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1987-559 BUILDING PERMIT TOWN OF QUEENSBURY No 87-559 � WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Louise & Agustus McKasty ,J w �J Reardon Rd , r!, OWNER of property located at [3 Street, Road or Ave. N in the Town of Queensbury, To Construct or place a Sewage Al terat ion 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_ i. OWNER'S Address is Reardon Road Queensbury , N . Y . 12801 r 0 r. N» v} 2. CONTRACTOR or BUI LDER'S Name ri a. Frank Shaw as c m 3. CONTRACTOR or BUILDER 'S Address r* C m n 4. ARCHITECT'S Name rr `C 5. ARCHITECTS Address r� rn 6. TYPE of Construction — (Please indicate by X) Iv 0 11 Wood Frame 1 ) masonry ( 1 steel 1 1 0 Pd 7. PLANS and Specifications No Existing septic tank - 1 seepage pit $ r x 81 8. Proposed Use cn ro Sewage alteration to camp � 00 m 9 1� n 10000 August 24 89 ro g t9 fIf 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 , y2,4tth,, Day of August .Ig 87 SIGNED BY / _ze 4.0::�e2 X far the Town of Queensbury Building and Zoning Inspector �,,! %AYOUFM J(QeZW&t0P APPLICATION FOR SEPTIC DISPOSAL FERMI y8UIL DING & coo DE PT �C%', LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: ass �C.Ve o + 5 �S l�Yy1,� 1�F1ST '�/� Telephone: Address: � .qrL D D +� t� +"�+�1 i1 - a�+u grm f-,05 M61..U� Tele hone: Installers Name. 2q t�3 1L Cs e-'y .q #.i -1 P Number of bedrooms (residential only) _ 7L Total daily flow (compute @ 150 gal per bedroom) "3Qe Topography: circle one: Flat as Steep Slope % of slope Soil Nature: circle onee. an Loam Clay Other / 'Depth: feet Ground Water: At what depth? `gym feet Bedrsock or Impervious Material: At what depth? _ 4 feet Percolation test: circle one not require required / rate min. {inch. Domestic Water supply: circle one: unicipal ei Other Fzp t - jns V%A o t-) �*-y IF domestic water supply is a Well: '1 Separation: Watersupply from Septic absorption _ ( p 4c� feet PROPOSED SYSTEM: Septic Tank E*1 Sc gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length feet f SEEPAGE PIT(S) : Number of _ _ / Size each � feet by jf2 feet Size of stone to be used #� / Depth or Thickness _ � feet I M P O R T A N T ...Please...LIST NEW EQUIPMENT TO BE INSTAL11 (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 Chrd rta ce. Signature of responsible perso Dater 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 E own 01 Queer i "rsy BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R .D. I Box 98 Queensbury, New York 12801 SEPTI C D I SP SAL SYSTEM INSPECTION NW�M1E � l DA'3C_ J�7 +�_� PERMJT NO ., I SCILT�' _ TY PE 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 - Size of gravel SEEPAGES4Numlkf of) Size- L. ft. x ��� ftl- Gravel size _ IPIja�r t PIPING : Size TYIHe Bldg . to tank Tank to disc , box Dist. box to field/ L Openings sealed? YES NO Partial LOCATION/SEP�AFATI -S I Vto Foundation to tank t- Foundation to absorption Absorption to lot line : ft , Separation of pits ft. LOCATI(7i3 ySTEM ON PROPERTY (circle one) Front - Rear - Left side - Right side - CCHMENT Pp I SYSTEM USE AI'PR()VED EIS NO Ins pecBui i g tor 01/86 and v1 e. 1 A Bi c. E N co Go 14 A 0 Z z m i ri 6C.0 c c s rCI OL �A 11 Z 9x 0„ Ca 1 i 61 Ai2�cING ,` IvMANi-1CLE MARKTrR 4,— Mr.-C.MlLC*IW 1 YA - �•' �p&n11 N�5 NFw1 ►occ GAL z z G 'A,, y 0 tot- lb NX EX►S-�. S�� ►c. TANK .b 41 C E% 15� W C-1.1. -- d .r 2 — --- a CmL�A) rLOI SCAIr- I - Zo -c� Ncs: �. cok)ioURS Ar.*�- SNww hrrRt�x�nn��� sLc)rt- Or- rax1441. 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