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1985-291 BUILDING PERMIT TOWN OF QUEENSBURY No. 8 5- 291 WARREN COUNTY, NEW YORK r PERMISSION is hereby granted to Fred AleXy mm �TJ ��''''��ii rl OWNER of property located at�"'F( Cleverda le - north end Street, Road or Ave. in the Town of Queensbury, To Construct or place a Sewage 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 . OWNEWS Address is Cloverdale , New York 12820 2. CONTRACTOR or BUILDER'S Name 1� John P . Matthews v RD # 1 its Lake George , New 'York p, 3. CONTRACTOR or BUILDER'S Address �y F- (D I 4. ARCHITECT'S Name 0 1'S rt• N 5_ ARCHITECT'S Address O+ 6. TYPE of Construction - (Please indicate by X) I ) Wood Frame f 1 Masonry ( 1 Steel 11 3_ PLANS and Specifications sewage alteration per plan submitted and N No. resolution from Queensbury Board of HealthPi and Adirondack Park Agency letter dated 6- 19 - 65 . `n (D B. Proposed Use > F� Sewage system for dwelling n Iv ra $ 106 00 PERMIT FEE PAIL] - THIS PERMIT EXPIRES June 21 1987 IIf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 21 s t Day of June 1985 SIGNED BY -),ha for the Town of Queensbury Building and Zoning Inspector ., c ' TOWN OF OUEEN9BURY TOWr4 OF QLM*WNSSURY BUILDING & ZONING DEPARTMENT { SEWAGE DISPOSAL PERMIT APPLICATION MAY 2' 3 1905 t 1 _ Owner ' s Name iskF%� ALsixt M A � A�� � � �; Address ,.EuYgezPy.0 Aet ,, Telephone No . 2 . Property location �'� t - 977-f 3 . Name of person or firm responsible for installing system _.Joe-aw r - Telephone No . Address ' psi L - 1 4: C;6rzkloe 4 . Number of bedrooms ( residential buildings only) 3 5 . Daily flow_ � ^ yf= gallons/day 60 Septic tank capacity Ak b', -5Yiwe4 -r�k gallons 7 . Topography : flat , rolling , steep % of slope ` :SLAeF 8 . Nature of soil and depth d ~ if .CD�fiwrY '.A� � V , Jet 9 . If ground water , bedrock or impervious material is apparent at what e depth does it begin?_ q *i/2T> 4/ f jNC 10 . Percolation test : A is required B is not required C If required what is the rate minutes/inch 11 . Water supply : municipal , well , other , 12 . 'Type of system proposed : drywell , tile field , other Any contractor ,. corporation , individual , etc . engaged in the construction of a sanitary sewage disposal system who covers the same before inspection , does not have an approved permit , or varies from the approved application will be subject to a penalty of $ 250 as provided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance . Date 0 r slgnatufre ot applicant On separate sheet of paper submit a d agram of the proposed septic system with all dimensions , including distaxce from any structure , distance from property line and domestic water supply , etc . include all dimensions of the system itself . f vas Form 3 -82 M AaxV s/.$ s' r `� t + •• - r 1F r L:--'_F "P�r W '7SG JkU�kTlo1 k.N1 hM 3] LY kl LYS usfr. S. r , ., SF t — a���t ArtEA STa rrurvE aay w Ls R^,d ftgrsmE F� � EXC AU fIMJ � .3 � r�11�^j A � A bbs*j%p"n aw AtA e B � SOPAitoombei C '�• 'Sf � 14bo��. +Nry+� C,;rtq.,.u�E WATER. ��lr Mq�TS Soli C VIr +�'►++ $/rytV1 � �wdis, y J'N1. A•P ' fAp *WOO1Td 1 .� wradr#*)TJorVS 69 oak; ut id I � � a 0 MV '}�y IA r: iM1 Py wl ad J ad N it Ll W k Y -^� OWN OF ©uwENssURY State of York ExecutiveI)ep3rrmer7r � Adirondack Park .Agency �. . 71819 r , 112131415ls Her=ziari F. Cole. Jr. Chairrnari Thorriaas A. Ulasewicz Executive Director June 19 , 1985 Mr . Mack A . Dean Building and Zoning Administrator Queensbury Town Office Building Queensbury , NY 12801 Re : Fred Alexy Sewage System Dear Mack : Thanks for the material you sent June 4 on the Alexy system reno- vations . Based on site conditions and considering the alternatives , we concur with the current design with one recommended modification . It appears that a header pipe is proposed to distribute the septic tank effluent from the pump chamber to the shallow seepage pits . it is our opinion that a distribution box is a better way to evenly distribute the pumped septic tank effluent . Please let us know if there are any subsequent. changes . Sincerely , David Fleury Soil & Water Engineering Specialist. DF : dag P.U. Box 99 Ray Brook, New York 12977 Telephone (518 ) 891 - 4050