SEP-0482-2022 SEPTIC DISPOSAL PERMIT Office Use Only
APPLICATION Permit#: sr_(3-WX - ' Ce7JZ
Toman ofQuccnsbury 772�. Permit Fee:$ g • U()
Th E C I , U ��`' ( z
Invoice#:
742 Bay Road,Queensbury,NY 12804 rAUG
0 , � � - p Se tic Variance? Y P:518-761-8256 www.queensburv.net
TOWN OF QIUEEN BURY Flood Zone? Y V
BUILDING e' C`_DF.ems Wetlands? Y 101 Reviewed By: C--.1/".1q
Project Location: 84 c9,enok,ry f1f k,.e
Tax Map #: 305, /6 ! 7
RESIDENCE INFORMATION:
Year Built Gallons -#of bedrooms: X gallons per =total daily flow
per day bedroom Garbage Grinder Yes No
1980 or older 150 3 l, 2 5? a Installed? (choose one) ❑ IV(
1981-1991 130 Spa or Hot Tub Yes No
1992-Present 110 Installed? (choose one) ❑
PARCEL INFORMATION:
Topography ['lat Rolling ❑ Steep Slope % Slope
Soil Nature P'Sand ❑ Loam ❑ Clay ❑ Other, explain:
Groundwater At what depth? e
Bedrock/Impervious material At what depth? &'
Domestic Water Supply v'Municipal ❑Well ❑Lake
(if well or lake, water supply from any septic system absorption is
ft.)
Percolation Test Rate:jiir,i3c per minute per inch (test to be completed by a
licensed engineer/architect)
PROPOSED SYSTEM INFQRMATION:
Tank size jeeO gallons (min. size 1,000 gallons, add 250 gallons for each garbage cylinder or
spa/hot tub
System Absorption field w/#2 stone Total length j 4 o ft.; Each Trench 3 5' ft.
Seepage Pit w/#3 stone How many: ; Size:
Alternative System Bed or other type:
Holding Tank System Total required capacity? ; tank size
# of tanks
Septic Application Revised April 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): }- IS S CPI f/ipc;
Mailing Address, C/S/Z:�Z louver clArroi 1.1"
Cell Phone: 1i - 7 V6 D 6 Land Line: ci -7917.1/9
Email: PSlriley9/./ssr/te, (ok..
• Primary Owner(s):
Name(s): )i90
Mailing Address, C/S/Z: Se? Qt'een 5 hv.y ift€
Cell Phone: 8-7fg -3/6 c/ Land Line:
Email:
❑ Check if all work will be performed by property owner only
• Contractor:
Contact Name(s): e,0/t f0rq•v+
Contractor Trade: Pic- -I Co/t
Mailing Address, C/S/Z: Gv wer ct' r p, 4 t 3 k
Cell Phone: Land Line: f((-79 9 /9 St
Email:
**Workers' Comp documentation must be submitted with this application**
• Engineer(s):
Name(s): ttMi.pS Fop'opt0r) 5
Mailing Address, C/S/Z:
Cell Phone: Land Line: j'tQ P '/- 64Z$
Email:
Contact Person for Compliance in regards to this project: rate- SIC��eY
Cell Phone: 975— 1 V6-40VC Land Line:
Email: .611.l re 115-Cer .CoJ"s
NOTES: 1. Alarm system and associated electrical work must be inspected by a Town approved electrical
inspection agency; 2. We will no longer allow systems to be covered until such time as an as-built plan is
received and approved.The installed system must match the septic layout on file—no exceptions. 3. As-
built drawings must be submitted prior to the inspection, if there has been a change to the submitted
plans. 4. If, for any reason, the building permit application is withdrawn, 30% of the fee is retained by the
Town of Queensbury. After 1 year from the initial application date, 100% of the fee is retained.
Declaration: Any permit or approval granted which is based upon or is granted in reliance upon any material
representation 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 and agree to abide by these and all requirements of the Town of Queensbury
Sanitary Sewage Disposal Ordinance.d
PRINT NAME: tV `J 11,91eY
SIGNATURE: V/4/4 DATE: Zg ZOZ 2.
