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1987-771 BUILDING PERMIT m TOWN OF +QUEENSBURY No 87-- 771 WARREN COUNTY, NEW YORK ` PERMISSION is hereby granted to Tom Moynihan �! 1 OWNER of property located at Hillman Rd . , Cleverdale Street, Road or Ave. in the Town of Queensbury, To Construct or place a Sewage Alteration 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 Oueensbury Building and Zoning Ordinance. t . OWNER'S Address is Same 0 �c w 2. CONTRACTOR or 8Ul LDER'S Name Ila John Mason � 3. CONTRACTOR or BUILDER'S Address. ix F+- 4. ARCHITECT'S Name r ij gal :d 5. ARCHITECTS Address S. TYPE of Construction — (Please indicate by X) ) Wood Frame I I Masonry 11 Steel 11 rn N 7. PLANS and Specifications E w Or+ No_ Replace drainage xxxxx M field N r+ 8, Proposed Use Sewage alteration ^l w r 0 $ 10000 PERMIT FEE PAID — THIS PERMIT EXPIRES November 18 , yg 89 I I f a longer period is required an application for an extension must be made to the Suiiding and Zoning inspector of the town of Queensbury before the expiration date_) Dated at the Town of (Queensbury this 1 $th Day of November 19 87 �//� SIGNED BY `�' ' � for the Town of Queensbury Building and Zoning Inspector /J APPI JC;AT7ON FOR SEPTIC DISPOSAL PERMIT �i� ' � 4I �' Lb NOV ►987� "PROVED c-, zoe r. 0% DATE November 12 , / S ? f ' G COMS oEPT. T019IFN of: ;r,, . t{ LOCATION OF PROPERTY FOR INSTALLATION Hillman Road Owner's Name: Tom Moynihan Telephone: _656 - 9956 Address: Hillman Road C leverdale , N . Y . Installer's Name: John A . Mason Telephone: 656 - 9956 Number of bedrooms (residential only) Total daily flow (compute (9 150 gal per bedroom) 900 Topoq;raphy: circle one: Flat Roiling Steep Slope % of slope S4xi1 Nature: circle one: Sand Loam Clay Other / Depth: 4 _ feet Grhound Water: At what depth? over 4 feet Bedrock or Impervious Material: At what depth? over 4 feet Percolation test'ft circle one: not required required / rate - m in. inch. Domestic water supply: circle one: Municipal Well Other . Lake IF domestic water supply is a Weil: Separation: W atersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank 1500. gal. (minimum size: 1 ,000 gal.) existing 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 - feet I M P O R T A N T ...Plea9e._.L 1ST NEW EQUIPMENT TO BE INSTALLED (over) Section TI Septic System Inspections. A. All applicationdfor's'2 "4isystem 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 Torun of Queensbury Sanitary Serfage Disposal Ordinance. Signature of responsible person: Date: 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 l4 � � uepns � r'� f3ow+z Of �pARTMENT BUILDING and ZONINaG � - � 1 BOX 98 Bay gnd Havitand RO York '12801 Queensbury. New SEPTIC DISPOSAL SYSTEM INSPECTION LOCAn1 ==i SOIL TYPE - Sand ?lay R,e�ired YES Percolation 'Test L+iin/inch Percolation rate - TypE Of SYST 24% total lengt Absorption fielde ch trend Length of