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1999-730 CERTIFICATE OF COMPLIANCE :TOWN Of• QUEENSBURY WARREN COUNTY, NEW YORK Date December 1 19 99 99730 . This is to certify that work requested to be done as shown by Permit No. has been completed. . SEPTIC SYSTEM• . This structure may be used as a 38 NEW HAMPSHIRE AVE. Location - HERMANCE, RICHARD & Owner • TAX MAP NO. 128. -5-12 By Order of Town Board . TOWN OF QUEENSBURY --- --- Director of Building & Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 0 Building Permit No. 9 9 7 3 0 TAX MAP NO. 128 . -5-12 Permission is hereby granted to HERMANCE, RICHARD & Owner of property located at 38 NEW RAMP SH I RE AVE. in the Town of Queensbury,to construct or place a SEPTIC SYSTEM 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: BONNIE P .O. BOX 2230 GLENS FALLS, NY 12801 Contractor or Builder's Name: SANITARY SEWER Contractor or Builder's Address: DAN DRELLOS PO BOX 224 GLENS FALLS NY 12801 Electrical Inspection Agency: Type of Construction: SEPTIC Plans and Specifications: SEPTIC SYSTEM FOR 3 BEDROOM HOUSE AS PER PLOT PLAN AND SPECIFICATIONS Proposed Use: SEPTIC SYSTEM November 30 2001 $ 2 5 PERMIT FEE PAID—THIS PERMIT EXPIRES (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 Town Queensbury this ----�3--0-- Day of November 19 9 9 SIGNED BY , for the Town of Queensbury Code Enforcement Officer • ' ' • ili, it'... •i;•• : !,!• .1 ••.01',' i. . . . .. . libation for -1.. . .' SEPTIC : :DISPOSAL PERMIT i::,;;•....,.ca.......;___,:._.\1",.;..,.:!,,,!!„,•,) ..,_„.. ; ,•.;,, i.-..„...u.3-..J•7,•,,ii.ii,i, li,,;;I • ::. . ., ;,,,:„, 1 .,--- ...., r , . . . 1..:::,•-•:::.:,;.,.:i*,,r,ri(1.7:114•-ti.,....,:, ! : :.1..: .,• ).11.,:,..i,J, i,,; .! _99730, ,... . , ii:,„,;.1•,•••!, • ..... ,,.____,..... . . .... - 1 1 •,I • . Permit No. , q?"--736, ;,:',..i•••!, .1 I;!!illii•1•1.11 ? ;•:17.-017410LJW-06944- .-HERMANCE RICHARD & , .. •': -: ; :1 ,,,n ; ... , '3. '‘,,'' ',:,, . .. ... .. r: . . ,.. Hi J,,,:40'' dDeP4''orlYP4F- ;3 8 NEW- HAMPSHIRE' AVE. I • .. :.-•,,-..r...,..•..:: ••:I•ilf.:'•;;•:•;:,,I,..1..„1,,,.;i444:1-T.,cipe:,.;;;.1._. .,• I: . . 1,',,:,,...',:•,.,1';,-i.-:.:1,,q.';,;,.')I,, 1;1'.1 '`.1;'1.F.111`,!•, •ri; SEPTIC SYSTEM . . ' Fee Paid • .•!: ; I. k....:,:•--;',-., ,.!;.;!!!.'111•!! 742'13.4r:E.toacPt 1;t, , . , -• ,,' . . , . - r •• ,',.... I ill,,,, If r.-r Queensbug,'NY-'1A44#1--------- ------- T-UtiV14:0 i----L-Vii.tL:LNbk3Cril-Y . . .. '':',1..1 ;:.; : i iil'i,"1, f';'',,' i ' I!' !