Septic Application - Revised April 2021
illiftl — TOWN OF QUEENSBURY
I �
742 Bay Road, Queensbuiy, NY. 12804-5902
Septic System Checklist
1 Plan to scale
Received Deep hole erc test re s from engineer/Architect if applicable(Town Approved Engineers and
A chitects;June 30 to April 15 Town Engineer for unapproved Engineers and Architects)
All wells on property and adjacent properties shown c—L. 1F7—'I
_Water line shown Municipal or well 10'separation to any part of system
Setback to property lines show 10'or more for any part of system
Septic tank and pump stations 10'from foundation 50'from any well/lake/wetland 10' from any waterline
4Septic tank to foundation crawl space/slab on grade,grade in crawl space must be above top of septic tank
for 0',Separation required (field verification required)
Septic tank sized for number of bedrooms and add 250 gals for Jacuzzi tubs/garbage grinder each
Leech Field 20'from foundation 100'from any well 10'from water line
\(
Mk Seepage pit 150'from well 50'from septic tank
' p`f Seepage Pits 3-times diameter apart
Septic tank and pump stations over 30 gallons 50'from watercourse or wetland
1
1 distance from bottom of trench or system 24"to bedrock or mottling 36"within 1000' of Lake George
I Leech field 100'from watercourse or wetland
MToe of mound or bottom of retaining wall 10'from property line 100'from well 20'from
Foundation
Provide Engineer/Architect stamp for bed or design systems
NI4c Department of Health Approval for all mobile home park new systems Flood Plain requirements
Kn 2'above established flood elevation to bottom of system
)All tanks anchored or 2' above flood elevation
D war;earl A/1 S/111')1
rr
SEPTIC SYSTEM LIMITATIONS
DO
ED
1. The best designed and installed septic disposal system Will eventually fall t0 function properly without 100'MINIMUM (200'MINIMUM r0 ANY UPSLOPE DISPOSAL SYSTEM) _ TRENCH LENGTH-SEE BASIS OF DESIGN&LAYOUT DETAIL
adequate maintenance. Inadequate septic tank maintenance can result in clogging of the tank and
sewage back-up into the home and/or sewage overflow onto the ground surface. The failure to
50'MINIMUM
periodically clean a septic tank commonly results in clogging of the soil that surrounds the absorption NOTE: THIS DETAIL ILLUSTRATESSAN THE MINIMUM REQUIREDFt
N trench by overflowing solids not removed by the septic tank. __ zo'MlwmuM - _
SEPARATION DISTANCES FOR SANITARY FACILITIES ON A
0 2. This set of design plans and details is intended to provide subsurface sewage disposal fora typical BUILDING LOT. SEE SITE PLAN FOR LAYOUT S DETAIL
ONI
WHICH MAY BE GREATER THAN SHOWN IN THIS DETAIL
Single family dwelling. No additions Involving living Or Sleeping areas may be added to the dwellings 10'MINIMUM 10'MINIMUM IS w Y
Y
0 without the approval of the Code Enforcement Officer and the system redesign by a licensed Professional _II 11 DOPE .-UPSLOPE RUNOFF DIVERSION SWALE a I U
o Engineer. The seal and signature on any drawing specifically excludes certification for future expansion or r
° field replacement. _ 351f-4 P F.PVC
w 3. No garbage grinders allowed unless installed as initial construction of the house, and the septic tank 1%---7--fF' wit �. ; SB-35116" F e
ER
size increased by 250 gallons. II '� �tTt� ��1 1't`� 11 )( (�� MAS SLOPE / �.
m
4. No sump pump, water softener backwash, spas, hot tubs, whirlpools, or condensate waste shall be - \
u' drained into the system. '-J`I I l FrwsHeO ceoul90 12 MIN. C
5. The dwelling shall have water savng fixtur Including but not limited to. 2 gpm shower heads, tz"MAX
> low water use toilets. � -�'
e Existing septic tank to be pumped dean
6. Observe water conservation practices.
4"GOLD PVC GCH-40- - -,..:I \
z 7. Septic tanks shall be inspected onnuolly to determine the scum and sludge accumulation by the -' and inspected for structural integrity, 1/4"/FT MIN.SLOPE - -END CAP
° homeowner or a qualified septage hauler. The amount of build-up noted at each Inspection shall be • • - ..._SOLID PVC SOR-35 SEPARATION:
recorded and maintained in a record book. The septic tank shall be pumped whenever the bottom of watertightness and size. If Inadequate, 1/8"/FT.MIN,SLOPE 24 MINIMUM DEPTH TO BOUNDARY CONDITION
`o inches of the bottom of the outlet baffle or tee, or the to of the sludge 4" tis-^ `-`--•--•-••••-•--•---------•+-+;;1•,1,;,<„-,-.,'.............................._........... ...
