97-708 CERTIFICATE_ OF COMPLIANCE
TOWN Or QUEENSBURY
• WARREN COUNTY, NEW PORK
Date. m s. ,= - 19 £,-�
XII. I 3
This is to certify that work requested to be done as shown by: Permit No. 977 8
has been completed.
SEPTIC ALTEi�RATION
This structure may be used as a S'
Location FIE;LD'VTE W I D
Owner i)PLRKKZ E;RY & MA.Rg
'By Order of Town. Board
A ra-..t'. .NO . 4 . --4 -20 TOWN. OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 0 No. 97708
TAX MAP NO. 48. -4-20 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to DARK„ J-EFFERY & MARY
OWNER of property located at 25 FIELDVIEW RB. 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 Oueensbury Building and Zoning Ordinance.
1. OWNER'S Address is
25 FIELD VIEW RD.
QUEENSBURY. NY 12804
2. CONTRACTOR or BUILDER'S Name
QUEENSBURY SEWER
3. CONTRACTOR or BUILDER'S Address
JAY SWEET
0
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
SEPTIC
( )Wood Frame I I Masonry ( I Steel ( I
7. PLANS and Specifications
SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SEPTIC ALTERATION
December 1, :Y- ,.. 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.) -
:..•..,.,1....... _ December ... 97 .<<:
Dated at the Town of Queensbury• is Da of 19
SIGNED BY / ' for the Town of Queensbury
Building s Zoning Inspector,
Application for SEPTIC DISPOSAL PERMIT
i.,
Town of Queensbury
q 7 -,
-70
Dept. of Community Development Permit No.
Building &Codes Office
6C)
742 Bay Road Fee Paid a.>1.--
Queensbury, NY 12804
.J
... __
Location of property for installation: ,,,, ,---C 4fe_ (.:( U
Property Owner's Name: .--S- -----c-f .---- 4_ 11,-,
Property Owner's Mailing Address: As- 9,, (d, u); t p i), nt,e Q_L.'S BLI_V LA
Installer's Name:n...,, (d,e,_.iic v(_.1 c.J.—v-
/ Phone # 7 17.--,72 2 6 5 1 l
Number of bedrooms (if residential): •- Total daily flow:
(residential - compute @ 150 gal./bdrm.)
Topography: flat, '7\rolling, _ steep slope _ __ % of1190„.-----=7:7-
p E C`r-:-,„1 Vii----, •
Soil Nature: ">(., sand, loam, clay, other /delch:
%QV 2.6 1997
• Ground water: at what depth? feet / Bedrock or Impervious Material: -at what depth? , pet
Percolation test: not required, required [rate S min.\per ruich_q
Domestic water supply: municipal, k well, other
If domestic water supply is a WELL, water supply from any septic absorption is /30 feet. .
PROPOSED SYSTEM .
- -C1-,
Septic =Ivo-, a gallon (minimum,size: 1,000 gal.)
Tile field: each trench feet / Total system length: feet
Seepage pit(s): number of / size each: ft. by ft. •
Size of stone to be used: # / depth or thickness feet
--g,r Sec..oc__v- S—LA,s-A- -c-ti 0--vv -1 4-)C: q 7---.
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
(Alarm system tmd 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 in reliance upon any material misrepresentation or failure to make a
material fact or circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of
Queensbury Snivitnry Sewage Dispos li ... ,.
Date: /k r — 7
Signature of responsible person: - Vir" c •
•
. . .
TOWN OF QUEENSBURY ?///))
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name e
Location _ •`(_0\1 \
Date)9 r)^(17 Permit 7 2 O
SOIL TYP -Clay-
Results of Percolation Test-
(if applicable) Ra -Minute/Inch
TYPE OF SYSTEM.
ABSORPTION •:Total Length I
Length of each trench (-71,
Depth of trenches
Size of stone \
SEEPAGE PITS: Numb r- \
Size - f ft.
Stone size
PIPING: S'•ze Type
Bldg. to Tank 1 1
Tank to Dist. B x 11"
Dist. Box to Feld/Pit '►
Openings Seal d? _ es No Partial
LOCATION/SE ARATIONS:
Foundation/to Tank u,'J,r feet
Foundation to Absorption Z D feet
Separation of Pits feet
Conforms as per Plot Plan — _,J1Ja_
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
• , e Front - Middle Rear
(. MM
•
SYSTEM USE APPROVED: ESI NO
Arrived: C I
Depar c
" Buil ing ns ector
T> (2 v b Y s`t t s' A`Inte Y t► c ondoc to i ar 1'
1947 441tM •the fol lewirag cclil~tss
ies; 1 i s le 4ptp - 243 niilif/In h
Tsl*t *2 Note dav�th `24'11 PeFrit rart , W- 4, e'4 a7 ttr�Cl^t
!�Oi 1 l ight . a nAty , tzoa,ft wi til nee c lay or sags
SistiAg >are l.str for this residence and al'1 adfoini.nca and
acr04,4-ro erei:,Jw1bors are, • @vet' 1-00ft. f rtvw this ptic
dis.persal f".i`eld. No n0i4;hbori.ng septic s"te'ms -,*re,within
I00itt. of "..the we l for this residence.
.
This residence., has a pro -existing and separate disposal.
2..
system for its washing o0achine---washing mac hint-, discharge
will ft t +en.te r t-his new abbacarption System' piping.
13'."
Max1mum,41-e4 available fdr441(his new *4 bed ;5ystw^ is 15ft. x
25f.t... The area - isl evee I , with no silty loom, clay l o3am ' or-
claky',. and will meet all verti-cal and horizontal se ration.
distance requirements,, It will provide an adequate
able ept-ion aroa for this re-sidence which will be much
larger than the existing single drywell, it replaces.
Underground power iin"-, existina % ptic tank., existing
gr-aywateir drywell: and large trees preclude its suitable
placegmept el,sewhe3re on the property.
4.
Sed des:icrn
r-
a. 3-bedroom, 4�50 GPD
b.- Pert rate = 4 min/inch
Co Required bottom area - 450 GPD/.95 GPD per sq.ft.
application rates = 474 sq.ft.
d. Available area = 15ft. x 25ft. 375sq.ft. (this is
sufficient for 1.6 'gal. flush toilets —not sage of
flush rate for the existing toilets in thjs residence.
e. Required bottom area less'.70% for separate graywater
disposal system = 474 x .® = 379sq.ft. (OK)
f. . Use bed 15ft. x 25f-t. with three (3) 20f"t. 4" dia.
per-foratead llfles, tft. on center, with ends jQiuied
together, fed by standard "D" box.
E,<istnq septic tank to he w_tmoed out -at req.ilar intervals
5.
to prevent carry-over of solids into new "beef" area.
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