-• .,„••.;IJH • .J :. . LJ,-.;i:'; - 11:, !•'1; 11:41.';•:'.1 -:11,11.1! ; 3 p_ i27._BUILDING AND iC )DE -- • ',.•,`.:1. .:., 1 : 110;rilil,. ,:.:!21: i,'. i,. i, :f.-):i'l ' ":1(0 1 ilL fliii..,'Od'atibii!',10fi.property for installation: eTk-lit-(_A- J-C_ ; 1-•• ; !-, . iri.:11,!,1,1;,! k;!•1;:,.-1; , i. '.- :•:•." • ; !''i P.1,ildr,i!..! ., 1:' •Pitperty Owner's Name: . v C.h /V 3 iti A7,\J c 1. . ::11 ,.,.. , ..: ,. 1 . ...---' . ILq. 1.'i ' y, , , •PrOeit Owner's Mailing Address: ,,,,:,,. : •,, . j,-.,• , • .. ,. . . ...• i ,• - •r,'.:,, .., .:,i,,Li.ilh,.1.',,, I.,! ,• :,.-.'r llei' .1,1, ' •; • . : •.•'..;•• • • • !-',-..-:•:::1• .!.1-! t 1•!'lliiiia .me:..• ' • iu I 7-A-1. - ,_. kr 1,-,c......._ Phone # 1 9 2, - 7/sr 7 i P'I': ',. ,l•!'.i! t •' . . ' . • 1.--::,•• ;". ' 'ii,I !::.'il,i I•:1. ) 1 i ' 1'1 l''• ' . •. ...-• • 0' ! I i.'•• I i r.! .'.•,'I!'i•'' .! . ,...,:', • ,, ' 'LI 1 II ii 1,!,•I. i t if IL!. •••• . .,. . . •.°•'•••• :••-••• 'i.' rOli I',I !1.,11;il J:Li h!' 1 . , . . . . ,J"-, ' .OOMS.(if residental):-.•,;•.. • - Total daily flow: -i•!!!!, ' 1;!_111 :I 11.•1'11F,I, I, II.I If !•I.''i•O;I,.I.,11 (re-SidATItiAl -compute @ 150 gal./bdrm.) ,;•.l !- •!!,,,•., ii!...!N;!.. •;!...!: ;,L...,11,;;;;!.!! .•• 0 • ;! !,...!!q-,i.;!;,';.!•ii.....,:!: ;•1 r. ,..;,!;. i:;::,, • ,Topography: .... • .- .. • , • ;j !, !,„ ..,;•:;l!':,!;,t;fili-,!!;. d•-•,.,,i,!:,.:11,-,,,{.1,;,,,., ., . [1( . rolling, steep slope % of slope • . . ..". , -.;!..;!,,, • ,-,,,,1•!,:•;.,'„!!. . :1\•flat, ._ ,... .,. ..-•.••.'::I: ' . !F!.!•:!';;!!.'•. ,•••1, .1;!„-:!,;!,.1.`.:!!•;:.,:. ..:,.. - /1. • _...-- ;;•1'1,:,-')';:- !:•''''''''L-N1'''!' .1;illtailiNathre:-...;;•-•1) -••sand, ',416ain _ clay, other/depth: __ ;:;--f;.;:,i''.:';;, ' :'.!-..!';!;!!•-..'!';;;!'1. '•!.....1, ,:.•„:•„;;;,..),;,,.,, .:: .-- - .: -.. • _. . :.,•!,!..1..: ;:,•-, ;,;;;;.1•• ;.:i.:1,,!!;:....!„;!,;,0;:: ., cr' 0;u:idI water at what depth?•-1.- :1•--•_.... feet / Bedrock or Impervious Material: at what depth'? feet ....... , „:;;.,,, •• c•I I;;;;;;;!, .,:,..;,...„;.,,,,,,••••, ..; • - ''''':- ';- •!' !-•• di l!irii•!.•: ti1 ;1..1!ridinl!! .. .: • ••• : . !! ,!: ...,:'!!' .i., ;•: .;;; !!....;i.!•!.....,_.,,,i;.;.: .. :::!!....,•?..4.:,;,;.;;l1.P.e.rccianon-test. .•. __.not required,• .- .. required [rate min. per inch] ,....,,,,, ,I,.;; ,,,; -,•;. , . .,,. .. • . •••!.-1•,.;• :. ;,;.!•.4..:t I,i ,f'.•;•.;: :.••I:,,:E'..;::!.:i•-,;. - ....-:::;: .• •...-.. , „• ... i ; , ; •.[:1•;c 1,,I I.