the scum layer Is within three c P 9 re lace With a new 1000 gallon tank and soup Pvc sSL ao .---..-_.......................
is within ten inches of the bottom of the outlet baffle or tee. The pump-out clearances also apply to ' 1/a"/Fr MIN.SLOPE " / """"""""""""" ------"'•"'""""'--'--"'"""'
>.03�- Acres effluent filter.
.. any chamber in multi-compartment tanks and to any tanks in series (i.e. pump out all tanks/chambers -efflUerrt Inter. P �
as soon as any tank or chamber fails the minimum clearance). Most tanks should be pumped out every ' �iCl.-'-('`'->-'% SEPTIC DISTRIBUTION ABSORPTION FIELD
two to five years. SUPPLY TANK BOX
FS. When septic tank is pumped, the septic tank inlet connection, baffles/tees, house sewer connection, ----- BED / TRENCH SYSTEM
WELL DWELLING
f __
° tank outlet connection, and pump pit (if present) Shall be inspected. Any baffle or tee that have 'I deteriorated and no longer perform as designed must be replaced. Cracked or broken lines must be �I(7/,E: SANITARY FACILITIES - ` CHEMA II(, LDLE-FAiL
rt repaired or replaced. yf/TY / __ I �.30 ,76'-7-�7 e
r
"3 N.rs.
9. Any company employed to clean and service the septic tank and system, must. be a permitted G
_T septage hauler, with valid standing with the New York State Department of Environmental Conservation pumped out i b after
d t f i di d h ---
°- office. Septic tanks Should not be washed or disinfected aer being pump .
E r
° 10. Septic tank additives shall not be used in the septic system. Additives are unnecessary for the y \ 0
° - Y LIYCI C1G >
proper operation of household systems and may cause the sludge and scum in the septic tank to be '7 --� -- S LarloscnPwc s"MNIMUM
v
�P I TOPSOIL w SEED&MULCH
° discharged into the absorption field, resulting in premature failure. /, ✓ / e __ __ __ .... / C
11. Do not dispose of excess household grease and fat in the septic system. IL.,`` _ I 1�' /._ _,,.__-- Existing disposal area to (SEE BASIsonF ,sr;
12. Whenever septic tanks are to be abandoned (i.e. when public sewers are installed to handle .__-' rlr EWOy ---)_.�' '-1- I %-I be abandoned in place. If existing M u ResERveO a
household wastes), the tanks shall be pumped out and refilled with soil to prevent future collapse. N tl ,p h FlI 1- ��-�'�_ I ORIGIN ,T x
_m 13. Do not pour or dump chemical cleaners (i.e. ammonia) in the sinks or toilets. y 1`l' 'v laterals are encountered remove " MrN1 '
w ' D%
° 14. Do not discha, e roof drains, or allow stormwater runoff to collect on the absorption field area. j lReplace
1l fiT�
g p � - �- ��� I V` ��'�� effluent material and piping. Replace �
AL GRADE EXPANSION
15, No vehicle parking or traffic shall be allowed on any portion of the sewage disposal system.
r u
a 7
16. The sewage disposal system is designed for domestic wastewater only, with the design of the "';, /E,`- - - ' with suitable material 1-5 min O * USABLE SO 48"MIN.DEPTH
n./{ L
� absorption field on the projected flows. Any use of the dwellings that has a greater discharge of � �4 c �f i' ' percolaltion rate. i 1 ro so MIN/INCH PERCOLATION RATE
o wastewater flow than designed will require a redesign of the disposal system by a licensed Professional Iv (SEE TYPICAL
TRENCH-----
r (SEE TYPICAL DETNL) 4'-D" `2'-0"
O 17. The T�� 1.I N'lj MIN. MAk.
