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98-579 r _ CERTIFICATE OF ej E TOWN or QU£ ENSBURY WARREN COUNTY, NEW YORK j Date September 23 19 98 98579 This is to certify that work requested to be done as shown by Permit No . has been completed . SEPTIC ALTERATION This structure may be used as a Location 982 STATE ROUTE 149 Owner HASTINGS , LINWOOD fie PEGGY TAX MAP NO . 52 . — 2 - 1 . 32 By Order of Town Board TOWN OF QU EN BURY CID Director of Building Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY No. 985 9 TAX MAP NO . 52 . — 2 - 1 . 32 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to, HAS PRrsaV OWNER of property located at _ 982 STATE ROUTE 149 Street, Roar! or Ave. In the Town of Oueensbury. To Construct or place a 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. O WN E WS Address Is ANN 982 STATE ROUTE 149 QUEENSBURYr NY 12804 2. CONTRACTOR or BUI LDER $ Name ELLSWORTH EXCAVATING 3. CONTRACTOR or I3U1L0ER^S Address 982 STATE RT 149 4, ARCHITECT"S Name S. ARCHITEC r*S Address $. TYPE of Construction — (Please indiate by X) SEPTIC l l Wood Franrvs I I Masonry f I Steer I i ). PLANS and Speoificetions SEPTA ALTERATION AS PER PLOT PLAN SPECIFICATIONS B. proposed use SEPTIC ALTERATION 25 September 17 2000 S PERMIT FEE PAID — THIS PERMIT EXPIRES , 19 Ilf a songer period Is raquMed an application for an extension "Um be made to the I3ulidinp and Z"Ity inspocsor of the town of C]ueensbury before the eepiration date.F 17 September 1998 Dated at the Town of QueensRbury this Day of t8 SIGNED BY w for the Town of Oueensbury kq and Zoning f nspe~ i y ! Application for SEPTIC DISPOSAIL PERMIT Town of Queensbury Dept. of Community Development Permit No. Building & Codes Office G G7 742 Bsy Road Fee Paid $� Queewbury, NY 12904 i:=abon or property for installation: Property Owner's Name: krti 0, 64 1 Property Owner's Marlins ,Address: 24 Installer's Name: { P a, )a i f '� l' e( 114 11 b Phone # Number of bedrooms (if residential): _ Total daily flow: (residentfal - compute 0 150 gal.dbdrm .) Topography: ✓flat, rolling, steep slope % of slope Soil Nature: sand, _r loam, clay, other / depth: Car u wager: ?.t what depth? feet ! Bedrock or Impervious Material: at what depth? feet Fe q.x at ion test: not required, .y/ required [ ry a miss. per inch Domestic water supply: municipal, well, other It domesric water supply is a WELL, water supply from any septic absorption is 1t)Q feet. PROPOSED SYSTEM Septic tank gallon (mirtimum size: 1.000 stal.) S E P 17 1998 Tile field: each wench 4 _b..().._..__ feet 1 total sysu:r:: Is-sl:iz: feet Seeoaae nitf s1 : number of f size each o ft. by IFt_ Size of stone to ''be used: # E depth nr tirickn&ee rs fort HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons ' (AlArrn system anal associated electrical wmt to be inspected by a cordfied ageacy, I For your protecr oa, please now tlat pursuant to Section. I36-29 of the Code of the 'Tows of Ctaeeeabury, any person or spprovRi gramw wttscn ss bftxoa upon Orr is granunn in reiiaace etfxxi Say isWersai or tsUUM to tuake a material fact or circumstance ]moan by or on befall' of an applicant, dfall be void. I have read the 1eg01ati0n0 with ra$peCt to tbia appii+ration and agree to abide by tbees and aII rmqu xemerds of the Town of A.�.e... eL-..r,. Cww.:fuw C+nxn.ea re;r,-nul f'Snrlira�rMw 5ivitaLure of resDonsible venson: Date ; ff -! TOWN OF QtUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury MY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name pc-C� Location f + Date Permit SOIL TYPE: San Lo ~ Clay. Results of Per oT ati on Test ( if applicable Rate-Minut /Inch TYPE OF SYSTEM ABSORPTION FIE Total Le h U� Length of each rench 1 Depth of trench s Size of stone SEEPAGE PITS : N be r- Size - ft x fte Stone size PIPING : Si ype Bldg . to Tank t G� cv Tank to Dist . Box Dist . Sox to Field/P ` �r u Openings Sear Ed ? No Partial LOCATION/SEPARATION Foundation to Tank !7 feet Foundation to Abs tion feet Separation of Pit feet Conforms as per of Plan e7 No LOCATION OF SYS ON PROPE ( circle