Loading...
PT-0344-2023 . . . .- .... . . . . -- rm: : :`: :. ; .:. . .rop :,.: - - .er..: .e- e osal;tn or:mat o .. " . .. ; .- . 1: :2- - . . .:,. 5` 67 3: �.. "Date: i:!: To of etis WR Q... .. -',.,:' ,- .. :;. n u NY:12804. _ 7I -Ba .Road= uee sb Q. :. ..:: .. . ... :....- .518-761-8256. .www. ueensbu :net,:. _:.. '° P _. a ry ._,.- . . :: 22 . _ :, a . _ David Cook - _:: ' :;. ... :.... ... .-- J U Name.of,Owner_A licant - .. RP_. )..., : = r' - r;=. - -N. --:. ._ _.: .. -Re:::,: ;Onsite°:W. astewater-TreatM6h'f5 stern_.'h .ection,(nfo­matio:n- - ` est L- F QU ::...::. :... . ., U ,; S . .:. . ..._. .:. .._, . ti :.... . _. ;. �LD1N3, BURY';;"', :_ �Y• =.- ' :': 24..Isl nd..V.� Dr--. e ; bu` Y' "2 -. . . a . ew Que. r l 1 804 w.,..:. . •_" ,• .n _ :: - - _ -Site'•Address:for lns`-_ectiot = p_ ) ,..:.,. -_: :.;. - -.. Tfiank.; 'ou for,;re:Uestin _an:;ins,ecf ion'for==tfie::°orisite.''waste.water:treatment:s:`st"ern OW.TS loeated:.on-tfie:: ::::- ro ert"' referenced above :1Neaook:forviiar to com''161ft- :a tho`- • .ins ection`for, ou'::You can=h I 'us=do-: ::: p.: p._,,. y.,... d... gh e p:. t..e best}ob possible by providing some a,duanced information.about,the site, Prior to',ourJnsp'ection;.we:request f::�. :. ... . , . thincompleted-,,appficatioh}a s!te,,map-.indica'.,-_i;e.`location-,,., a septic components aril;confirmation:;the-- :. ..._a::..:.., pre=ins. _ectiop: .repora.tion` see-1he: ast, :a e-ofi::this:` acket =:will'be_60M leted rior°to our:;arri a1 `': ::': = :: ..... ' p.::: . >..........:...a�:. g- p ,), "' _ .p:. :p: ..v = . ... . . ::. ._.. , :: .:. .: :- = ...... Enclosed:;is:-a;5epticSystem,;inspection;Info,rmaton;:form, which;.must be compl:eted,signed:and;:returned.,.to ;:;,., this:office,with the appropriate feels)and documentation,pr-ior to scheduling an;inspection 1. ... . :..: .: .. ...: - . Please:rioteahe Town of::Queensbury-s.. p for this service is.:$2Z5;_:sendvised-that all fees must..,paid prior::to . scheduling the"inspection We require 48 hours notification prior to scheduling the inspection`.Y. ;~ : '' : . �` :,.; ' - :.., .. , : If.,the` �urchaser:as.re uestin an:exem"'tion` 'ae`ase sulirriit`this'a lica-.,. a o. :with" ` otar zed etter: t tin"':`L* p . .. n I sa :: the..septc.system..:wili:;:be:iris :ected:;or..;re .aired,re .lace&,- thin;6,moriths•,from the°.date ,of_the-.Pro"ect .. . .:: p. . p . ./. p.P p Y Co:nueyance:ar:°JuneaSYof;ttiecurrent "orfollouiiin > ear;: �rvhichever:comes'::first <:a:ma locatin "::the:se tic : .= `: :.,:; , •:. . .- . .. e. :a p-,ght:totaliri ;$227:5 $2000'.refuridabl': a .asit- ,'lus 275. errriit fee= _The`-de osi_f is',forfeited. .