SEPARATION
t 17. The stamp seal and signature of the design engineer is for the intended use only, and any change R, MINIMUM DEPNDITFI T
w _ -- BOUNDARY CONDITION GROUNDWATER BEDROCK,OR IMPERMEABLE kA f BOU hJD ARY CONDITION
d of use invalidates the seal. CD
C y
18. The effluent filter shall be checked and cleaned if necessary during each Inspection of the septic tank. ' L.,, •�"`-°`
o A record of filter cleaning is recommended so to better monitor the amount of solids trapped in the � T ::di:�y .\''.r� C"iny ,;llr,� j `vjjrrYf ''"t'FTr � j'm'-m'�`" ,n,
"- filter cartridge_ , !!! 6,,,G;../ !_..v. // C- f✓F.a.,.-�„s.�..vi �alr
SEPTIC SYSTEM CONSTRUCTION NOTES "^ Z
Proposed / �d
° 1. The installation contractor shall notify the Code Enforcement Officer and/or the design engineer / �'�-"�� ABSORP LION 1RLNC1-�1 SYSTEM
3 5
prior Distribution Box Designed By 7w
2. There shall be no construction of sanitary facilities (septic systems) within 100 feet of a classified r N.Ts.
to work, to review the installation details and inspection procedures. Dist Drawn By MCI
wetland or water body.
D __
- 3. No roof, footing, floor, condensate, cooling water, softener backwash or any other drains shall be Checked By Tw
m Connected to the septic system. Proposed '' ,.� C ked
E 4. Fill material to be clean, loamy sand, with a stabilized in-place percolation rate to be no less than Sewage Disposal Field -ORIGINAL GROUND SURFACE
r -.._. Approved
1 inch In 5 minute, nor greater than 1 inch in 10 minutes. All Imported materials to be approved In ✓- '/-- By
writing by a licensed Professional Engineer prior to delivery to the site. - 4 /afer0/S .3$/{ -- -
5. Piping material specifications. - 20'mire l0 hOUSe - fret �) �I�/�:'?���7T �
A. House to septic tank: 4" PVC schedule 40 solid e with watertight joints, minimum sloe of 305 IG-9--7F 'T `1- 1 Filename
PP 9 j P - 10�min to property line 2 Dr ET6wE 'A ro a PERMEA$Le cEOTExnLE EARTH BACKFILL
1/4" per foot; - municipal water source ovEP PIP_ nN \ /
PIPE JOINT
° B. Septic tank to distribution box or effluent pomp pit: 4" PVC schedule 40 solid pipe with 10'Septic$etbadC MAP REFERENCES: 1vrf x1 Y lv^p{�!� Project NO. 22-240
✓' / 1 h, f A�PIPE -j T a- K' -I PERFORATORS(DOWN)
0
watertight joints, minimum slope of 1/8" per foot; -..__.._. 4"PERFORArto i)ru Y
o C. Where installed, effluent pump pit to distribution box: 1 1/2" PVC schedule 80 solid pipe ✓ >? " Wasr1ED cRus FD o _ Project Date 7.1.22
az-MIN. hl f1 if rcNe 3 a I 1 2- / 'rd 1 ° -PIPE SLOPE®I/16"ro
•Mapping(2IC8f1(T'ORI w8fr'8t1�vOVn*'d1s,Tax Maps 8I1(�IIRIIt8f1 6 OF STONE UP Tr0 Si SED GRAVEL MIN., A.( ' a 1 32"PER FOOT
With pressure rated watertight joints, pitched on reverse slope to or
Into pump pit, 50/O Reserve Area PP 9 `l P UNDER PIPE MIN rt 'MAX. 'I�/
D. Distribution box to septic field absorption trench. 4" PVC sdr-35 solid pipe, minimum slope field II1P.aSUFBttIBf1t5. uP To lo"MAX � k(Iir9"iyfd' r;'t
of 1/8" per foot; fu/ / r A r,
)
_ -
E. Septic Feld obsorption trench: 4" PVC scl perforated pipe, maximum elope of 1/16' Per - m ) ) �( I -
o /A tiff Does UED A GROUND LEVEL-TRENCH BOTTOM
' foot, cap all ends.
