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98-412 CERTIFICATE OF' COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Da to August 4 19 98 aq (a [ 141415 98412 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 565 BAY RD . Owner LEOMBRUNOO ORMONDO - - TAX MAP NO . 60 . - 7 - 8 By Order of Town Board TOWN Of QUEEN SBURY Director of Building & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBUR'Y No 98412 TAR HAP NO . 60 . — 7 - 8 WARREN COUNTY. NEW YORK PERMISSION is hereby granted to LEONBRUNO r OR14ONDO OWNER of property located at 565 BAY RD . Street, Road or Ave. 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 Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 565 BAY RD . QUEENSBURY , NY 12804 2. +CONTRACTOR or 8UIL DIE R"S Nam@ QUEENSHURY SEWER 3. CONTRACTOR or BUILOER"S Address JAY SWEET 0 4. ARCHITECT'S Name S. ARCHITECT'S Address 6- TYPE of Construction — iptease indicate by X) SEPTIC ( ) Wood Frame I I Masonry I I Steel I l 7. PLANS and Specifications SEPTIQoALTERATION AS PER PLOT PLAN SPECIFICATIONS S. Proposed Use SEPTIC ALTERATION 35 July 8 192000 PERMIT FEE PAID THIS PERMIT EXPIRES (if a longer period is required an application for an extension must be nnade to the Building and Zoning inspector of the town of Queensbury, before the expiration data.) 8 July 19 1998 Dated at the Town of Queensbury this Day of I SIGNED BY "� for the Town of Queensbury f3uildingand Zoning lrrspartor .,Application for SEPTIC DISPOSAL PE:R.MIT Town of QueensCommbury Permit No. I U Dept. of Counity Development Building & Codes Office 742 Bay Road Fee Paid $ Queembury, NY 12804 Location of property for installation: Property owner's Name: P!) r PY7 n 4 Property owner's Mailing Address: c454 fYL�C' Installer's Name: wtm cJ -f Lk.- _„ Phone # Coe Number of bedrooms (if residential) : -+ Total daily flow: 7 o-w (residential - compute (0 150 gal.fbdrm.) Topography: _X flat, rolling, steep slope % of slope Soil. Nature: � _ sand, loam, clay, rather f depth: Ground water: at what depth%g f feet f Bedrock or Impervious Material: at what depth? _,., feet Percolation test: not required, required [ rate min- per inch ] Domestic water supply: ,2C municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM ., Septic tank:,,�� d gallon (rninimurn size: 1 ,�DpQ gal.) act LD /& N Tile field: each trench feet 1 Total system length: feet Seepage pit(s): number of f size each: ft. by fit. Size of stone to be used: # f depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarm system and associated electrical work to be inspected by a certified agency. 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 m reliance upon any material nnarepresentabon or failure to makes a material fact or c*rc -mstanca known by or on behalf of an applicant, shall be void. I have react the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Dispoe Signature of responsible person: ' Date: 7-" 4r__ C CpMM,pN'WEALTH ELECTRICAL INSPECTION SERVICE, INC Main Office 357 Elwyn Terrace — Manhaitn. PA 17545 'k MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Cert,�o. ............ .. 59203 Cut-in Card t+Io. .. .....-.,_ .. Panel Shard N Owner ......iY .-R_.....R/ -.... A4 p, � Occupant w� /� fir.. . l� {. ... ..-..__................... . . 1 �j J r.. . .. ........ .... ... ...... .. Location . .. .. ... .. . . . ..... ... . .... .. .. Aq !I --- -C -- JL . . .. . .-. .. installation Consisting of ..., -- 1J. .. . _./.y... Lic. #-------- . . . . . . . . . . . . . . . .. . . . . . . . . .. .. . - -- T .... ......... certificate iC:rtc previously Installed BY � -. ., ... ...,. .._ . .. .... . ... . .... . .. . this certificate. The conditions following governed the issuance of this certificate, and adi issued is caneeIled; — promptly made for This certificate only covers the eleetric:al r equipment and installation shall be P us pt date. pun the introduction of additional equipment or alterations, application in io sat any time and if its inspection- shall have the privilege of rm inspectors of this Company ^ rules are violated, the Corn any shall have the right to Tevo t s ert Date . Q, f..: ember N.F.Y,A., 1.A.