` . if-"the,owner.faifsto..complete;.the;re':airs.;or.installatiq`n,asatated:aboe::. . P : :. ,.,. . If.::-ou;ti.aue;'aia`..:>uestions` le se°call:' <_` Y. a Y.q, p' _ _.:. :.. .,. :, .'. . .. Phone.. �518).,76:1=8Z56_ =" Email: :kafed ueensfjur: :net:;.: _- :; @q Y. Thank. ou: . _ - y . . :. _ Sinter 1 e __. :. Y . I. . f - . . - - _ - _ - - _ - :.' '^ ,r. _ z - _ - - - _ - _ - - - - N. f .,._ _ - t. ,- _ ..vi'- - - - - -- . .. - :.i - - - - - - - g, - - - - - - Johr O B _ r�en,;Director..; ; ,:: : : : :. _.: �,; ==- - `.i B, dine 0 orce en t- .. g m .. Town.of. ueensbur :':. : ' .' Q Y :. ., ... ., . -. Pro eit Transfer:Packet ..:,... ..., .. ,, .... ^,;:: ` : :: :. : P. Y :Revised July,2022;.' . . : . . : ..; . ..::: . . .. - .r. . . _ . , . . . - -Use -nl` - ..: `Office - . ::. _ . _..._..-., -Kermit#r::. �'C�' 23. : - - - . e - ;7 at .. F e iiee sbur' NY-1 80 y42 Ba`=Road n . .._ .Y_._... 4 Y. . , ,:., 4v: . 2 Invoice;#::.`: :':� P..518r76.1-8206 0jr 518 . .'P205.,:.. ... - •. www: ueensbt :net:``' q N . . .:: :: .. ._ :.,- SEWAGE:DISPOSAL::SYSTEM:`INSPECTION;=INFORMATION=: ::A- :: ;`: :='.:`'=': .:; :-.. .. . .:..: :_ - -.::;::_ : In°drv�dua7�ResidentiaT:l-a.#Wwater - treatment S.`fit ;: ::=__-% : .; <:-.:..: ;,; .- _'. : . . - CONTACT.:.INFORMATION; lease'`ririt;le ibl. or;°t;".e and i'nclu.dQ an email address �p p. g_ Y Y -" ): ' - ., . _- :.<:Pro a: : _ an' ; wrier,Information: Fleas=pftach', ,.P'"ert'surve'.or:.tax arcel tia .. _. .. ,. ... .n .. -r , .. ,... .. P _',: .-, _ . . . . '24. :.__n- -:Dr Que:en`s,bury;::NY :12. - Pro ect address:for.ms ection _ R, ...Y. . -._, ._..._._ p. — - OF = - _ . ...- ., .. :3 91"8::::1 2 Tax ma <numlier _ P - - :;:. -:. . -: ;.: David..W. ...&.Vick. :,M.:_..Coo {� P o ert .owner.. Y.. r.P_..,:Y.. 4:I'I"''d':V'�eW t)'r ueensbia NY 12804 `> :.'`;` ':` ': <.' :MaHin Address c-s z . I" Q _ . _, /...�. . ,.,_,. --.... :. :. 1 - ::5 8=6.8162 1:-:: :: Cell::#: 6. Land:L ne#: : .... Email: :rriOdme''l flotimail;corm' . - , .. - ..: : A . licant ifdifferent:thanabove ;:-.;',:::. - Pp.., _ "Mailin Ad . . , dress_ c/s/z ;':: .. g ) .:. _. . . .. . - .. Cell.#� : ._ L -Email:.. Pro. osed=0w::ner:= .: 'Re j r: _: . a to Attorne li' P... 0. 0. >Ot er ex lain: - v` " - . . _ . .. - . . . . - ,. . . - - . . :: :: : . .: .. :.. " .._ Daigle`Con`struction°,8�Ezcavatin :'. :: i, . : ; S'e tic contraetor:.- -9, P , .. r:::: : ' :;:. 19,B.o,ulava4.'QU-e ':n4". NY':12`804' . _rY,.. Ma Im Address c s.z . ... r..,,_.. . . . . :..: :-.5: 5:18-7 - _ _ - _�� 96`6,.2.1: :. ,da i - 1e ek aFioo a 9:. n com Ern i Y.al: . = R - easo :for:'Ins ection R n. a ues t t?. . .,_ .