one ) Front - Rear - eft Side - ig t aide Middle Front - Middle Rear COMMENTS : � Ys?'6A AdCH SYSTEM USE APPROVED: YES NO Arrived : ! ' Departed : �l Buy ding Inspector TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury MY 22804 (518) 761-82% SEPTIC DISPOSAL SYSTEM INSPECTION Name 5 AoOgT Location �.,� k4Q Date Permit # 19jy4 .ACtCn 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 Tank Tank to Dist . Box Dist . Box to Field/Pit Openings Sealed ? Yes No artia LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan ��es No LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Fronntt! - Middle Rear COMMENTS : J �..rC � ,'tG- Tb �a F jk%M, SYSTEM USE APPROVED : YES Arrived:. Departed : Building nspector ter✓ TOWN OF QUEENSBURY BUILDING & COME ENFORCEMENT 531 Bay Road Queensbury MY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION! r�� Name #e9 r Location 00 Date ! Permit #1_ C'NQw(f,yu 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 : umber- Size - ft . x ft . Stone size PIPING: Size Type Bldg . to Tank Tank to Dist . Box Dist . Box to Field/Pit Openings Sealed ? Yes No Partial LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot 'Plan Yes No LOCATION OF SYSTEM ON PROPERTY : ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle bear COMMENTS: SYSTEM USE APPROVED * YES NO Arrived: Departed : f / S � Building Inspector Tom of OUEENSBURY � BUILDING A CODE ENFORCEMENT 742 Bay Road +Queensbury MY 12804 (519) 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 s7ze PIPING: - Size Type Bldg * to Tanis Tank to Dist . Box Dist . Box to Field/Pit Openings Sealed ? Yes No aTrt-i a�� LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan � es No LOCATION of SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle 'Rear COMMENTS. SYSTEM USE A ROVED : YES ~N Arrived : Departed : Building Inspect 5� 4 NL 7A, SEP .cX r Lc � c 1 HL s�wx ()F IpEE"SOuxr BUILD �,R ,�IENT eased on our linided exs compliance rw our com not be construed as indticatra$ plans and spec�t"or+s are pliance witty the coda i s ` A� ` ` JO�SSC7f,1(1.j �GMj h 60 J j 1 JARRETT - MARTIN, LLP 79 Professional Engineering October 14, 1998 David Hatin Queensbury Building Department 742 Bay Road Queensbury, NY 12804 DOT . 1998 Re; Wastewater Disposal Len and Peg's Restaurant Route 149 and 9L Dear Dave: This letter is to confirm our recent telephone conversation regarding wastewater disposal at Len and Peg's Restaurant. As we discussed, when Rubin Ellsworth, the contractor for the restaurant, investigated the sewage disposal system serving the restaurant he found that the septic tank and dry wells had not been pumped in some time. He then called this office for assistance. 1 visited the site and discussed with he and the owner the options available. Based on the fact that it is advantageous to have residential and commercial systems separated, we proposed a new wastewater disposal system for the apartment. A new system was subsequently permitted through your office and installed by Mr. Ellsworth. From my conversations with you and Brian Fear, there are apparently no documented failures or complaints related to the original system that served both the apartment and restaurant. Therefore, it is my understanding that a new wastewater disposal system to replace the system that now serves (only) the restaurant portion of the facility is not required at this time. Should a failure of the restaurant system be evident in the future, the owner will be required to install a new wastewater disposal system designed in accordance with New York State Department of Health/New York State DEC's Standards. The design for that system must be completed by a licensed professional. Thank you for your assistance in this matter_ 1f you have any ,questions please call us at 792- 2907. Sincerel , H. Tho s Jarrett, P.E. Partner CC- Peggy Hastings, Len & Pegs Restaurant Rubin Ellsworth, Contractor Brian Fear, NYS Department of Health 12 East Washington St. - Glens Falls, NY 12801 51 8-792-2907 / 518-792-2996 Fax t'9 Printed an Recycled Paper