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98-674 CERTIFICATE OF CC MPLI N CE TOWN OF UUEENSBURY WARREN COUNTY, NEW YORK } Date October 29 19 98 "C 98674 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 18 OAKWOOD DR . Location CHAPMAN , ROBERT & JULIE Owner TAX MAP NO . 69 . - 2 - 9 By Order of Town Board TOWN OF QUEENSBURY Director of Building b Code Enforcement BUILDING PERMIT VALUE. $ 0 TOWN OF +QUEENSBURY No, TAX MAP NO . 69 . - 2 - 9 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to CHAPMAN , ROBERT & JULIE OWNER of property located at 18 OAKWOOD DR . Street, Road or Ave. in the Tows of Queensbury, To Construct or place a SEPTIC ALTERAFrTQN 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 sod Zoning Ordinance. t. o+ E OAKW Is O D DR . QUEENSBURY , NY 12804 2. CONTRACTOR or BUILDER'S Nam* CONDON ' S SEPTIC St DRAIN 3. CONTRACTOR or BUILDERS Address 0 4. ARCHITECT'S Name 5. ARCHITECT"b Address 6. TYPE of Construction — (Pleas* indicate by X) SEPTIC I I Wood Frame ( I Masonry ( ) Steel ( F 7. PLANS " Sneclfiotiarrs SEPTaF ALTERATION AS PER PLOT PLAN SPECIFICATIONS S. Proposed Use SEPTIC ALTERATION 26 October 26 2000 $ PERMIT FEE PAID - THIS PERMIT EXPIRES 19 (if a longer period is required an application for an extension mural be +Hack to tt%e Building and Zoning inspector of the town of Oueensbury before the expiration date.) 26 October 1998 Dated at the Town of Queensbury this flay of 19 SIGNED BY far the Town of Gueensbury i/dhg and Zon ng Fnepeetw Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Dept, of Community Development [Fee rmit No. Building cot Codes Office 742 Bay Road Paid rS �U / Queensbury, NY 12804 Location of property for installation: f ii�- LOA GCQ10CW epkS Property Owner's Name: (} 3 �� -� f�Cftj;/?ff�,t�,► -- `�-., ©CT.23 Property Owner's Mailing Address: !8' 0 W Installer's Name: 044 .0y C .der` �R�f�LJ le Phone # - L Number of bedrooms (if residential): Total daily flow: `T 504 (residential - compute Q 150 gal.Ibdrrn.) Topography: Je, flat, rolling, steep slope o of slope Soil Nature: (.,hand, loam, clay, other f depth: Ground water: at what depth? feet / Bedrock or impervious Material: at what depth?srrt =- feet Percolation test: not required, required [ rate min. per inch j Domestic water supply: � municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet, PROPOSED SYSTEM / � ;J( �j-to/or Septic tank �tDi! GaGll/on (rnlz u size: I ,flbC} gal.) Tile field: each trench 46 Q feet I Total system length. feet Seepage pit(s): number of / size each: . ft, by ft. Size of stone to be used: # r f depth or thickness e'' feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each.. Pa.Ilons .Ala.rm system and associated electrical work to be inspected by a certified agency. For your protection, please rota that p■„w„Rns to Section 13&29 of the Code of the Towu of Qoeensbury, any permit or approval ,granted which is based upon or is granted in reliance uposr any material miarepreaenta ion or failure to aaak a material fact or circumstance known by or on behalf of an applic m t, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requn-cments of the "sown of Queensbury Sanitary Sewage Disposal Onlina nce- Signature of responsible person: Date: '•�" � 3"' I� TOM OF QUEENSBURY BU I LD ING 5 CODE ENFORCEMENT 742. Bay Road 128i�4 Queensbury NY (51s) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name " Location ----__ Date f4> �' ermit # SOIL an - oam- Clay_ Results of e tn ue ( if applica e ) Rae int / n1rh.1. s�TYPE OF SYS ABSORPTION F LD • otal Le gt r Length of each nch �--- - Depth of tre 1 Size of s e SEEPAGE P TS : um er- ft . Size - ft . x — Stone size ze a --r�, PIPING: 37- YP Bldg . to Tank ^�-- #--, �, Tank to Dist , Box $4 r1 Dist , Box to Field/ No a tia r openings Sealed? Yes LOCATIONISEPARATI feet Foundation to Tank 4 eet Foundation to Absorptionfee Separation Of Pits Yes No Conforms as per Pl of Pan LOCATION OF SYSTEM ON P ( ci rcl - Right Side Re _ Left Side Front w Middle Rear Middle Front COWENTS SYSTEM USE APPROVED YE$ � NO Arrived= Deportees Building nspector AOk>ejkT CHI PMAu r,r��or,� �� See � tl�t ►O SFokvf 'c Zt CO 00 � ff r �a + tb G� a �, 3 iZ ,*erved, or believe I saw evidence of, a!' a8 houses, Wells, trees, fences, etc., Document. I also represent that I hav? ;'iwed the distan{� Se forth Ol the ,;_ - SIGNATURE ATE