-_ _ q - . - . :: - ,;_. 0 he.mark t:e FUture;l4st , r: i in Safe Pend n :: Deed:T`an Ife O 0. ❑... , g..0:. 0- s. r: tlier. . g... - . _ . . - .. ,Pro e Tra fd Packet.. d ul`2 2 Revise 0 P..�Y J 2 Y. . .... . . .. . :. - F.— RMAT,O:IV D:I;.: I H0: N .H,QU SE L N . .... :::OPLEABE'�SEE SEPAF3 " PAGE°FOR::EXEMPTIO S**;_.,: :`, `.`. `'. ;A -- :'.,..:..,. ... . - , :.-.#:Bedr_:ooms 3. #.-Bath-.r..00ms 2 #..Kitchens:., ib.c.zz1 tub(s) Garbage;gri:n.der;;�.:: :::'. ::. r Onsite°,Wastewater Tre`afinent,Syste . . :...:..... :...::. . : ::.. . . .,: .. :. _ . .. % . �: _ :. . - _ H w man ste: s:are:orrthe ro a-rt ::. . . . o s rn ...:. . .: . . P,..._..y_ : v .v ,P:. : . ,. .. ; ` :�: ,:, T k"... :>.:: :::;.: Si ze of.Se tic Tan k::,.. Y:e r:.s ste s insta Iled: . an a m p... - '. .. . p6�. T. eb - so r"tiorr S ste m:::- ;... - : - Y p s . . _..:. .p. . - Y.:.. ._... _::..; f: - . N o: :':: .`:: Are allsysterri.components_w.holly::within,theproperty,b%ounda�ies ,;❑■:Yes:;: L❑. ...._: .: ..::. - . . Area stem:. :tans;._ava.ilab:le? -: ■ .:Yes...: No._�_ Y - .p. . - ........ ... ..:.:... . I. ..... � "Dq.es" a s. ste'rri s.'..—e.m-n i le: _;ro::ernes? = :❑:;Yes:.,: :N, o :; `;:._ ... Y. O p p. p -., _ - - If.,. :es -describe:. :. Y. :: . _ _ . - . -.- . - - Ma . . - ..... . . :: . Sery ce::a re . Yes. >: . ■ Noy af.:'es ..busine-ss: name:.: - g. ... ;0 . ❑.... .. ... ' :never ;. 2023 Date.of last: risp:ecf on . N/A::p ;Date.ta:nk last: uI, ed . N A:❑ -. . - .. ,: : Fre. uenc .of 'u i n . >.m NA r- q . . . y. .. I .:❑. p.. P .g. ... . ...... .> :.:,. :.. , - . . . . List;known_re _airs/re."lacements with:dates::;. :;: P p . . : . . .., . :: .: .Date:..: .: Type.of:Repair/Itepaacem.e'nt :..:: :.::. . . :: . . . .. ..... :.Operation:=- . - : . - =: " : _ ,;;._ :: :-System problems. .,.:. .. Yes ■, No ❑ ❑ . .. Sewa`ge:odors?`.{ ❑ Yes: p;No . u.rface&:discha-r e s - Yes:.: ;:`:,. No :' -. . ,. Directs . .. - >_ _.:..;... : . g.:...; ❑ :. I--,-:', :::: : : . . ..: : .:. i a:ck_u . ,6faoilets?,::-.;:.: :_-.. .. ..:. ;:: Back=u : of a:n: oth:e:r:::fixture's_.:;:e'" '_slow_drains >:: Yes:::: N.o::. . .. , . : .:. ." : :.:: 7 . , - Seas.onal;ponding or b:reako,ut:;of:.l,ea,ch field.;: ; . : : : Yes: No: '::.- ;,: - _ . .. Proper ty;,Trahsfer:Facket ' Revised Jql..2022_" . . r. . - I. - S atement o f.:Acce 'tanceofCo`nditions= � :;:: t - . . - ,. _ . ,..... _,.... : >... L:a ree ao g - - .: . .... • ::Ensure tt-at`the,;>se:ptr c:.tank_(s), d strib:ution:;bo :(es:};:_and/oraeepag _.p. .,,.,,Y,'.,. .,. .