ches;��--_ �---_ D th tr ep Of l Sire oP PITS4 umber Of SEEPAGE ft. ft. Size- -�— TypeGravel size ize PIP:LNG tank Bldg - to �-- t' bo t Tank to dls paxtial D ist . box to f iel S 14O openings sealed? SEFARA`rl S ' _f t m y,OGA`rX�� t Foundation to orption --- �ft. Foundation to ab line ft. Absorption to l is one) Separation ON pROPE (circle I+pCp TI R, ht side Rea Left side Front /„e" / r 5 ip C7 v` X V ! f SYSTEM t}SE APPROVE YE NO r' Building Inspector pl/e6 and VI rf o -- if g'6 � r 10 Z �f �r f r N A11rHr SAND FILL �og5a►� o u � �qxl T40PSCI1 . WOO i• +ti .4.�` •s+1. 1 Ir't•C d-7+V f e'f6 G�PIAJL WA FY SXJi+Sa1L. s ^�flt 1' ZEHpV� *ya ORGANIC MA"r� A�Ab T 1¢�rvl %•.. �.. .rmprrv�sns e...s P vc PIPE '•�N 1 jr 74 daft, IF • �f BM _ Ili ,S7`onr1= ; r � i I 1 F ' i i i i � ,•.. t s" PERRoRgT�a � � � 1 ,�• � F -- PVG Pipe 1 j � � i1 I ---•�• 3 I t + 4 i s, �w s i{ I�N�iG LzGVPnut a r �.�K CO,W "A SJl�i+t �•L lLa7.Jpt C`` ,Vfhi p (y- ,nor.- F,455 ....,.._... .__......._ .�___....., t A C s 1q ` �� Re.cekgF� fz — P�MP I�C�cSS 21L101r. 1-0 C7 E,p© GAr. . Cori1CRCETIF CtEGE{vc 2 rfj {�- rJC� ° l5 OG7 G fit- . CD►JCIzf. x�G 1� C f7 The above sketch shouts the locations of the units comprising your setrac�e disposal system for future reference in case of difficulty+'. It shows measured distances from buildings , trees , garaue , fence posts , etc . , to septic tank , sewers , distri - bution box and absorption field or seepage pits . CONTRACTOR: John Mason DATE rNSTALLED : 5/24 /78 D E S I G N B A S I S 1 . No. of bedrooms : S. Septic tank : type con n-ret e 2. Daily flow: gpd capacity gals . 3e Undisturbed soil depths : 6 . Size of leaching device : ft. a. To groundwater: _>. 7. Type of system { conventional , fill , b . To impervious lens : -�r5t ._ etc• } • Pressure 4 . Percolation rater min/in. LGPC MAP N004 APPROVED BY: _ . Ray Cowen DATE : _ SZ Rz78 i — CLAY Fl4t- o1c ToP Solt_ STRANL Ptero2ATev Pvc V4 VF- 2.5 2 1 31 TY P.A FT -6 0— rJTOF1 '� J�!5E 0 O LIFT. //��� F14L t'SAT ER.1 pl cls".' Sall_ -fJo lLT5 u. NATu2AL. ex. Sol" BE p e oc G Mau ___. j $cHb00[.c aF Oi/�)c"n/SrOn�S i # Ol 6EGRoOMS 6 CIR SECT \01,4 - SEE PA�aE $EZ7 FLOA( 100 GAD SCALE +6ED 194EA A'& s.F, 6e,o a/vz (A-6) 46`x 22I der 409reRf1cS 12 r..OrH.OF 411 9,4zs 19, y Dim OF A—A.liW .93005f. ✓M KG/1� A0f7 Q 6AL. 2FcePrnc« j ____ l —Tl _$—= CUD 2..P r/e F,.rnt -Hqu/F•oe M1 BI PVC —Y' PIPE— _ o r>nr".✓ rA V/, N+GN wAT�P- I I �O L�L F�OSAL Et ED —_ 1"PVC 4.PE '+/a�rA.HOLE '3Q�.Y PheT -0 S'couc BEu >—go i -tom _ TESIc,ti!Fc..b4J / V �5� UTIo � SY'.ST E M r�✓� Pumpijd SIOPG L�UMp To T3E SILE'D Ta--DELtU 30(S/{L.j"w.ATATOTAL HEAD t~goAL-r.:THt E LEV.'b IM7, '5E TL,)IEQ 'THE''P llP%THE SYSTEM. -TAr. PUMP' StAA.LL MAtiJTAtµ JoOO 4�4. SEiuLes 2 P5l ATTUE 11.1LET otVAeA,-DF- ptPF oF�15T.SY5TEY7, Ca-vc2EreF 7-.4n j',- Ut''�t� Sw tTcN To 'gE Pa5\T 1oNE-0 Tc "l7E Li1JE2 25"�0 of qE S1c-lN FLoly , PurlP�Yc LL _