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1987-600 BUILDING PERMIT H TOWN OF QUEENSBURY No. 87-600 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Earl Maille OWNER of property located at � Ohio Street, Road or Ave. n - � I Sewage Alteration in the Town of Queensbury, To Construct or place a I at the above location in accordance to application together with plot plans and other information hereto filed and a approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1 . OWNER'S Address is Luzerne Rd . Queensbury , N . Y . 12801 LA m n 2. CONTRACTOR or BUI LDER'S Name Same N• W H [C 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name G N m ri 5. ARCHITECT'S Address ro ro m O 6. TYPE of Construction — (Please indicate by X) o [ } wood Frame { } Masonry { 1 Steel { ) 7. PLANS and Specifications No. 1000 gal tank , 1 seepage pit 8 ' x 81 per plot plan and applicatlon . E w an 8. Proposed Use ra Sewage Alterationrot a t✓ m �s w rT Sept . 10 , 89 0 $ 10000 PERMIT FEE PAID — THIS PERMIT EXPIRES p 19 p (lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of aueensbury before the expiration date_) Dated at the Town of Queensbury this loth Ray of Sept ' 19 87 SIGNED BY .00e �e �J for the Town of Queensbury Building and Zoning Inspector oe�10 oe lieTOWN OF QUEENGZj .f �' r ` APPLICATION FOR SEPTIC DISPOSAL PERMI"y N Mi L! l'f Lr3 Al ('( J SEP INN/ O` .DATE 1 f E3d1:;.. '.: :JG tic C(::I]E DEpT. LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: Telephone: Address: .— Installer's Name: 4v 4� Telephone: c-Y47 Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) 3 t�TJ Topography: circle one: 0 Fiat Rolling Steep Slope % of slope _ C Soil Nature: circle one San Loam Clay Other / Depth: _ feet Ground Water: At what depth? C2 ,i ' feet Bedrock or Impervious Material: At what depth? _ G�Ie . feet Percolation test: circle one: not required required / rate m in. inch. Domestic water supply: circle one: CM u n i c i Other rwi IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank _I T� gal. (minimum size: 1 ,040 gal,) TILE FIELD: Each Trench feet / Total system length rt feet y SEEPAGE PIT(S) : Number of / Size each JV feet by cam' feet -i Size of stone to be used # Depth or Thickness r')�. 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 30 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 $250.©0. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Torun of Queensbury Sanitary Sewage Disposal ()r+d.inancee Signature of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York. 12901 (518) 79Z-583Z SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE /0.,. of Q" ee Il 3 (J LI M+I BUILDING and ZONING DEPARTKAENY Bay Queensbury New orkk 12801X 9$ SEPTIC DI5POSA1 SYSTEM INSPECTION +� F!-( Loop _ �,�' LOCATION V DATES PERMIT NO . .- TYPE - an - Loam - Clay ^ - NoSCIL *rest Required? YES Percolation - Min/Inch percolation rate TYPE of SYSTEM2 total length Absorption fiel F t e Leng th of each nCh Depth of trencYses �� Size of gravel .! er Of -� SEFPAGE p ITS-4ti,-, b f Size- _� -ft. XE�-- t Gravel s1ze Size Type M PIPING : R.:-3 Bldg . to 'tank -- -` 43 Tan3t to a st , box _J Dist . box to field/ID �130 partial 0)pening s sealed? 'ES c L,CATT0N/SEppLRATICNS ' ft. Foundation to tank ft Foundation to absorption " ft . Absarption to lot line ft. 1, tian of pits PRCIPER YY (circle one) 5e STEM 3,pCpa IUN OF SY _ Right side ^ Front , gear - Left side CQMMENTS : r �"",/-fin►` k f � ���'�''� r2`'�--t1c0 f SYSTEM 135E AYPRCa'JED YES N0 gui ding Inspect' 01/1B5 and vl a � � (��0aAo% //- J� f _ lr,,�,v" Of `�CuCNtloo QPIt MF 3l7GPF f3UfLL)1NG and ZONING C)E�ST NT gOx 98 Bay ,and 1 laailand ewrdYork 12601 Queenstaury. N SEPTIC DISPOSAL SYSTEM INSPECTION NWE. LOCATION '�� Gam^] 0(� �� ✓� PERMIT NO . b ! DATE Lam - clay - r -- SOIL TYPE Sand o - NO Recioired YES Percolation _ Min/Inch - percolation rate TYPE of SYSTEM: totai len5th Ab�orP t� on f aeld . Length of each rracench Depth of trenches �-- Size of gravel' er of) SEEPAGE 'PITS4Nt�b ft. X Size- e Gravel size T P Bldg . to tank Tank to disc . fi ld/pit -�- par - tial Dist . box to YES NO openings sealed L0CWr:r0N/SEgARAT10NS : t _f . Foundation to tank Foundation to absorPtion oo--`ft . p.bsorp to lot line --�- tion _£t. separation of Pits � PROPER (cjrcle one) LpCATI0" OF SYSTEM side - Rjght side - Front - Rear - J,ef+r CC H14ENT5 : NtS 46-0 SYSTEM USE APPROti7 ED YES 140 ' axx i ld ing Inspe for 01 /86 and V1 Glens Falls concrete COME Heed Street Glens Falls, New York 12801 518-792-3502 7 ci!! car V 40k