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1987-207 BUILDING PERMIT TOWN OF QUEENSBURY No. _ 87-207 RQ5 JL ' WARREN COUNTY, NEW YORK PERMISSION is hereby granted to fTilliam Howard N i-� 14 Bonner Drive Street. Road or Ave. OWNER of property located at g SewageAlteation in the Town of Queensbury, o To Construct or place a 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. c 1 . OWNER'S Address is 14 Bonner Drive Queensbury , New York 2. CONTRACTOR or BUI LOER'S Name Howard Excavating Gd c ro 3. CONTRACTOR or BUILDER'S Address ri r• C ro 4. ARCHITECT'S Name 5. ARCHITECT'S Address ro w 6. TYPE of Construction — (please indicate by X) ro I ) Wood Frame I ) Masonry i i Steel I I rt r-t m H 7. PLANS and Specifications rr using existing tank - replacing drywells ( 2) 6 ' xB ' per plot o No. and application S. Proposed Use Sewage system for dwelling $ 10400 PERMIT FEE PAID — THIS PERMIT EXPIRES May b 19 89 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of C]ueensbury before the expiration dare.? Dated at the Town of Queensbury this '5t]h ) ,r Day of May 19 87 SIGNED BY ! f " " ` '696�for the Town of Queensbury Building and Zoning Inspector fOWN OF APPLICATION FOR SEPTIC DISPOSAL PERMIt u!J ILJnL'11 �..k. MAY Z 1987 DATE / BIJILDI �CC�a7L7E gEf'T. LOCATION OF PROPERTY FOR INSTALLA ON Owner's Name: +. Telephone: Z Address:Installer's Name:— Telephone: yam/ I ,r7 L}� v`^ _ Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) ( ' ToOpagraphyr circle one: o1+, Iat 'Rolling Steep Slope i'o of slope Snit Natuvex circle one: sand Loam Clay Other / Depth: feet Ground Water: At what depth? �` { feet Bedrock or Impervious Material: At what depth? T feet Per*colatian test. circle one: not required - required / rate � Lmyin. inch. Domestic water supply: circle one: Munici Well Other IF domestic water supply is a Well: Separation. Wa#ersupply from Septic absorption f C20 feet PROPOSED SYSTEM: Septic Tank (r,> C)0 gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness ell feet IMPORTANT' ...Please...LIST NEW EQUIPMENT TO BE INSTALLED '67 (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. Co 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 Dpoo 1 Ordinance, Signature of responsible person: ✓^1 ' Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-583 2 SETTLED 1763 . HOME OF NATURAL BEAUTY . . A GOOD. PLACE TO LIVE Dawn NG DEPARTMENT BUILDING and ZONIoad BoX 98 Bay and Flavlland New YOrk 128U1 p, ,ensbury. 'SEPTIC i)I5p0SAL SYST�I If15PECTION i � 07 LOCAT ION PERMIT 140 . L1 _ Clay SOIL °t IpE _ Test Required? YES percolation rate - Min/Inch - P er colat i.on TYPE of SYST'E14= total length Absorpti-on fineld . Length pfZ each trench pep,,,, O trenches Size of gravel_. er off) SEEPAGE PITS��c 0 Size- ee TypeGrave]. s3 ze size pIpING isldg . to tank _ -- k to dist. box �---- Tan k�x to fleldl it NO partial Dist. sealed? Y S openings LOCATIOz3 /SEF ARA' It]T3 t. r Foundation to tan _ft .� Foundation to ab~3o'�'t ©n -MI 4L Absorption to lot line Iftc . of pits ER Yy (circle one) separation I 00 PROP side ALt -ear I e t side _ Right Front .�,�. CC7t�M'�TC.+ � YS M4 rjsE AYppmED P NO gull ding Inspector ryi f86 and vl i a , , ?eel -75 1 I i I ely" aw I Oro V 1 � r ice,,,, ID I I I