SEP-0770-2023 SEPTIC DISPOSAL PERMIT Office Use Only
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APPLICATION Permit#:SE?— O-k-VE: - 20Z-
Town of Queensbury Permit Fee:$ -
Invoice#: (cRaO
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.queensbury.net Septic Variance.0
Flood Zone? t�
Wetlands?t11(.302
� Reviewed By:c _
1"--)
Project Location: 15 Rocky Shore Road
Tax Map#: 239.15-1-2
RESIDENCE INFORMATION:
Year Built Gallons #of bedrooms: X gallons per =total daily flow
per day bedroom Garbage Grinder Yes No
1980 or older 150 Installed? (choose one) ❑ Q
1981-1991 130 Spa or Hot Tub Yes No
1992-Present 110 6 110 660 Installed? (choose one) ❑ 0
PARCEL INFORMATION: ,
Topography ❑ Flat Rolling Steep Slope 10+i- % Slope
Soil Nature * Sand ❑ Loam ❑ Clay * Other, explain: boulders
Groundwater At what depth? 22"
Bedrock/Impervious material At what depth? >32"
Domestic Water Supply ❑ Municipal ❑ Well *Lake
(if well or lake, water supply from any septic system absorption is
ft.)
Percolation Test Rate: 1-5 per minute per inch (test to be completed by a
licensed engineer/architect)
PROPOSED SYSTEM INFORMATION:
Tank size (2)1,000 gallons (min. size 1,000 gallons, add 250 gallons for each garbage cylinder or
spa/hot tub two 1,000 gallon precast concrete septic tanks in series
System Absorption field w/#2 stone Total length ft.; Each Trench ft.
Seepage Pit w/#3 stone How many: ; Size:
Alternative System Bed or other type: 20' x 35' absorption bed (mound configuration) •
Holding Tank System Total required capacity? ; tank size ;
# of tanks
Septic Application Revised July 2022
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): James and Diane Fuhrer
Mailing Address, C/ ►5 c,he,s11-4 Sffl-L k-lb ecAmIl End'ay\ , kki rP63s
Cell Phone: Land Line:
Email:
• Primary Owner(s):
Name(s): Same as applicants
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
❑ Check if all work will be performed by property owner only
• Contractor:
Contact Name(s): TBD
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
**Workers' Comp documentation must be submitted with this application**
• Engineer(s):
Name(s): Hutchins Engineering PLLC
Mailing Address, C/S/Z: 169 Haviland Road Queensbury, NY 12804
Cell Phone: Land Line: 518-745-0307
Email: thutchins@hutchinsengineering.com
Contact Person for Compliance in regards to this project: Tom Hutchins, P.E.
Cell Phone: Land Line: 518-745-0307
Email: thutchins@hutchinsengineering.com
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.
PRINT NAME: G homas Hutchins, P.E.- AGENT
..
SIGNATURE: _ - ` lit �14 ' ' r CD L. DATE: 12/04/2023
Septic Application Revised July 2022
•
•
Ow
,� If QEEtVSBi,IRY
742 Bmj Road, Queensbury,NY. 12804-5902
Septic System Checklist •
�'�'LPlan to scale
It Received Deep hole perc test results from engineer/Architect if applicable(T
own Ie(T wn Approved Engineers and
Architects;June 30 to April 15 Town Engineer for unapproved Engineers and Architects)
' -ib All wells on property and adjacent properties shown ��� —4 1
Water line shown Municipal or well 10'separation to any part of system
. .
. •
Yt Setback to property lines show 10'or more for any part of system
-fc
ft'Septic tank and pump stations 10'from foundation 50'from any well/lake/wetland 10'from any waterline
. Septic tank to foundation crawl space/slab on grade,grade in crawl space must be above topof septic tank
for 0',Separation required(field verification required) p .