o- 6. Septic tank specifications.;; SITE PLAN
umolsru seD GROUND
m A. Tank to be Installed level on a 6" minimum layer of compacted gravel or stone; 1••=30• srlwr/LEDGE RacK ""1 £OFNEp`A
1 B. Precast concrete tank, dimensions and features as shown; - � � •4'�'SV''Y Rt
-- - 2.�JGN SrAOLL'NREIJCHESRASRENCHES RSHALIOW AS POALLEL TO OSSRBLE WHICH MEET ABOVE NOTED MINIMUM DEPTHS. !^o C. Inlet baffle or 4" PVC tee to extend 16" minimum below flow line, 6" above flow line; 2- i� z+' i' TRENCH PROFILE,r<„ S NoTEs
ol
D. Outlet baffle or 4" PVC tee to extend 18" minimum below flow line, 6" above flow line; SECTION VIEW +1
E. Free air space above tees to be 3' minimum to top of tank. a.RAKE sloes AND BOTTOM of TRENCH PRIOR To PLACING GRAVEL GR STONE `
F. Where installed, 4" plastic effluent filter cartridge with wooden handle extension to grade. 5.SLOP of ALL UIORl PIPE PIPES M-1 BE CAPPED.
FO.
I� C 6.SLOPE F ALLBU IS RPIPE®1/,e"- T BE PER FOOT. ,� 07726'S S�
G- Grade access covers to be 24" integrated plastic or cast-iron cover, securely attached to tank. ABSORPTION y}.."�ENt,i DE FAIL -- TYPICAL
OF c
- 6 N,S ,
7. Distribution box specifications:
v A. Box to be installed level on a 12" minimum layer of compacted gravel or stone;
0
� B. Precast concrete box, dimensions and features as shown;
C. Outlet speed levelers to be installed in the distribution box and adjusted to equalize the flaw SOIL PROFILE INFORMATION
to each lateral.
° DEEP HOLE TEST PITS AND PERCOLATION IESTS:JUNE 21, 2022
8. A permeable geotextile or non-woven filter fabric to be installed over the absorption trench areas to Z
prevent the infiltration of soil into the aggregate. F
zC)" TOPSOIL
° 28 TAN SAND
SEPTIC SYSTEM GENERAL NOTES
1. There shall be no change on these plans in advance of, or during construction, without prior written >d 7P LROWIV SAND, (MOIST AT 78")
a
a NO w approval of the design engineer. J MOTTLING
r
L 2. The workmanship, construction practice, material standards, and inspection requirements shall comply a AHII -I C WATER,OLATION RATE: 1 min 35 sec 0
�
with the latest edition .RZs) of the following: ORMED BY JEFF MANCINI, CLOUDY 75
ZE 6",D PERCOLATION Wi
A. New York State Department of Health V Q W
1. New York Title 10, Department of Health. Chapter II. Part 75. Standards for Individual Onsite Waste-ter Systems; {n
0 2. Appendix 75-A, Wastewater Treatment Standards-Residential Onsite Systems, March 16, 2016 W
° B. Local town, village, or City sanitation ordinance(s). W N 0
m 3. The following Inspections of the septic system by a licensed Professional Engineer shall include: DUAL COMPARTMENT LE BASIS OF DESIGN �_
- FULL-DEPTH BAFFLE w/PORT(SEE NOTES) ........_..._.-.- L
- - SEPTIC TANK CAPACITY MATERIAL SPECIFICATIONS SCHEDULE �� Q Z
A. Fill material, at borrow pit or source of origin (pert. test may be required);B. Fill material, In-place and finish graded; 4'INLET PIPE 24'INSPECTION 4"OUTLET PIPE NUMBER OF DESIGN MINIMUM TANK CAPACITY&LIQUID SURFACE AREA 2
`o its, well seals, etc.; COVER(TYP) I/a"/Fr.MIN- BEDROOMS FLOW -- ITEM SIZE MATERIAL SLOPE �1 p
G. Prior t0 baCkfll Of piping, tanks, p 1/PE/F-_MIW. SLOPE-� w/o GARBAGE GRINDER W/GARBAGE GRINDER .. _..__ ___.- _ _ 3 BEDROOMS DlA,00Ms
m D. Upon final grading of site. i, �� --- -1
4. Any modifications to the septic system design shall be performed by a licensed Professional Lf.1-�J I1 ' I _ z- zzo cPD tooD zz sF. 1 zso 34 sF SEPTIC TANK SEE DETAIL PRE-CAST CONCRETE
>, ��,qI-,a -BAFFLE(TYP r• ----- ----- ----------- ------ ----- ------ ----- Percolation rate = 1 minute 35 seconds (actual) -
o Engineer, ,I f 3 330 GPD 1,000 27 S.F. 1,250* 34 B.F' _ - for design,
p p A� �A ---- -- DISTRIBII TION.BOX SEE DETAIL_ PRE CAST CONCRETE - i Percolation rate Use 1 5 min si n. '�' a l.l.l 0
5. The installation contractor shall prepare the 'as-built' sketch which has accurate dimensional ;mot--- --H- --' a 4ao GAD 121G 34 sF. 1so0= 4o sF.