- .: -: ;. r.ior".to- - e re-�`uested::n's "ection`:t.me- -. : . be:uncovered: _.. . . p 4.- p • :: . nsite: to:: um _th:e".tank, er th' ins -eetor:ver fie"s:ffow ': . - Have:a septage hauler. o. . . . _. : _ rorri f xfbre' - 'f. i s ;`; - . _➢':_T:ank'm.ug-.bq,pum:,ed<in: ,resence;:o _.ins ..ector: . .::...:.:. ..... ..... .. :` .-I P P P P,.. :...:•:.•Have;an;a.utho,rized:;re res_entative:-. .:rese.nt:.. the,s.ite ,:; p p . 3..- „ _ • Allow the;inspector to;werr.y information pr,OvK e'd,;above, and to con(--- ; _ . ?. _ _ inspection of,;the i.nd:icated:onsite wastewater.tr.'ea... nt system s, includin ",all`.,;.. . Y . O g system components:,and inteno,r plumbing in crawls .aces and basements .._ ,_ ' : - . . To-:the l--d: :':knowied e=th,-jnfo' ation:" :rovide:d'above°is:accurate an,d: acknowled -e Y g _,. .p _ b the follow` - _ _ _ In ; . g• ::. : ...... .:...: ::....... . , , .; . After: ear frorri>.. ..- . Y date-f-: b fission:=:and.:th-i,r''isno.activit" ;on this; ermit;;the.: ermit~wil ':;;.`;'.; Y p. p ..: : . ..:.: -r::. .'. ... . ::..:.::.::; exprre and.:will':be subjeet°to:.5ubm-ission of;:a::renewal.a lica.tion and a -ment of:the::renewal`:`:: ,1:' > pI?. , .P. Y . ..> fe.e based on°th.e.curre `:` . . ;:: ,...._nt fee-ach`edul....'A<fees;:m.ust be ":'k-PRIOR TO SCHEDULING an , : :':` : :I. . . .. - ... . inspections :In_addition,,if the perM t.,,. withd,.rawn 30% ofahe fee is,,retained W tlie.To.wn.of. ..,,. - 66 sb6r . Y;:, :.:. - : Signature::of:pro.pertY owner.;or:a,uthonzed;a, ant::.: _ : : g, n. ■ :owri : . ❑. . . .:er-. .. Da ent. :;.:; ..: :o>ther `.: . .<: . . :. _:: ... . D .. .... :. avid ;C:o,ok. .. ::: Please rintname: p - ,, . . . Digitalf'.si neii'b: DaGid:Cook;: SInatu.re:. :.•;: ::,.....:. . . : :... . Dote:2023 0616;Q9 23:24-0.4'Oo� : , ....` ; ;:. : - .. ... .:._`. g _. Date. . . - . . : :,,,..:: - Priorao:sched I - u ine::with,,the Town of:Queensbury::�ou'MUST� .. Schedule a..sewage hauler be on site to,-pump tank whiie:in spec tor is,on,'site �� -,: :: Hauler• ,>.- = should arrive 30 45 minutes-afterscheduted=time.w>Lth`tlie Town:of QueensburY's::: Code:Enforcement=.I ice"r : .. - _ ... - ,- , >, x s-e>In et and outle;.,_.e ..,p,_ t,q :'septic;aan :and ;or;.pu.mp-station ;.expose d=l ox ex ose :. _ .: ..... = p. an see a : e it covers:- :Y P g:. p_ ,,. :::,_, ., 3:Excavate•-test;hole;:>Inaeac :_ - _ . >: ::: _._h_field i f vthere.:-�s:.no:d:box: :.;., -:, ._ ., .. . :..:. : . . .Pro'e T . .. P. q• ransfer Packet:..., . . .,. ,. .,:. ': ,' :=$evised,July:.3022: . . . . LANDS N/F OF EVELYN B. CARROL PARCEL VACANT NO WELL as F5\ A a o/ \ \ E E E E 0 