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SEP-0541-2022 SEPTIC DISPOSAL PERMIT Office Use Only APPLICATION Permit#: '0 �' 20?1Z,- tuna ofQuccn uq• - - Permit Fee:$G��S _ w 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8256 www.aueensbury.net Flood Zone? Y N. Reviewed By: ECSO � � Project Location: 780 CORINTH ROAD D AUG 31 2022 Tax Map#: 315.10-1-46 :._ . TOWN OF QUEENSBURY RESIDENCE INFORMATION: BUILDING&CODE$ Year Built Gallons #of bedrooms: X gallons per =total daily flow perday bedroom Garbage Grinder Yes. No 1980 or older 150 Installed? (choose one)" X-, 1981-1991 130 Spa or Hot Tub Yes .No 1992-Present 110,. : 3", 1.10 = 330 Installed? (choose one) X. PARCEL INFORMATION: Topography ✓' Flat'R'olling Steep SI"ope %Slope ' Soil Nature Sand V Loam Clay Other, explain: Groundwater viz `at`depth? GREATER THA. >s _f -- Bedrock/Impervious material At what depth? GREATER THAN 6 FT Domestic Water Supply Municipal Well Lake .(if well.or lake,water supply from.any septic system absorption is Percolation Test Rate:9-WIN per minute-per inch (test to'be completed by a licensed engineer/architect) PROPOSED SYSTEM INFORMATION: Tank size 1000 gallons (min. size.1,000 gallons, add 250 gallons for each garbage cylinder or spa/hot-tub..EXISTING 1000 GAL CONCRETE System Absorption field:w/#2 stone. Total length .. ; ft.;: Each Trench... - ft. Seepage Pit w/#3 stone How many: ;Size- Alternative System Bed or other type:20 FTx 30-FT- - Holding Tank System Total required capacity? . ; tank size ; #of tanks Septic Application Revised January 2021 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL ` • Applicant: ; Name(s):BEN MARCANTONIO ; Mailing Address; C/S/Z:780 CORINTH RD:'QUEENSBURY,NY 12804 Cell Phone: Land Line: Email: • Primary Owner(s): Name(s):SAME AS APPLICANT Mailing-Add ress;;_C/S/Zy:: -"{ Cell Phone: ;, 1.1 Land-:Line;` Email:ii Ched if`all work will b6,p'erformed by property owner only Contractors ,;, Contact N,ame(s);SMITHSrEXCAVATING Contractor Trade: Mailing Address,C/S/Z: QUEENSBURY. .Cell Phone: Land Line:518-361-0956 Email: **Workers' Comp documentation must be submitted with this application** • Eneineer(s): Name(s):CENTER PROJECT SERVICES -73 SHERIDAN STREET,GLENS FALLS NY 12801 Mailing.Address,C/S%Z: Cell Phone: Land-Line:. Email: . Contact Person for Complianoftijid,to this project: Cell-Phone:, Land Line. Email: NOTES:.1.Alarm system and associated'electrical work-.must be inspected by a Town approved electrical inspection agency; 2.We will no longer allow systems to be covered until such time as an as-built plan is received and approved.The installed system-must match the septic layout on file—no exceptions.3.As- built drawings must be submitted prior to the inspection,if there has been a change to the submitted plans._4.if,for.any reason,the building permit application is'-withdrawn, s withdrawn, 30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date, 100%of the'fee is retained: Declaration:Any permit or approval granted which is based upon or is granted in reliance.upon any material representation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall.be . void.I have read the_regulatons and agree.to abide by these and all requirements of the Town-of Queensbury Sanitary Sewage Dispgsql Ordin ce. PRINT NAME:F T SIGNATURE: DATE: Septic Application Revised January 2021 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY. 12804-5902 Septic System Checklist 1-10 Plan to scale WAReceived Deep hole perc test results from engineer/Architect if applicable(Town Approved Engineers and Architects;June 30 to April 15 Town Engineer for unapproved Engineers and Architects) SAII wells on property and adjacent properties shown Water line shown Municipal or well 10'separation to any part of system ( —Setback to property lines show 10'or more for any part of system �`4?113Septic tank and pump stations 10'from foundation 50'from any well/lake/wetland 10'from any waterline Septic tank to foundation crawl space/slab on grade,grade in crawl space must be above top of septic tank for 0',Separation required (field verification