° distances to each of the septic system components, as measured from at least two different physical -.�.-•
_ Application Rate 1.2 gal/day/s.f. r
:. 5 55D GPD 1 zso 34 sF lsoo ao sF HOUSE TO SEPTIC TANK 4 SOLID PVC SChI-40 1/4 / hliN. U tL
`N landmarks (i.e. foundation corners, well cap, boundary markers, etc.). This record information shall be - /VY
*INLET&OUTLET 4"Pvc TEE's MAY BE - "'""--- For 3 bedrooms per dwelling �
o furnished to the home owner, Town, or other municipal officer, as required, and prior to occupancy of USED INSTEAD of CONCRETE BAFFLES - --- -- SEPTIC TANK TO D BOX 4" SOLID PVC SCH-40 1/8" / r MIN. ,,
r the dwelling. 'LENGTH' 'DUAL COMPARTMENT TANK BECL
GAS DEFLECTION BAFFLE REQUIRED - ------ --- Use Q = 330 gpd W
° 6. The septic system designs are typical size requirements for the number of bedrooms listed in the 4 SOLID PVC SDR-35 1/8" MIN.------- D--BOX TO LATERALS oo
" / W U PLAN VIEW .-_-- -- 330 gpd
:� design charts, and are based on established design flows and preliminary sail percolation rates LATERALS 4" PERFORATED PVC SDR-35 1/16" / f MAX.
rn determined in the field. The installation contractor shall immediately notify the design engineer of any NOTED - 1.2 gpd/sf
field conditions which deviate from the information as shown on the approved plans. EFFLUENT/GR FILTER
O FINISHED GROUND GRADE ACCESS COVER A GAS DEFLECTION BAFFLE AND A DUAL COMPARTMENT SEPTICHOUSE CONSTRUCTION,
COR iWOCTION, � 0 .,,
C Health standards, and OCo regulatory codes, a5 applicable. rtment of T.TT (SEE NOTES) TANKS IN SERIES,SHALL BE PROVIDED TO MINIMIZE THE SOLIDS CARRYOVER TO THE A = 275 Sf rLW
0 7. The septic system designs shown were sized m accordance with the New York State Depa
`ii ABGORPRON AREA(DISPOSAL FIELD).