i i i v EXIS77NG// WELL] / APPROXIMATELY ` ® 180, TO LANDS N/F OF ` NEIGHBORING WELL KELSEY RAE ERNST ` % / / II UDSON a � / •//// RIVER O A WASTEWATER SYSTEM PLAN SCALE: 1 "=20' GRAPHIC SCALE 10 0 5 10 20 40 ( IN FEET ) CONTRACTOR TO FIELD VERIFY LOCATIONS AND DISTANCES THIS IS NOT A FIELD SURVEY. RECORD DRAWING DIMENSIONS TABLE CORNER "A" CORNER "B" S. T. INLET PORT 38.5' 29' S T. 0U77-ET PORT 43, 32' DISTRIBUTION BOXr— 48,75' -- — 2 STONE a \ 12" TOTAL . �... .:.COVER OVER ....:..; _.. STONE DEPTH 1 PIPE !�i:_ . .p r j 6" MIN STONE ---: BELOW PIPE ._ _ ... —BED WIDTH & GEOMETRY PER PLAN 2' MINIMUM ' SEPARATION TO BOUNDARY: _. _ CONDI LION 3/4" CRUSHEDWSTONE ARgnPPTTnN RFI) SFrTTnN NTS WASTEWATER SYSTEM DESIGN 3—BEDROOM RESIDENCE DESIGN FLOW — 110 GPD/BEDROOM SYSTEM DESIGN FLOW — 330 GPD SEPTIC TANK — EXIST. 1,000 GALLON PRECAST CONCRETE TO BE PUMPED, INSPECTED, & REUSED IF SUITABLE. INSPECT BAFFLES. DESIGN APPLICATION RATE: .95 GPD/SF, BASED ON 1-5 MIN/IN PERCOLATION RATE ABSORPTION BED AREA REQ'D = (330 GPD)/(.95 GPD/SF) = 348 SF ABSORPTION BED AREA PROVIDED = 15'x30' = 450 SF POTABLE WATER SUPPLY IS TO BE WELL MAINTAIN 50' MINIMUM SEPARATION BETWEEN SEPTIC TANK & WELL MAINTAIN 100' MINIMUM SEPARATION BETWEEN ABSORPTION FIELD & WELL 4" MINIMUM TOPSOIL ON ENTIRE BACKFILL AREA; SEED AND ESTABLISH TURF 25' BED LENGTH ­s�.oPE SLaPE--, 77 41'. SITE SOILS DATA TP-1 — 6113/2023 BY TOM HUTCHINS, P.E. 0-16" — TOPSOIL 16-75" — YELLOW BROWN FINE & VERY FINE SAND 75-82" — LIGHT BROWN COARSE SANDY GRAVEL DRY ALL DEPTH ROOTS ® 57" MOTTLING @ 64" BOUNDARY @ 64" PROVIDE 24" VERTICAL SEPARATI0N TO BOUNDARY CONDITION PERCOLATION TEST PT-1 — 6/13/2023 BY TOM HUTCHINS, P.E. STABILIZED PERCOLATION RATE: 1:50 PER INCH 4" SDR-35 PVC PERFORATED LATERAL INSTALLED NEAR LEVEL, IN BED CONFIGURATION LIMIT OF 15'x30' STONE BED 15' _. ABSORPTION BED PROFILE NTS 30' 4" PERFORATED PVC LATERALS INSTALLED NEAR LEVEL IN BED CONFIGURATION 4"PVC NTH GOOSENECK VENT ABSORPTION BED PLAN NTS DISTRIBUTION BOX 4" PVC SDR-35 OUTLET MIN. SLOPE BAFFLE 1/8" PER FOOT 2" MIN. DROP BETWEEN INVERTS 12" MAX. COVER 2" MIN. 5 APPROXIMATE EXISTING GRADE FILTER FABRIC, TENCATE MIRAFI 140N OR EQUIVALENT PROPOSED DISTRIBU770N BOX r 4" PVC I EFFLUENT SEWER DISTRIBUTION BOX NOTES USE SPEED LEVELERS TO • PIPE JOINTS TO BE SEALED W1714 ASPHAL71C ASSURE ALL OUTLETS ARE AT MATERIAL OR EQUIVALENT EXACTLY THE SAME ELEVATION • INVERT ELEVATIONS OF ALL OUTLET PIPES 4" PVC S110-35 SOLID HEADER MUST BE EQUAL, USE SPEED LEVELERS. TO PERFORATED TRENCH PIPING, D-BOX TO BE INSTALLED IN CONFORMANCE 1/8" PER FOOT MIN SLOPE MTH MANUFACTURER'S