“1 :':Doiliestac water•!, supply. other municipal,' well, r. . .. ..,,:'•!:- !:!•••!. ii;•!.!. •;•H,,,,;!,,,,,,i..;,,,I.:.• ! -•• 'i• ', ,i',1 ;1,;!::;111!.,i, i• •'1•,11!.!!!';'!••!!!.!tit..1!:•• ...!! ..„. 11:1'.';'1' • '; 1:1:,;';;,,l'ili•''',1.'',i'' I!••!?Iido:tries'''' Uo waterSupply is a WELL', water supply from any septic absorption is-- - feet. .. • •:•!•'•'., '''...!1:,:!..f.t.! - ! • ••••;,.1,01.1.!-:;: ,:-...-;...: .. ,I, :.,....,1'.; ... ;,••-il:1 1;!!.•:." - ,.' !. • • ; ,•,:., • • '''.'• :•41 :.!: ',::. • • ' .. • 'Y:' 1‘.1 • • : :PROPOSED.SYSTEM . . ,..!;!.',.' ..! i,'!:',1;, ,,, ; ;;; .!.•!...,..,,,,LI,... •--. . ,,,-(.i.A."6 7-- -• .. • • '''..:: :. • '..i!i''.1 ',',' •.; :•! •i:••••;.' 18n11'"•tic••wild.10`OD ,gaiin&OiiinfriT,ITTI.size: 1,000 gal.) • :•1' ,-,, ...;. ; ..„.,:.•;: ,:.,.. •-..,.i,,,,, ,r - , - - -... s ,.i,:.'• ' ••' •-. 'I' ''' •',..,.:.I.,I: .f •',,'ri, 1•• : :', 1,.;• 4 ..::...4.•.• . ,-.,,'4:. ‘tS• ' feet (7.th: (2...0 . feet i1 -• •'''''. r:' 1 '''''''''''''Tile fielde'each tiench •.• / Total. system lea,;• • ..,.; , 1i.,i,; .! ,, ; ,,.. ,!,;.,„ • - • • .•;,. 2; !'; ; ; :, :: . ;•1;;;;! ,..:'.. ' 1: r• li.. .!; ..:!', !,: ,, 1-• •1,- • ' i Seepage in•t(s). number ct, /0/A- / size each: ft. by ft. ' • :• ; , !0.r!,1;;,, !,;,1 if ll 111,;(1;Hit; . ; :1;., : :,, . ,,, • ;:' .. • : : ,,- •!, . !!!•'•'•'': •';.! ;,i:•1 • ' .;:,...!.. .,••;,,fsie;nf_stone.t0 be used:..H. ,:..:;,;:.-...:.,/ti/Pr / depth or OrinIrni P•g feet . . -:, i '•'...:.• ;;;..1'1;',!..! ; '.,!...,::;:•.;:;.!!••1!;.•,..,. ....-_. ,-, • : .f th 4.,,,,. -, F,!,;;,...;;;;, ,: . ,..,!-;,;-.,1;!;!•.5,,.• • ' ',',.'•-.:•,...::!-!;:- • • • -,„;-,•., ; -!. :,,,. .•':,. . ;. _..,,,_...:.;;;;;•t"!.:- , • :i.;!, .; • . .s:.:;;.!-;,,,:•,; :.;; -,• ;•!,..!;•!!:.!,!.. .1; ' • .; . • ,•'• • .• . • .1!1•:1; 1; •••''1;•••''' "!'!'' •HOLDING-TANK SYSTEM:. (if required) • -;• ... ...•;,..--; :. • - ',....4.1.1: ::.: • s'''. , , • ' ' .:'. ' •''1 Number of tanks: • •. - - Size of each: gallons' • •.!! • -• '., .!. ; •••• - ii.';:!.;,;., •• :-.H, . : '-'ll,-,•... . -,, I •,,I;;;,l, • - • • • - - •- ---------.--• . _ •!,. ;. 1„,,,,!...-L ; ; !! •.,,•;,'; !I!!,.i''2! • • - • • 1 • ! . :'; 1•..!1.,'!';.l',:, l• :.:•,":„,',.;:i.'!.;•!..,','!Aloud"'"•• ,.-- aiii., issoziatiatoorr4.1 work to bo inspected by a certed ageocy. • . -•-,;1' : • • ,.,;:,i''.,-,:: : : ••1 : •:s.,, • . , : • . : '- ',;';' •. ° ' : •,f;),•,-- 1, : .:-..„:•,•...•,;.•-::.....