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98-099 ert i irate off' Complianco Town of Que©nsbury Warren County, New York April 2 98 Date L"!s , 3qL 2G �2,q 98099 This is to certify that woT-k rcquestcd to be dune as shown by Permit No. has been completed. SEPTIC ALTERATION This structure may be used as a 18 OWEN AVE . Location ._ _._ Owner SHAW , - ELEANOR & MYERS . TAX MAP NO . 8 1 . 5 - 2 By Order Town. Board TOWN OF QUEENSB R Y Air o ldi ^ Enforcement _� - I d - BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY No, 98099 TAX MAP NO * 81 . — 5 - 2 'WARREN COUNTY, NEW YORK PERMISSION is hereby granted to SHAWx EL>r i► M & NYERS OWNER of property located at 18 OWEN AVE . Street, Road or Ave. in the Town of Oueensbury, 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 Town of ❑ueenssbury Building and Zoning Ordinance. t. OWNER SAdd, is IRENE TRUSTEE FOR HERBERe CHRIS 250 GLEN ST . GLEN'S FALLS , NY 12801 2. CONTRACTOR or BUILDER'S Name SANITARY SEWER 3. CONTRACTOR or BUILDER'S Address DAN DRELLOS PO BOX 224 GLENS FALLS NY 12801 4. ARCHITECT'S Name 5. ARCHITECT'S Addrass 6. TYPE of Construction — (Please indicate by x) SEPTIC 1 I Wood Frame { I Masonry f 1 Steel l I 7. PLANS and Specificationu SEV,TIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS e. Proposed Use SEPTIC ALTERATION 25 April 1 2000 S PERMIT FEE PAID — THIS PERMIT EXPIRES 19 (if a longer period is rettuired an application for an extenfion muse be made to the Suilding and Zoning inspector of tF.e town of ch~nsbuty baf ore the expiration dste.l 1 April 19 Dated at the Town of Queensbury this Day of 19 SIGNED BY for the Town of Queensbury Buiming a Zoning I nspe Application for SEPTIC DISPOSAL PERMIT 4 ^Town of Queensbw7 Permit No. V q Dept. of Community bevelopmmt c�S3✓ Building & Codes Office � . � � � Fee Paid $ 742 Bay Road Quesensbury, NY i2804 Location of property for installation: U✓ �`' — -- Property Owner's Name: JFC ( .c, ' Property Owner's Mailing Address: ! a c . — APR Qi 19% 0N. Installer's Name: 1!' nj S2 ecei Phone # �'/ 4 �1 ~` s� rs1r�G •GD Number of bedrooms (if residential): 3 Total daily flow: �r (residential - compute a 150 gal./bd.rm.) Topography: flat, rolling+ steep slope % of slope Soil, Nature: L sand, loa ms clay, other I depth: Ground water: at wbattdde'pth? feet f Bedrock or Impervious Material: at what depth? � feet Percolation test: !J not required, required [ raw min. per inch ) Domestic water supply: municipal., well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM �E1'i .5i r Septic tarxl� 1 ©ri D gallon (minimum. size: 1,000 gal.) Tile field: each trench c -D _ feet ! Total system length fcet Seepage pit(s): number of size each: ft, by ft. Size of stone to be used: # -- / depth or thickness. '� feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: Alaam syatam and asaocistad dectdcai veorl[ to be inspected by a +vea Wod agency. For your protection, Plea" now that psusuatmR to Section 13&29 of the Code of the Town of Qoeembm'Y, ww pew or upp"m'val grmtod which is based upon or is Srxnted in r iiamoe upon any matexml or Satabus to msla► a matarW tact or draumstame kwmm by or on behalf of an applicsat; shalt be void. I have read the mgutmbons with raspea tied to abide by theca and all regairam++ds of the Town of n3" smgwy s""w'"ge" Di"'I'o'"S Signature of responsible person: _ Date.• _ F ~/l TOWN OF QUEEKSBURY BUILDING A CODE ENFORCEP"T 742 Say Road Queensbury NY 12804 (518) 761-9256 SEPTIC DISPOSAL SYSTEM INSPECTION !Name I eVA. do Location � _^w� Date 9 Permit # � SOIL TYPE: San m- Clay- Results of Percola Test- ( if appli able ) R e- inute/ Inch ABSORPTITYPE OF S TIELD Tot 1 Length + Length of ea enc _ t�� Depth of trenc �-- S i ze of stoneZ-- SEEPAGE PITS : Number- ft , Size - ft . x Stone size PIPING ; ize ype Bldg . to Tank T Tank to Dist . Box it Dist . Box to Fiel d/Pi AtOpenings Sealed ? - Partial LOCATION/SEPARATION �, �-�feet Foundation to Tank ryj5 �. feet Foundation to Absorption feet Separation of Pits Conforms as per Plot Plan J C � N0 LOCATION OF SYSTEM ON PROPERTY: ( circle one )Front < L - eft Side - 5ide Middle Front - Middle Rear COWENTS : SYSTEM USE APPROVED : 6ii:No Arrived: Depart AAA Ai din pector 190 k '. . - . . . PR tl 19 CA 't��Y il. y.• SY t' DE 'Y have see+► or observed, or hel m I saw e0dence of all o*tt sash is hoses, wells, tree, faeces► etc., shm an this documed I also represent that t hm pjrduft ensured tiom sd Ulf a the &No." Pl