INSTRUCTIONS. DISTRIBUTION BOX DETAIL NTS MAP REFERENCE: BASE MAP INFORMATION FROM WARREN COUNTY GIS, AERIAL PHOTOGRAPHY, AND FIELD MEASUREMENTS. THIS IS NOT A FIELD SURVEY. ALL L0CA77ONS ARE APPROXIMATE. CONTRACTOR TO FIELD VERIFY ALL SETBACKS PRIOR TO BEGINNING INSTALLATION. WASTEWATER SYSTEM SETBACK REQUIREMENTS PROPERTY LINE HOUSE STREAM, LAKE, WATERCOURSE, WETLAND WELL SEPTIC TANK 10' 10' 50' 50' ABSORPTION FIELD 10' 20' 100' 100' Ail tQ1 hk '. b a t ., ,r SITE LOCATION I orA TT®A/ MAP SYSTEM INSTALLATION NOTES CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING AND IN ACCORDANCE WITH THE N.Y.S. DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS AND ASTM F481 INSTALLATION OF THERM0PLAS77C PIPE AND CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS AFTER EXCAVATION OF 15' WIDE X 30' LONG ABSORPTION BED TO THE DEPTH REQUIRED, THE WALLS AND FLOOR SHALL BE CLEANED AND RAKED IN ORDER TO LOOSEN SMEARED AREAS OF SOIL. PLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND FILTER FABRIC SHALL BE AS SHOWN, AND CARE SHALL BE EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND WASTE MATERIAL IN THE STONE AND PIPE. THE PIPE SHOULD BE LAID AT THE GRADES INDICATED, MAINTAINING STRAIGHT CONTINUOUS GRADES WITHOUT SAGS, HUMPS, SEPARATED JOINTS, OR OTHER UNSUITABLE CONDITIONS PIPE SHALL BE LAID WITH HOLES DOWN IN ALL CASES. ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND DIVERT SURFACE RUNOFF AWAY FROM THE DISPOSAL FIELD. DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION AREA AFTER PIPING HAS BEEN INSTALLED. THE WASTEWATER TREATMENT SYSTEM IS DESIGNED AND APPROVED BASED UPON THE INSTALLATION OF WATER CONSERVING FIXTURES AND A DESIGN FLOW OF 110 GPD PER BEDROOM. THE SYSTEM IS NOT DESIGNED TO ACCOMMODATE EXTREME WATER USE FIXTURES, SUCH AS JACUZZI-TYPE SPA TUBS OR WATER TREATMENT EQUIPMENT. THE INSTALLATION OF NON -CONSERVING WATER FIXTURES OR EXTREME WATER USE FIXTURES IS CONTRARY TO THE APPROVAL OF THIS WASTEWATER TREATMENT SYSTEM. ROOF, FOOTING, GARAGE, CELLAR AND SURFACE WATER DRAINAGE MUST BE EXCLUDED FROM THE WASTEWATER SYSTEM. CONSTRUCT DRAINAGE SCALE UPGRADE OF SYSTEM IN ORDER TO DIVERT SURFACE RUNOFF AROUND ABSORPTION FIELD. SEP77C TANK & ABSORPTION BED MUST BE INSPECTED BY LOCAL BUILDING DEPARTMENT AND DESIGN ENGINEER PRIOR TO BACKFILL AND FINAL GRADING. IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO IDENTIFY THE NECESSARY PARTIES AND REQUEST INSPECTIONS. SYSTEM MATERIAL SPECIFICATIONS ABSORPTION FIELD AGGREGATE STONE IS TO BE 3/4" TO 1-1/2" WASHED CRUSHED STONE. EFFLUENT SEWER PIPE PIPING TO BE 4" SDR-35 OR SCHEDULE 