-, ..',.. ; .,,,..,,,imp,+,,„;• ,•• 06.29 of the Cod®of the Town of Quociotholy, any pe=rt. or .i i '' -.it,ii.;-•''''"i4iitaOtiotti;plogao4lOti.t44 Purgul4 -9.i:.1777',.''' • .-,:-..-:.!.....•J:,..::.':;.:;:s A •,.4:,•',..apsza..3.!?4,-,:wi'244i.. ?. t,.°g::::,•,- •__ ..1‘, , ,./:;id tollicace upou imy rigt...44.4 misrepreactation or Leto to mak,a i••',11.',,,',..:•:..i.,-.`,,,t:..,:i i,of,44. ki3;.g.,-1. izeoliv7.0239:16„.:?....,''..k6613r b;4-or-ci, labia!, of. an.applic,nt;shall be void. • 'I'. 1., '''''':11..ttklii(I'i'i..)'-'..:1-:.f.:!..1i...,?''•I't Y',.:'•-•‘;;;'•:•'•:::::'1.:'...• '3:, •,• !l• . .. :,-.1n::,•,..::1:. ,.. :....:...:„...- 1,.;:.•1,,• Ifith,re..• .. .:,..:,atipuoatiozz•ii'-.• sod agree to awe by theie end all requireraects of,the Town of ,:: i 1 • • 1..t.:.,pliiiyo,.F#cYq10:FFiriF;#2.911,--....,..•;.; ..,. -111116::'''.';':''• • : .--:-.E !: , '.:'.;.i.''.i •it' .64•Iiiiatizy4,t44ago.rouposai • ...... :.•., . .. ".- ' ,,i.1' .•:,..::::,;'.., q•,,:',,,,,.;',i:i::,.,,r.i..,-,...:.:-.::. --•,.... - • - • :,',. • •!--,1:::', 10',;.1.::. ..1,!,'",:••;;;,:t•:;',..'illi:,:1,,... '''''''' • ' II.'••••;;Sittreottespbzisible:person: ... aik.at-s-e- A-4_ Date: LL(? 91_21_ 1:1':': : . !;.":, , ,,,.:.: ,,,,,.•:-.,1 -• !.. , . , , . i r TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 l l.f V SEPTIC DISPOSAL SYSTEM INSPECTION Name Location J-z-YiVamkpA,Af__XM Date ,mr / Q Permit # q?-72516 SOIL TYPE: Sand- oam-Clay- Results of Percolation t- (if applicable) Rate- nut Inch TYPE OF SYSTEM: O ABSORPTION FIELD: To al Len Length of each tren l j Depth of trenchgs 2.. Size of stone -t- ggiffitari,D ' SEEPAGE PITS: Num'ier- Size - ft. x ft. Stone size PIPING: Siz Type Bldg. to Tank Tank to Dist. Bo ; " 502 .3 - Di st. Box to Fi vl d/Pi 0ij Openings Seale it No Part. 1 LOCATION/SEPA' ,TIONS. Foundation to ank feet Foundation to Absorption 9 ( feet Separation of Pits feet Conforms as per Plot Plan 90 No LOCATION OF SYSTEM ON PROPER (circle Front - Rear - Left Side - Right Side Middle F - Middle Rear COMMENTS: • SYSTEM USE APPROVED: YES NO Arrived: / Departed: /(� .65 Building Inspector • / F 7 — ' P V z 10 J 99730 128 . -5-12 HERMANCE, RICHARD & ,a 38 NEW HAMPSHIRE AVE. 17 SEPTIC SYSTEM .,,Qa,, _ 1411. TOWN OF QU RY "I have seen or observed, or believe I saw evidence of, • all objects such as houses, wells, trees, fences, etc., BUILDING C PT. ishoknon this docu nt. I also r•present that I have c!° peitcl,ally measu he d7 1 , s set forth on the diagram." REVIEWED BY DATE 1� ; oI � SIGN" ,f' ` ° P ! E D TE 1YW,rr7 w A is i _ a--a- -_ " n L 11—l/`+---