required) �`6eptic tank sized for number of bedrooms and add 250 gals for Jacuzzi tubs/garbage grinder each V Leech Field 20'from foundation 100'from any well 10'from water line 04Seepage pit 150'from well 50'from septic tank 4Seepage Pits 3-times diameter apart ( -�Septic tank and pump stations over 30 gallons 50'from watercourse or wetland distance from bottom of trenco or system 24"to bedrock or mottling 36"within 1000'of Lake George l Leech field 100'from watercourse or wetland /,✓ Toe of mound or bottom of retaining wall 10'from property line 100'from well 20'from -- ,, Foundation 04Provide Engineer/Architect stamp for bed or design systems �./✓✓Department of Health Approval for all mobile home park new systems Flood Plain requirements 2' above established flood elevation to bottom of system v All tanks anchored or 2' above flood elevation - 6 SEP-0541-2022 / 315•10-1 4 TOWN OF QUEENSBURY Marcantonio, Ben BUILDING DEPARTMENT 780 Corith Rd BasQd on our limited examination,compliance Residential Septic Alteration with our comments shall not be construed in indicating the plans aid specifications are in � full compliance with the Building Codes of co New York State. C—� M W Cco `i C cV Ui Cj cn Cl(� _Z ;l 00 TOWN OF QUA[ENSBURY BUILDING & CODES DEPT. Reaviewed B° _ j CJ � 4\: CENTER PROJECT SERVICES 73 Sheridan Street, Glens Falls,NY 12801 Phone-518-796-2515 August 18, 2022 Project#380 Fred Smith Smiths Excavating E C E .O V Queensbury,NY 12804 D 22 Re: Proposed Replacement Septic A=12( 0 780 Corinth Road, Queensbury,NY TOWN OF N QUEENS ODES Y Dear Fred: At your request, we have reviewed your proposed replacement septic system design of the existing 3-bedroom house at 780 Corinth Road in Queensbury. As per our conversation the residence has an existing failed septic system. We have reviewed the proposed replacement septic system design and we agree that a standard absorption bed is acceptable.Based upon a design flow rate of 330 GPD and a percolation rate of 1 to 5 minutes,you will need a minimum of 367 sf of absorption area. We recommend using 20 ft wide by 30 ft long absorption bed with 4—25 ft long laterals. The absorption system can be constructed with the existing 1,000-gallon septic tank, new distribution box, and 4-inch diameter perforated pipe and stone. . Please feel free to contact me at 796-2515 if you have any questions and that you for your assistance with this request. Sincerely, zz 4 Thomas R. Center Jr,,P.E. 315.10-1-46 SEP-0541-2022 Marcantonio, Ben ® 780 Corith Rd Residential Septic Alteration o o ZO TOWN 01=caucENsBuRY BUILDING DEPARTMENT zg Based on our limited examination,compliance ®p with our comments shall not he construed as c� indicating the plaits and specifications are in ` full compliance with the Building Codes of New York State. THIS DEAN T O _ O JECT gtJIL.T SITE AT AL FOR THE DU OF CON CTION TOWN OF QUEENSBURY -- dBUILDiNIG rx CODES DEFT. v Reviewed 13 NM-S Date: �� 2,-Z ,P I r� 1 t CENTER PROJECT SERVICES 73 Sheridan Street, Glens Falls,NY 12801 Phone-518-796-2515 August 18,2022 �= o.ect#380 Fred Smith r q ' Smiths Excavating D Queensbury,NY 12804 Re: Proposed Replacement Septic TOWN OF QUEENSBURY 780 Corinth Road, Queensbury,NY BUILDING&CODES Dear Fred: At your request, we have reviewed your proposed replacement septic system design of the existing 3-bedroom house at,780 Corinth Road in Queensbury. As per our conversation the residence has an existing failed septic system. We have reviewed the proposed replacement septic system design and we agree that a standard absorption bed is acceptable.Based upon a design flow rate of 330 GPD and a percolation rate of 1 to 5 minutes,you will need a minimum of 367 sf of absorption area. We recommend using 20 ft wide by 30 ft_long absorption bed with 4—25_ft long.laterals. The gbsorption.system can be` __. _ constructed with the existing 1,000-gallon septic tank, new distribution box, and 4-inch diameter perforated pipe and stone. Please feel free to contact me at 796-2515 if you have any questions and that you for your assistance with this request. Sincerely, G Thomas R. Center Jr,P.E.