° B. The home owner Is referred g to the Health Department publication Note 2, paragraph A.2 listed \"1`\`\-'\` �-\`\t)��\\F A'OUTLET PIPE - -
p p ( 4'INLE P'iPi t2 C XEA MAx, TOP 1/8"/FT.MIN, 2.3"MINIMUM ELEVATION DROP THROUGH STRUCTURE FROM INLET TO OUTLET. L 275 Sf / 2 sf/f{ e A
above) for the recommeded procedures in system operations and maintenance. tp"/.T�ira,Y SLOPE-.- 1•
9. The design engineer shall be relieved Of liability If the home owner fails t0 maintain the septic system >aPE '� �" 3.TANK SIZE REQUIREMENTS FOR MORE THAN six BEDROOMS(EQUIVALENT DAILY p--�- �'- �-'
r7/ �/7 /��/7 /7 77 ;7"/77 50%,RESERVE AREA �� ,gyp O L. 138 If of trench required
g g r• FLOW)SHALL BE CALCULATED BY ADDING 250 GALLONS AND SEVEN SQUARE FEET // /// /// // // /// // �` ('p (� Q Z
W t'MIN. OF SURFACE AREA FOR EACH ADDITIONAL BEDROOM. A GARBAGE GRINDER SHALL (/� / / / // / U/
in accordance with the Health Department guidelines and/or the limitations listed on this plan, causes ? �.�..� _.- _.-�._ V/// /// // / // // / GJ"O
(.�Y CONSIDERED EQUIVALENT To AN ADDITIONAL BEDROOM FOR DETERMINING TANK / / / // // // // '.ram' u ,�. i 4 LATERALS ®35' = 14D LF PROPOSED 1--
BE O
" to exceed the design flows, or modifies the system in any way. II Lt"� i6"MrN. 18`MIN. SIZE. A HOT TUB/SPA SHOULD BE CONSIDERED EQUIVALENT TO AN ADDITIONAL (a
I t BEDROOM FOR DETERMINING TANK SIZE. /' / / / / /
in 10. The home owner shall immediately notify the Health Department If the septic system has failed, Do (a
iL /z1 tqy -s.
6 4.EFFLUENT FILTER,"POLYLOK"BRAND OR SIMILAR PRODUCT TO BE (V5 N (n L
w ADDED TO THE SEPTIC TANK OUTLET. EFFLUENT FILTERS WHEN _ - -4 PERCOLATION TESTS: JUNE 21, 2022
? PROPERLY MAINTAINED CAN EXTEND THE UGEFlII.LIFE OF THE DISPOSAL FIELD. ALL - = _ _-==- a
?" Neva-TRAFFIC RATED TU L' �."�r•.� +n- ... -..,. .i.
Fria sHEU cRouN EACH EFTLET FITTED aiYP.) FLOOR' - SYSTEMS ARE FAILURE.
I TO CLOGGING AD SOLIDS CARRY-OVER,LEADING TO - P r]C O S
O wiiM SPEED LEVELERS STRUCTURE i y PREMATURE OD FAILURE. O INSTALLED,A GRADE ACCESS COVER SHALL BE PROVIDED D-BOX-1 -� �S r \L,l L/LTA T)ON J
1 4 0 ] 7
1 l`\�`�\�� \;�� ) " - '--- �•'- FOR PERIODIC INSPECTION&CLEANING OF THE EFFLUENT FILTER DEVICE,
t2'covER MAX. r 1/2'iHrcu au siUEs -".:: ' "l ,,' 6"MIN CLEAN SAND,PEA �'t` 5-PLASTIC TANKS ARE ACCEPTABLE FOR AREAS THAT ARE NOT EASILY BE ACCESSED AND
n ��w.��..... , , 1 ''±
O - a'OUTLET PPE C„ 'STONE,OR WASHED AGGREG(TE`J tea' SHALL MEET ALL THE MINIMUM SIZE REQUIREMENTS LISTED. -- --------� 4D PERCOLATION HOLE (PT) V V/F�L.I�aL�1
A.NIfT PPc :. /e'/FT.Maw. -. _._...-......_ eM As DEFLECTION BAFFLE U p' REIN
INLET E `. . .. _ PIPE E _
N aP / M aAFTLE -SL� SECTION A (SEE NOTES) _ _ _ -ABSORPTION TRENCH T P OD NUMBE ENGINEERING
o Sao/ F LOPE _ AILABLE AS SINGLE COMPARTMENT TANK R 1 2
B a
•AV - V)
O 2'MN.SUMP S A **AVAILABLE AS DUAL COMPARTMENT TANK "" - `-' rn (24 DEEP) (24 DEEP) 68 Waterde.Dove,S"atoga 5pl`Ingb NY 12866
__ A q- _ C? i.a l8)587-0028 Phpne/Fax.vrMecMr,g4'drlycap rr.corn
�-- """ ..----- - - 1 PRESOAK PRESOAK
.o SEPTIC TANK DIMENSIONS _ _ _ p _
• ..._ • 'MN R"+' LENGTH WIDTH INLET O(JTLET HEIGHT WALL TOP FLOOR To MANUFACTURER INFORMATION f -- A .L
° .c SANQ .. r .-..... -...._ _. ..._ _ �.. �.. y -END CAP(TYP) N _.. __ lmin 07se min 14sec Sheet No.
