98-173 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
Date pert l 21 19
i 98173
This is to certify that work requested to be done as shown by Permit No .
has been completed .
This structure may be used as a SEPTIC ALTERATION
Location 17 YORKSHIRE DR . �v
Owner SAWYER , KENNETH A .
TAX MAP NC] . 48 . - 3 - 50 . 232 By Dreier of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
+ iY✓JJs-tUCLLIUl2 ILJL L-7F-1=,J` J. J_% . Jj1.5.C{...l,3
Town of Queensbury ! 3
Dept. of C6tamuait}r Development Permit No, "'
BLiildtIIr¢ & L'OdGS OfF.CG
742 Bay Rand Fee Paid
Qtsexnsbury, NY 12804
Location of property for installation:
Property Owner's Name:
_ Property Owner's Mailing Address:
Instaer's Name: A . _ _ k Y
ll
Phone
Number of bedrooms (if residential): -5� Total daiTv flow:
(residential ntial - compute 0 150 ga l,A:rdrm.)
fiovv aahY tlat, rotEirrg* steep slope 9 of slope
Soil Nature: S- sand, loamy clay, ! depth:
Ground water. at what depth? feet / Bedrock or L=peW-rc*js NtaxeraF: at what depth? � fen:
Percolation test: not requ:xed, required [ raze, minx. r Much
i� I
L?ornescc water supply: �_ muaxCxp3l, we?�, Cam"
If domestic ware: supoEy is a Vv7LL, war-: sz=oly orr aoy se c absortsdoa is feet_
PROPOSED SYSTEV
Septic ! � gallon (minimum size: i ,CtiCU gpl.)
Tile field: each trencrx _ f-Let I To -1 s;rsrexrx T r: �+-7 _ fe4:
Seepa.;e pit(s): number of / size eadh: ft. by ft.
Size of stone to be used: I depth or tic _ feet
14OLDLNG TALNK SYSTE.?4I: (if required)
Number of tanks: Size of e~ch.: gallon$
k .
?slazm system and ast•Y ;nr•a electrical wcxxk to bes b+ a crc�od
. agc+nc-.{.
For your pTatectkm. please now that ptw n== to Secii[= I36-29 of the Cede as: -±�e Town. of QoeembtnT, any Permit or
app=val Zrarcted wtuch is based Upon Or is granted in reEance n n
� �9 z'apreaen ar £ailvsv to m,alCs a
mama W fat: a circtz=stanze known by or on behalf of as appucaar, slmzl be vcid..
I ha.�a roead the resulAtona with respect to this applica•m= and agrema to abm dap b. :!ume and an rog=Usemc of she Town of
Qiiooc=bury S iika a Saw-age Disposal
Sim-^attire of responsible person: Date: G
TOW OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
742 Bay Road
Queensbury MY I2804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
NamejE
Location 17
Date 2 2. Permit #�-��
SOIL TYP San Loa Clay-
Results o Clay-
err Test.
( if applicable ) Rate-Minute/ Inch
TYPE OF SYSTEM:
ABSORPTION FIEL tal Length 9 dD
Length of eh rent
Depth of tre the
Size of stone --- --
SEEPAGE PITS : ber-
Size - f x ft .
Stone size
PIPING : ize �
Bldg * to Tanker
Tank to Dist , Box
Dist . Box toFief �
Openings SeaSealed .? es o artia
LOCATION/SEPARATI
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits eet
Conforms as per Plot Plan s et
LOCATION OF SYSTEM ON PROPER
No
one )
VeFront
Rear - Left Side - Right Side
- Middle Rear
COMMENTS *
f
SYSTEM USE APPROVED: YES NO
Arrived :
Departed :
d
Buz2ding inspector
i
i
TOWN OF QUEENSBURY I
BUILDING A CODE ENFORCEMENT
742 Bay Road
Queensbu ry NY 12W4
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
f
Name
Location r
Date 3=ZE=9H?--' Permit #
SOIL TYPE: Sand- Loam-Clay-
At pi 2
Results of Percolation Test-
( if applicable ) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD : Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: Number,
Size - ---� f x ft .
Stone size
PIPING :
87 dg . to Tank Ype
Tank to Dist . Bo ~--
Di st . Box to Fi d/pit —'"--
Openings Seal ? Yes No a rtia
LOCATION/SE RATIONS:
Foundation to 'Tank
Foundation to Absorption feet
Separation of Pits feet
Conforms as feet
LOCATION OF SYSTEM oONPPROPERTY *
$ No
( circle one )
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS
Lam-
SYSTEM USE APPROVED_ YES NO �u �
A rri v 0 0
Depa ed °
Ul ing Spector
Kenneth Sawyer ' I i ;,�
' I — M&Q 7 APR E1
C7E
48. -3-50-2
E
#rave seen or observed, or lieve I saw @Wence at
all objects such as houses, we , trees, fences, etc.,
shown on this document. I also present that I have -
per ally measured the •stan forth on the dlagmm."
IL
_fir �r
SIGNATURE DATE -
IN
.48 54.
48_-3-50. 3
x
SCALE: 7rnch equals 55 feet
s
mol—I ell
ProGfuce by cx TO rq �'y � ;..: _° : � � � ii y
f xaeensbury, NY, Pfa ing Depart me03/30/1998 ere
REVIVNED 6y
r)A.TE - --- - - -