• /4 Septic tank sized for number of bedrooms and add 250 gals for Jacuzzi tubs/garbage grinder each
/0 Leech Field 20'from foundation 100'from any well 10'from water line
NIA Seepage pit 150'from well 50'from septic tank •
N`-Seepage Pits 3-times diameter apart
Y„451 Septic tank and pump stations over 30 gallons 50'from watercourse or wetland
distance from bottom of trench or system 24"to bedrock or mottli 36" hin 1000'of Lake George -
Y*Leech field 100'from watercourse or wetland ( �, r)Toe of mound or bottom of retaining wall.10'from property line 100'from well 20'from
Foundation
/4 Provide'Engineer/Architect stamp for bed or design systems
N/A—Department of Health Approval for all mobile home park new systems Flood Plain requirements
Ab 2'above established flood elevation to bottom of system
/O All tanks anchored or 2'above flood elevation
"rYxqP , J,w.� q3 2 4
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WASTEWATER SYSTEM DESIGN y � I'.. �\,I,.-,".,I-I..,"I-'l�Ml.-1-_t.1A.3 0\\\-.IPk I,-.,.,"I_.,'.II I,'"1l',":\�,;1�1l1 1,���,,I,-,I',"-,,,�,,",�",",,�,�'"","'�,"I�:�,,�_,�"":�1111,I�,�I,'11:-1_-�1,"���,�I1,,i.,,�,�1,,��""-�-I,,�,"�,,,,',�,""�',,"-,��"'",,",",_,,,_,,1.,",I"-,""/�,�,.,��;-,_",f��;";"����I,,,,I,,"�:;,;���I,,�1,-��',I1�,,�',,,,1�,��x,,,,,Io,,�,,"",-�,;;1,�I,�;�,1.4�',,,�I�����1;;,��,--,,,"�'1�,,,,"�,,1l",,",',,�'�:,�",�1:,,I��,,",�,_:."""��l,�_���"�"�""-'�"�II�,,,I2,",",,,"�1'�o,",�"?,��',",,:'',,',,"��1I,,,,�����
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6-BEDROOM RESIDENCE :, ,,
DESIGN FLOW - 110 GPD/BEDROOM p a w � � r `
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,_.. { . SYSTEM DESIGN FLOW - 660 GPD \ K N' �,:=
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-- mow.. • SEPTIC TANKS - PROPOSED TWO- 1,000 GALLON
t",-IF�I
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�' PRECAST CONCRETE � z . €' ,
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EIGHBOR�EG PUMP STATION - EXISTING 500 GALLON PUMP STATION SITE SOILS DATA I y
s
R R SI7pPL LEACH FIELD PIPE-tN-STONE ABSORPTION BEDS TEST PITS n: r
6.7 KE WATE RAISED APPDX. �;`
LA EXISTING BUILDING SEWER TO BE
� IN MOUND CONFIGURATION TP-1 - 0811812023 BY TOM HUTCHINS, P.E. "� ` s z r
�' IS IN ELEVA77ON FROM WITHIN BASEMENT. CUT �'' ,« � �� �
a ¢ > " +rat s ',,/ , :: """
AND GROUT NEW PENETRATION IN BLOCK WALL
DESIGN PERCOLATION RATE = 1-5 MIN/IN 0-10" - WOOD DUFF ORGANICS FRACTURED T - a,.' / �f � `* "
/ / �� / ,
FOR NEW 4 BUILDING SEWER APPLICATION RATE = 0.95 GPD/SF BOULDERS `
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W ) .
. /�. ,! mow„ P p�v : r,c
cr ABSORPTION BED AREA REQUIRED = 695 SF _r f
<,; �/ ��
10-32 - MED. BROWN SILTY FS, 50% BOULDER ,,� T '� r �.
a , 0s 'r..
.�'� ti INSTALL 20 X35 BED IN GRANULAR FILL MATERIAL. �a,� f
P' f t :� h "�. & 3
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+-� NEIGHBORING 1,250 ROOTS ENTIRE DEPTH ° " �
.% o POTABLE WATER SUPPLY IS LAKE GEORGE. r; ��
GALLON SEPTIC TANK �`
• GROUNDWATER @ 22 1„ ., ,. r�l , E �
5t
EXISTING SEPTIC TANK AND BUILDING SE R TO BE
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• . /'� MAINTAIN 1 D BETWEEN WATER SUPPLY LINES _`: . 9 „,'sr r <, ;b ' A "
® ! REMOVED. EXISTING PUMP STATION TO BE INSPECTED
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O PRONTO VERTICAL SEPARATION TO s �„ ,.
