2001-875 TOWN OF QUEENSBURY
oi 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010875 Application Number: A20010875
Tax Map No: 523400-290-014-0001-014-000-0000
Permission is hereby granted to: JUDITH FREIBERGER
For property located at: 331 HAVILAND 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. Type of Construction Value
Owner Address: JUDITH FREIBERGER Septic Alteration Residential
331 HAVILAND Rd Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
SANITARY SEWER
DAN DRELLOS
PO BOX 224
GLENS FALLS NY
Plans &Specifications
2001-875
SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
$25.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,November 27,2002
(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 To of eens ;A T i a, ,November 27,2001
SIGNED BY Y 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: q...4/
Office Use
Location of installation: 32 1 I 6 ./vG l'
4
'e it No.
Tax Map No. / / ` y
V qp Paid sr
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• Owner's Name: (I✓ / 7/t FR/e e( Coo 2i021"Op0�
Address: ,�3/ VG �`'9 .7 —Mk
01-DiNG ®NSaithy
CODE
2. INSTALLER'S NAME : A—/V i' }./ • fe,„/..4,e.,„___ PHONE NO. 79 2— 7 a s 7
3. RESIDENCE INFORMATION: (circleyear of dwelling, indicate#bedroom(s) and multiply#
g, P Y 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 3 x 150 gal/bdrm = /S-"D
• 1980— 1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm =
Garbage Grinder Installed yes_ / no )e
Spa or Whirlpool Installed yes / no Di—
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
,A�diku_raphy S ' ature Ground Water Bedrock or Impervious Material Domestic Water Supply
Ws sand at what depth at what depth Flagg al
Rolling loan feet feet
Steep slope clay �""well; water supply
%slope other from any septic-system
depth: absorption is 105 ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
• Rate: /3 a YV 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.
Septic Tank: I O gallon(min. size 1,000 gal)
Tile Field: each trench 6 v ft. Total System Length: 3 0 0 ft.
Seepage Pit(s): number of N/A size of each: ft. by ft.
Size of Stone to be used: # /h / 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 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 known by or on behalf of an applicant, shall be void.
I have re regulations with respect to this application and agree to abide by these and all
requir ents o the Town of Quee .. . Sanitary Sewage Disposal Ordinance.
Sig a ure of respo "i•I: person Date
)1i)
TOWN OF QUEENSBURY .
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queens bury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name �)� I \ c\( \ e
Location 3 3 / )4E41 L4;0J2 f
Date )< -7'0.)06,4mit
SOIL TYPE: Sandam-C1ay
Results of Percolation Test-
(if applic. .le) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION ' IEtiD: Total Length
Length of ea. h \rench tA (66
Depth of tren he jP
Size of stone , -COO.'
SEEPAGE PITS: N ber-
Size - t. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank 14k 4-4lo o
Tank to Dist. Be �. � s„-
Dist. Box to F'e14/P' . �` ,7
Openings Sea- ed? Yes No Partial
LOCATION/SEPARATIO
Foundation to Tank !'- feet
Foundation to Abso ption ',c7feet
Separation of Pits eet
Conforms as per Plot Plan 410 No
LOCATION OF SYSTEM ON PROPERT .
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Midd a Rea
COMMENTS:
124° OK
SYSTEM USE APPROVED: YES NO
Arrived: 7Lilc5//
Departed:
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BUILDING & DJ",
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DATE .�a
TOWN OF QUEENSBURY BUILDING DEPARTMENT ®d�'i �� `
Based on our limited examination, �Gi��,� �'
compliance with our comments shall if C®iq��G?� ®��,
01 not be construed as indicating the
plans and specifications are in full04.
`� 4�®11%
compliance with the cane. cb (11-
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Qll�I A R� mme 3 amma�.IPl H. Thomas Jarrett, RE.
Professional Kenneth Martin, P.E.
September 7,2061"
Ms Judith Freiberger
331 Haviland Road A,w.
Queensbury,.NY 12854 e
Dear Ms Freiberger: ��VG
On Friday;,July 27, 2001.. staff from.this office witnessed deep test pits and perco
tests on ,your Haviland Road;property in :the town of Queensbury. An. area in the
unortheast corner oftne existing lawn,north of thtxesidence«gas-investigated to
the presence of suitable soils to locate anew replacement wastewater disposal system.
The results of the Test Pits and.Percolation Tests in this area are as follows:
Test Pit#1
Depth below Grade . Soil Description .
0 16" Dark Brown Sandy Silt Topsoil:.
1 ,E 6 - 34" Gray Clayey Silt
34"- 60": Gray-Brown Clay
:60" Bottom of Hole
55" Water entering.Hole
24".. . Mottling Noted(Increases w/Depth). ..
Percolation Test#1
Depth: 24"
Soil: Gray Clayey Silt
Stabilized percolation-rate of 3 minutes 30 seconds .
This- stabilized percolation rate is.unusually rapid for what you would
expect to observe in this type of soil.
Percolation Test#1 .
Depth: 24"
Soil: Gray Clayey Silt •
Stabilized percolation rate of 13 minutes 40 seconds
'At the.time.of construction for a new wastewater.disposal system, the contractor should
perform least one additional percolation test to verify soil conditions..
- The town.of Queensbury Septic Code and the New' York State Dept. of'Health
Wastewater Treatment:designstandards,state that a minimum of 2'.of vertical separation;
in this location, .is required_.between the bottom of a leaching device and seasonal high
12 East Washington "St Glens Falls, NY 12801
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