .
Mr. Scott)3,allard, •
. • Re:'Howe Drive Property,town of Queensbury .
•. ;Peroolion'Test# •
Lo•:tion. (See Sket"h)
• • De h: 36"
So' : Mediu n Brow'Fine Sand with Silt• • .
Stabilized .-reolation rate of 3 minutes 20 seconds .
The townof Queensb Septic: code and the New York State Dept.. o l' Health .
Wastewat.er(Treatment d-sign standards state that a minimum of 2' of vei tical.separation, • .
in this lo::atioa, is requi d between the bottom of a leaching'device•at el seasonal high
ground water or bedrock; • As indietted by the presence of water enterirg both TO Pits .
#1 & 02, stated above, , :sonal high ground water can be found at 48":: belov existing.
grade in the area investi...ted for a new wastewater disposal system. In ceder to mai.stain
. the minimum 2' vertic• separation the bottom. of any proposed leach system to'be • •
located in this area must .c no deeper than 24"below existing grade.
In addition to maintain . 2' of vertical separation all horizontal separation distances
required by both the to of Quesnsbury arid the New York State Pep:. of Health(i.e.:
• 100' setback to:a we'll, 110 'setback to stream., 10' setback to'property lu3es, etc.)mLIst be
provided. As identified 'y yourself, the location of your well is epproxiuiaately 3'f to the
.. east of your residence(r ughly•in?ine with housefgarage common wall).
No other wells in the i I .ediate area of the proposed replacement wa;;tewate' disposal .
•system were observed.. .Prior to• construction of a new wastewater dispos<I system, .
locations of all known •ells, stated above, as well as all other wells not obsery d by this
office are to be verifie and documented as to their exact location t) insuv the:.t the
. minimum 100' horizon•,: separation distance to the new wastewater dsposal system is
met. .• i• 0 . '
In addition to the well s back, a 1.00' setback from the stream,located t t the south of the •
• front yard lawn area,to I e proposed leach system area must be maintaieed. . .
•
I •
At the time of the a 'surface investigation Niagara Mohawk Power Company and
Adelphia3.Cable Comp. y arrived on-site to locate existing•buried utility, cables. Niagara
Mohawk and.Adelphia 'id locate utilities in the vicinity of the proposed lea�,eh. system . . .
area. Relocation of b ed utilities in this area maybe necessary to install the::new leach. •
system. The contracto should investigate the utilities locations prior 1.3 cone action of
the new.l.eaching syste to determine the need for relocating utilities.
For further information egarding vertical and horizontal separation reg'.iiremel'is refer to . .
the Town of Queensb ` .Septic Code Apl errdix "A" & "B" and the New York State .
•
04/20/2001 15: :i3 518-758-18 4
12 EAST WASHINGTON PAGE 01/02
Mr. Scott Ballard ; P:ige 3
Re: Howe Drive Property! Town o;Queensbury
t
Dept. of. Health "Iridi idual Residential Wastewater Treatment ystem;:; Design
Handbook".
•
If you have any questio s Or comments regarding this letter please feel free a o contact
myself at 792-2907,
Sincertl •
!,, /'r .
.:77
,c,744
-,---.(4! , ,,,,-;,---,.
• ,
. .
. .
. .
.Robert L', Holmes II
•
Project Engineer .
I'i:2001/01021O42UUf
cc: Ivan Bell, l..B.S. eptic
1
12 EAST WASHINGTON — PAGE 02/F2
04/20/2001 15:33 518-796-18 p4 ------------
-----
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I
APR 2 3 2001 •
TOWN OF QUEENSBLY
3UILDING AND COD.
( : . i ``tip..,..^--"•-"...�-"-
NPPROX. LOCATION a0
STREAM-- ` OF BURIED UTILITY • rn no _1
LI N ES ..ma�yy to "A" --> B8'
IV to "B" --> y 1
9 1'
ci
a TP to '"A" --> 105'
) T® 21 to 'B" --> 93'
1---- PT #i
to "A" __.> 105'
. to "B" --> 102'
7
EXISTING •
1
(ISTI•NG SEPTIC TANK
EDGE. OF 5 PTIC TANK�� •
I
to "A" --> 35'
,LAWN-I to "B" --> 33'
HOUSE (GARAGE DRIVEWAY
WE_L
r77
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I. 04/20/01 Q Sli E'CH FOR WCAT ..td 1lF 4?'►4I E1VGE ON Y
DATE REV.# A Iw::;Ut D/RF VI! IONS' 4-7
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E:ALL.AFIC RESIDEN E ANOPESaraw I. SWIM NUM
SUBSUF 'ACE INVES IG 'LION 12 EAEr WASHINGTON STREET I'4 NE:(518)7D2.2607
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