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1986-848 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-848 WARREN COUNTY, NEW YORK (" </b 2)PERMISSION is hereby granted to Paul Hunsberger 'd OWNER of property located at \ Stevenson Lane — Upper Ridge Road Street, Road or Ave. �' G in the Town of Queensbury,To Construct or place a Sewage Alteration G at the above location in accordance to application together with plot plans and other information hereto filed and 0 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. m n 00 1. OWNER'S Address is CD • Star Route n Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Adirondack Paving and Septic m rt CD C 3. CONTRACTOR or BUILDER'S Address ro 0 u) 0 0 r w 4. ARCHITECT'S Name 0 m I 5. ARCHITECT'S Address • 0 ri H- a, aQ CD 6. TYPE of Construction—(Please indicate by X) :c1 0 W ( )Wood Frame ( ) Masonry ( )Steel ( ) a. 7. PLANS and Specifications No. 200 ft. leach field per plot and application submitted. m m 8. Proposed Use W W fD Sewage system for dwelling y I—. rt CD n w $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 11 19 88 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 town of Queensbury before the expiration date.) Dated at the Town of Queensbury this llth Day of December 19 86 /? SIGNED BY 1) u- /`-'- for the Town of Queensbury Building and Zoning Inspector ,0 c,___ _________ �JI�tr1l of Quettaftevy1 TOWN OF 1.4seupy k ir ' ram - � . APPLICATION FOR SEPTIC DISPOSAL 117•J T+;;`r ` ti-'' `I 'i L. �l DEC q ,; ,�, •�4 DATE Z / �� ° I/ fa 0 ,.1. , „ I i LOCATION OF PROPERTY FOR INSTALLATION ",e,t.e_-w-- ;-� --put,_ , Owner's Name: ilu Yt S 10.4> ,c'eif ,\ Telephone: Address: c-C6�r U�-er1.cte_ , / , U2d . 6n5 Installer's Name: re /L y yk, Telephone: 7 2-66 5 '7 . (- Number of bedrooms (residential only) 3 Total daily flow (compute @ 150 gal per bedroom) ` -,c6 Topography: circle one: .Va\t�' Rolling Steep Slope % of slope Soil Nature: circle one: Sand oam Clay Other / Depth: feet / Ground Water: At what depth? 4 feet Bedrock or Impervious Material: At what depth? _ 'I'i feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: MunicipalaliP Other IF domestic water supply is a Well: 7 Separation: Watersupply from Septic absorption _ /©„ -t- -feet /666 PROPOSED SYSTEM: Septic Tank E2((5�, gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench feet Total system length / �t`?•-JO / y g ��� feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # Z— / Depth or Thickness / feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * (over) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1.) the proposed location of the system 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. . I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. r Signature of responsible person: Date: _ / Z /,1? ,g 6, Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD,PLACE TO LIVE /- Jown o f Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC� DISPOSALO SYSTEM INSPECTION NAME ' I} aw( 4u,ii S b LOCrAT I ON Y of I/p p - fire() 'Z P DATE �1 l/ UI�/ F� PERMIT NO. O 1, - SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch � ' TYPE of SYSTEM: ,Absorption field, total length Length of each trench Depth of trenches /'A Size of gravel 2._ SEEPAGE PITS{Number of) _ Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank /4'//1 Tank to dist. box 4/"/ Dist. box to field/pit �' dap - gm Openings sealed? dap NO Partial LOCATION/SEPARATIONS: a Foundation to tank /v ft.4 PP 2 'fT Foundation to absorption ft. P( 36 r=r Absorption to lot line �ft.t Separation of pits A, /� ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Left side - Right side - COMMENTS: SYSTEM USE APPROVED NO „V Building Inspector 01/86 and vl L.,,,i/e_.---,-•''''''A.--,<.'-'1.---''11 Lk.)6-keAl • O'ot' -. '7, ,5. - /f . e‹isi e v\Ct .N 1 , Si—e?"0"1brtf— s.8 • t D®®cic nevi tot34- 0 /b 4-€v \e 1,u L,.(4