€.1. TOWN OF QUEEKSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name G�=,Mr�sJ�Y`] l ohm-,►r� A. e`,r^� Location Date Y�- 3" CVR Permit SOIL TYPE: Sand- Loam-Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTI FIELD : Total Length 5� Length of ch trench Depth of tren s Size of stone SEEPAGE PITS : Numbe Size - ft ft . Stone size PIPING : Size Type - Bl dgw to lankt�_ 4_ t Tank to Dist , Box 7 "5 Dist . Box to Field/Pit `t'� W j� Openings Sealed ? Yes o artia LOCATION/SEPARATTiM oundation to Tan feet � oundati on to Absorption feet Separation of Pits feet Conforms as per Plot Plan LOCATION OF SYSTEM ON PROPER ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : SYSTEM USE APPROVED : YES NO Arrived : Departed ' BuIrl a zn 'Actor TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Say Road Queensbury NY 12804 (sis) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date - �� permit #- SOIL TYPE: Sand- Loam-Clay- 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 - ft . x ft . Stone size PIPING : Size Type Bldg . to Ta Tank. to Dist . Bo Dist . Sox to Fie d/Pit Openings Sealed ? Yes No FiTrti a LOCATION/SEPARA IONS : Foundation to nk feet Foundation to bsorption feet Separation of Pits feet Conforms as per Plot Plan James No LOCATION OF SYSTEM ON PROPERTY : ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : SYSTEM USE APPROVED : YES Arrived : 1 Depa u> > pector I f TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (519) 761-9256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ry s� tFtd V-1 Location .*—t W, 411-tL4 Elate ��� Permit #� -- SOIL TYPE: Sand- Loam- Clay- Results of Percolation Test- ( if applic le ) Rate-Minu ch TYPE OF SYS ABSORPTION FI To 1 Len h Length of each h Depth of trench 11107 , Size of stone SEEPAGE PITS • Number- Size Stone s ' PIPING : Size ype Bldg . t Tank Tank to Dist . �By�--� Dist . Box to( �.it Openings Sealed . Yes- No © art a�� LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption feet ON Separation of Pits feet Conforms as per Plot P1 an ' es> LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle 'Front - Middle Rear COMMENTS : SYSTEM USE APPROVED : YES" D Arrived : Depa P rX5 Btfilding ctor A /I& 4- TOWN OF QUEENSBURY BUILDING DEPARTMENT Based on our limited examinaft% compliance with our comments Ain not be construed as indicating the plans and specifications are in full compliance with the code. TOWN 0,'47 B P U REV[EVvf DATE -7 1-7-q .I /- A AIV. (.) 4c-./ / -1 G / / -*/, -* 60 x THIS PLAN TO PROJECT SITS [47 ALL TH,41t THE - D U C r in 0** Sud a mum Wells, b"k StCLI shown On WS document I also represent that I have per nally measured the ces set forth 0 ram." /SIGNMME DATE ��r f� ,ia�y�g �a 311#r-1)t stilt 6 SEWAGE 11 y f 6 aI} MW a a C a E d 0*4 d MW a* 01W t as MWMwA Stet Q * flit. tit !V-iM V V 21W 4* IOW 1 T - PVC B M4 - 2M 1% 30 20 14M W 3ff 30' V* IW 1 I' - CL 6 % INC 26% 72--- 41 low_ 7-MM 3' 38' IS Vs 12" 2 r . CL 6 �1s 16NC 32Y2 110 67 AI-= 3r 3$ 40' 1is it 2 �' - CL 6 '� • 16N(% �'h 158 90 W 'G" 1NSEM CEOUALLY ��.... lYP SPACED A T \ �-„ y k� ACP • Q-- 4 G i jyr-•-�'./ _ I_ . ,`.+- hd{ /f /1 yy�� ♦ ,,,�0 L% "� - `�+�-fir Y.• -fg, 'X ..^«C� tr` ( _ / "r a . f —9^^ ,.`.� ']i. 7 ,(' OF t HIGH DENSITY POLY- ETHYLENE PIPE SEALS. #1-Distribution Box r 0 s _ This leaching -bed Wis replace„ a "failed" absorption trench, system. Migt ground wtater was found at 20" below the existing ground surface on Jun* 30, 1898. The new le*ch bed will be ,raised as high as pr tcable abaave the grol hd water and fadby dosing from a erp/pump-tarot. su#plied by .t#* OX44ting sepVi Q k: o 2. A two -bedroom absorption a*stes oust - handles a daily ' =effluent of 220 gallons. The Proposed absorption Wed. with ' Approx. 570 eq . f t . of sires, �heuld hnnd2e this awouot even with a maxim4_*;perc rl of'30 lnirt./ tach 3. A satisfactory pump-wP system may be a Goulds wdel 3871 Effluent Pump, .4 H-P, 11-5::volts, complete with *Utowati.c operating mercury flo*.4 switch in a standard fiberglass-' basin , 3E3 ' di"a . x 36" deep (16U Gala capacity), with as . accessible cover ground level. Each dose sshavId I be approx. 65 gallons or 80% of the. distribution* piping volume, pig' pressure w*11 be built up in Ihe distribution piping,' thus allowing the use -of a standard "D.. box. 4. Added sandy lows fill should be used. too bring the'bot"oal of the bed, up as high as practicable above the ground water- level. Septic tank and pump/bas'in must remain accessIble. The bed should be covered with 8" t,Op sail & seeded to, prevent leachate from short-ciroOting to the surface. 5. All storm water from roof gutters must be prevented froml entering the bed area and no 'heavy equipment should be allowed on this area. Wasb ng machines and garbage grinders should not be used in these 2'apartwent!. 6. The septic tank should be pumped out at optimum intervals,.. to prevent any carry-ovor of solIds to the absorption bed. s 111VIALIF— 11/1 OIN11 lWMERY LR L.' CONSULTING ENGI NEER s _j � 374 Ott DWG_ s