2000-143 e o '. om" lance
Town ofQueensbury
warren County,New Fork
a
14arch 310 2000
.Date
This is to certify that work requested to be stone as sho%i byPennit No.
has been completed,
SEPTIC ALTERATION
This shitcture may be used as a.
1@ TWICV100D LANE
:location
Owner
MILESCN, EARL
TAX tAP NO. 698o-1m5a2
By Order Town Board
TOWN F QUEENS
Director of Building&Code Ei&rcement
BUILDING- PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 0 Building Permit No. 2000143
TAX MAP NO. 68 . -1-5 . 2
Permission is hereby granted to MILESON, EARL
Owner of property located at 10 TWICWOOD LANE
in the Town of Queensbury,to construct or place a SEPTIC ALTERATION
at the above location in accordance to 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.
Owner's Address:
10 TWICWOOD DRIVE
QUEENSBURY, NY 12804
Contractor or Builder's Name:
IBS SEPTIC
Contractor or Builder's Address:
IVAN BELL 2 LOWER WARREN STREET
QUEENSBURY, NEW YORK 12804
Electrical Inspection Agency:
Type of Construction:
. SEPTIC
Plans and Specifications:
SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
SEPTIC ALTERATION
$ 2 5 PE1WT FEE PAID—TERS PEFMT EXPMES March 30 2002-
(If a longer period is required,an application for an extension must be made to the Cade�Enfor�ceni6nt�
Officer of the Town of Queensbury before,the expiration date.)
Dated at the Town of Queensbury this 30 Dayof March 2000
SIGNED BY for the Town of Queensbury
;n2orcernet ruent Officer
Application for SEPTIC DISPOS-:A-L PERMIT
Town of Queensbury
Dept, of Community Development [Permt No
Bui?d�a &Codes Ofice
742 Bay Road
QL,4--sbury, N"Y 12804 aid S6
Location of property for installation: {
R VED
Property Owner's Name: A NEAR 2 9 200Q
Property Owner's Mailing Address: /0 Tb
. C1F`0UEENS3URy
CC3l��
Installer's Nam e: s �) �; �/UG- Phone rr �/'�' . '"1,� Y
Number of bedrooms if residential. • - , .
( �• Total daily flow: � o
(residential -compute @ 150 Qal./bdrm,}
TOpo;�aph • r!at roll o
Y• steep slope q Of slocz
Soil Nanu e: (7 sand, Icam, c12y, other 1 depth:
Ground water: at What depthl-x/A feet / :Be rock or ILPervious Mate^�j: at w depth_.?
_ _ feet
Pe:calaeOn test: Got requir-4, re cui:4 [ate min. inch
Per ] _
IDomestic water supply: !► muracipal, well, other
H domestic waiter sum is a WELL; water-sL�1y L orn a-ly septic absorctica is feet.
PROPOSED SYSTEM
. �"�r f:%rr �c► y
Sepdc tank-/l pU Qatton (minimum size: 1,000 gal.)
THe field: each wench feet / Toil system Iength: feet
Seepage pit(s): number of f size each: by fr-
Si?e of stone to be used: is _ / d=th or thickness feet
FOLDING TANK SYSTILM: (f required)
Number of tanL: Size of each: �?ens
�Sa- �yatent and assucis: i eIec2szcal vv r— to be issvecc:.ed by a c ertifled.a, r.
For;of yoi=protectica, please note that purs¢snt to Secdo 136-29, of the Coda of the Town of Qr .sb�y, any pert or
appr-_val wed w iich is based upon or is`ga� in reliaz c9 Lpoa a—f teriai r is . c�
n �.. or failure to..aka a.
mate-.:al fact or cr.in-nstance known by or ca behalf of an appliaart, c=11 be wid.
I have =. ad the mgc.isdons with respect to this aovlicatiou snd a=�-e e to abide by these sa3 aII :rameaLy of tlz�Town of
Sanitcuy Sewage Disposal ori..ira�ce.
Sig7.at-.z, e of responsible person: �t30a
Date:
r
00 4 +? ol� 4J 0 as
d,0007 1 `o4:
44
H al 0
W r 4J W c
" a� � J u
I � �
' ' j r �r r �' 00 rI '0C�
1�
g r err If" D.
Li x
p � � c c� 1 N Q.
w V) v E o u as X a. C o ro
cc 0 ro ra tU E ro o.Y O Orr 4- 80
0 C: V-00 ro z 1p X r- C 0 4J CL
U. v:, 12 -P 0) Z 4• 0 (D .0 or. �' J
o 0 V .0 �- � i— et a, � V) d
d' c �. aJ u i U. (v : 4}>. 1 ! 0.
M �+ 4- u > P � 4) V) (A'c c c V o13 a 0 w
w 0 or Yi 4 W N W K1 o 0 0 1#
I: Clo - r a 0 4- or 0 0 0 6 r" or +r O p
m (a Q) .J I w o 0)4J 0 tL a) C" M.Y. 4J c Q c C ra 4- 4 S. c`0 M fl- ro
u 4� H 04- M(A C 1NW N 0M '0 C 0 IVU 0 :3 q.cUor 0'0 ih S•
V ro 0 ro o alera»MN (}+rW +rr4JHr (Sra000a) 0oLS. +r- S» �
Z J V'I LY�i.4JGltl}O001MF- OO JLLU. Ou j�U_zU V) ��
"I have seen or observed, or believe l saw evidence of,
all objects such as houses, wells, trees,fences, etc.,. ,
shown on this document. I also r .� sent that l have ►►
personalty measured the disc cr rth on the diagram. fJ. s
r Q� QOi <
' ( J
SIGNATURE ID,
o,r
�pDO
NIA
R 2 9 2000
SUILI),'VQ `'` 3 A ��Uily
'��cony
T I ah s ' k
r C'-
1
ALL �r, � S,
,,r OF
lii 1 40 is
TOWN Or QUEENSBURY UILDING DEPARTMENT
Based on our limit examination, w° P �: �m t'c 'BURY
compliancewith IRIS,
comments shall TO ."s `�d{�. '<.
not be construed s indicaft the
�.. .
plans and specific t'rons are in fullBUILDING &
compliance with t e code.
REVIEWED BY
DATE
,
t
`d ,,mod d r►��