40 PVC. INSTALL WITH 1/8" PER FOOT MINIMUM SLOPE. FILTER FABRIC FILTER FABRIC TO BE 4.8 OZ/SY NON -WOVEN SEPARATION FABRIC, TENCATE MIRAFI 140N OR EQUIVALENT. TOPSOIL PLACE 4" MINIMUM TOPSOIL OVER ENTIRE BACKFILL AREA. SEED, MULCH, AND ESTABLISH TURF. INSTALLATION DATE: 71512023 INSTALLED BY - NICK DAIGLE CONSTRUCTION RECORD DRAWING NOTE: A REPRESENTATIVE OF OUR OFFICE VISITED THE SITE DURING CONSTRUCTION AND IT IS MY OPINION THAT THE SYSTEM IS INSTALLED IN GENERAL CONFORMANCE WITH THE APPROVED PLAN AND THIS RECORD DRAWING. FINAL SURFACE FINISHING AND TURF ESTABLISHMENT 1S ONGOING. G. THOMAS HUTCHINS, P.E. 71612023 TAX MAP # 309.18-1-2 Dig Safely. New ® York ® Call Before You Dig 2 RECORD DRAWING 7/6/2023 Wait The Required Time Confirm Utility Response 1 REVISED PER TOWN COMMENT 6/19/2023 IM Respect The Marks EM Dig With Care 0 ISSUED FOR PERMIT 611612023 8 0 O— 9 6 2— 7 9 6 2 www.digsafelynewyork.com No. Revisions Date- 0 F WASTEWATER S Y,53TEM r"LA/V CX DETAILS y�® prepared for: Q7 David Cook CD acc 24 Island View Drive Town of Queensbury, County of Warren, State of New York 067pV79 4 Drawn: WGC Checked: GTH I Scale: NOTED Date: 611312023 SSI 169 Haviland Road ALTERATION OF THIS DOCUMENT EXCEPT BY Queensbury, NY 12804 292177-01 A LICENSED PROFESSIONAL ENGINEER IS A VIOLATION OF NYS EDUCATION LAW. (518) 745-0307 Phone Hutchins Engineering PLLC (518) 745-0308 Fax PROPERTY TRANSFER SEWAGE DISPOSAL INSPECTION LETTER V Satisfactory Compliance Notice Town of Qyccnsbury Building&Codes Enforcement 742 Bay Road,Queensbury, NY 12804-5902 P: 518-761-8256 www.gueensbury.net Date: 5 July 2023 To: David Cook (Applicant) Re: System Inspection Site Report for: 24 Island View Dr,Town of Queensbury, NY (Site Address) As requested, the Town of Queensbury's Building and Code Enforcement Department has made an inspection of the wastewater system components serving the property referenced above. All system components have been found, and are noted in the System Inspections Findings Worksheet. Inspector's observations: The system appears to have functioned adequately under past and present loading. There can be no assurance or guarantee of future performance for any period of time. Numerous factors, such as household water usage, leaking toilets, soil characteristics and seasonal ground water table fluctuation, as well as owner failure to manage and maintain the system, will affect its performance. This approval is valid for 3 years from5 July 2023, the date of the inspection. Sincerely, A John O'Brien, Director Budding & Codes Enforcement Town of Queensbury /kd Revised March 2022