WA-FIGHT PEA TONE .D t 8'-6 1/2" 5'-0 1/2" 4.9" 4'6- 5'6" 3" 4•• 4•• 48' FORT MILLER CO.,SEAMLESS' 35' ... e 1.
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WARREN COUNTY TAX MAP #303.16-1-17
Timothy W. Wales, P.E.
CONSULTING ENGINEER
68 Waterview Drive
Saratoga Springs,New York 12866
Tel: (518)704-2480
5eP- 8A 2 - Z022
August 30, 2022
Stedman Residence
88 Queensbury Ave v
Queensbury,NY 12804 f�4
�1 FEB 01 2024
Re: Sewage Disposal System-Engineer's Certification __
88 Queensbury Ave. r`-'\`\' f t' ' qi J:=i=i'i�`�31�RY
;J[.E_}?f\''- `r CODES
Dear Mr. Stedman
The construction of a replacement sewage disposal system for the residence at the above referenced
location, Tax #303.16-1-17 has been completed. The installation was completed by IBS Septic and
Drain Service on 8.16.22
As the engineer of record,I certify to the Town of Queensbury as follows:
1. I am in fact the designer of the system.
2. I am personally familiar with the actual site conditions and in consideration of those conditions
the system was designed in compliance with the Town of Queensbury standards requiring two
feet of separation between the bottom of the tile trench and the annual high-water table and Part
75A of the New York State Department of Health Sanitary Code.
3. Wales Engineering staff, under my direct supervision, inspected the system at the time of
construction and I have personal knowledge that it was constructed in compliance with the
design. Further, there were no field conditions encountered during construction which deviated
from the conditions observed at the time the system was designed.
*System was installed in the opposite direction. Which has not effect on the disposal system, more of an
aesthetic change.Note that the residence is serviced by municipal water.
4. Wales Engineering prepared an asbuilt plan (see attached) depicting the septic system as it was
constructed, including measurements from: building to tank, building to leach field, tank to d-
box and leach field dimensions.Inspection performed on August 16,2022.
If you have any questions or require additional information,please contact me at your convenience.
Sincerely,
Mpg NEW,I,
eS tgY W. u,o.
Timothy W.Wales,PE ;Ifs lr;,
Lisc.#077263 , T `
"1 YSYtEl'
t A, 07726' 4
.71?QPEssIo1.41'"ti
I AS BUILT
a ,'+
b011 2�24 �
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303.16-1-75 -. �t V(ti'! i_:E=OTFL°i` L.II'°}1
_ ..------
c, cciy:s
_______. . ______-
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1,OJ± Acres %
1 J0J 16-1-17
0 \ 3br housed( I 303.16-1-77
A o
� ._� garage %
1:11.' -"b3 \
lawn
71 I‘ ® C Distribution Box
• I I N
\ "• Sewage Disposal Field
— 4 laterals 5' 35//
u o
1 E ��
lawn so- municipal water sour
I � �
C
+\‘''''''.... RECORDED AS-BUILT DIMENSIONS_
303 16-1-18 STRUCTURE DIMENSION
10'Septic Setback A,C 63'
A-D 73'
A-E 90'
•
B-C 69'
B-D 93'
B-E 106'
SEPTIC TNK-HOUSE 28'
Note:
THE AS—BUILT DIMENSIONS SHOWN WERE TAPE MEASURED DURING CONSTRUCTION WITH ACCURACY
SUITABLE FOR OWNER'S USE. THESE ARE NOT SURVEYED DIMENSIONS.
Stedman Residence
88 Queensbury Ave
AS BUILT Town of Queensbury, Warren County NY
ON-SITE SEWAGE DISPOSAL SYSTEM
AS-BUILT PLAN