t AND RE-USED IF CONDITION IS ADEQUATE VERIFY AND ALL WASTEWATER SYSTEM COMPONENTS BOUNDARY CONDITION s;
PUMP CONTROLS AND ALARM FUNCTION. / ', "
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4 4 �* $ P 3
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5p PROPOSED EFFLUENT �3 \
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NEIGHBORING GRINDER
SEWER ,,. �< , � ;; ,.,, ,f-' �"� �,J '
PUMP ASSEMBLY - t - \ \ 20 I Q: q " �' 1, ',
y
G DUAL 1000 GL IN \ LANDS N F OF r SITE LOCATION (` A' nA /�
\ ` n , u �U- �P K SERIES SEPTIC TANKS MARY CAROL & DAVID R, WHITE 5 5 5=, L®`�-PATIO ,'rAr
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(' ya \ I ✓ ' ' �' SYSTEM INSTALLATION NOTES
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�NpREp n� , EXISTING FORCE MAIN 1 NEIGHBORING
RING CONSTRUC110N SHALL BE AS SHOWN ON THIS DRAWING AND IN ACCORDANCE WITH THE N.Y.S. DEPARTMENT
NEIGHDO t c ` �p0 •5�(6 A TO BE TIED INTO ABSORPTION FIELDS OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS AND ASTM F481 INSTALLATION OF THERMOPLASTIC PIPE AND
RESIDENCE T '.
SUPPLY _ ,-' _ ' '
WATER ! '' CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS.
LAKE
�� 'F AFTER EXCAVATION OF TRENCHES TO THE DEPTH REQUIRED, THE WALLS AND FLOOR OF EACH TRENCH SHALL
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DECK cn , - \ y BE CLEANED AND RAKED IN ORDER TO LOOSEN SMEARED SECTIONS OF TRENCH.
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® ! n �K ,� \ f' PLACEMENT OF AGGREGATE SHALL BE AS SHOWN, AND CARE SHALL BE EXERCISED TO AVOID INCLUSION OF
_ FINE GRAINED SOILS AND WASTE MATERIAL IN THE ABSORPTION TRENCHES.
G '
10 NEIGHBORING 1,000 35 �'` ' THE PIPING SHALL BE LAID AT THE GRADES INDICATED, MAINTAINING STRAIGHT CONTINUOUS GRADES WITHOUT
\ t -� GALLON PUMP STATION �� �� ✓ : '� SAGS, HUMPS, SEPARATED JOINTS, OR OTHER UNSUITABLE CONDITIONS.
t '' NEIGHBORING 500 ° _ '
m GALLON PUMP STATION ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND DIVERT SURFACE RUNOFF AWAY FROM THE
asPHa�T ROCKY DISPOSAL FIELD.
PAVEMENT 4 PERFORATED PVC
I \ SHORE ROAD~ --- LATERALS INSTALLED
p,A o��C
` o \ NEAR LEVEL 1N BED DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION AREA AFTER TRENCHES HAVE BEEN INSTALLED.
ps "
„ o "�'"�E"� CONFIGURATION
�' " TEM IS DESIGNED FOR WATER CONSERVING FIXTURES AND IS NOT DESIGNED TO ACCOMMODATE
o --�' THIS SYS
EXTREME WATER USE OR EXTREME ORGANIC LOADING DEVICES SUCH AS JACUZZI TYPE SPAS OR GARBAGE
�� F � I GRINDERS.
M PROPOSED 1-1 2 HDPE
` SDR-11 FORCEMAW z Z \ LIMIT OF 20'x35' _' ', ', , _
OOF, F TING, G AGE, CELLAR AND SURFACE WATER DRAINAGE MUST BE EXCLUDED FROM THE
G STONE BED �` R 00 AR
\ .' WASTEWATER SYSTEM.
xBpglN ��- i �� \ s
NE�Gpv,IVE \ °�°
f , . 2 5' SYSTEM MATERIAL SPECIFICATIONS
i- , =' ABSORPTION FIELD AGGREGATE
\ ..r' ' �� 1 - t S COURT
\ LANDS N/F OF STONE IS TO BE 3/4" TO 1-1/2' WASHED CRUSHED STONE.
'' ��� x r PROPOSED
_,,,,, \ '�'�,�o. ors , ` ' DIAMOND GIRL 72, LLC 4 PVC EFFLUENT SEWER EFFLUENT FILTER
�0 z` ; l ' '° PROPOSED D-BOX TRANSITION 1-1 2" FORCEMAIN DISTRIBUTION BOX
'J� _ �,\c r : ^r s,, EFFLUENT FILTER TO HAVE 1/16-INCH FILTRATION, POLYLOK PL-122 OR EQUIVALENT.
L o 1 ® F wr'' �, TO 4 OUTSIDE DISTRIBUTION BOX F 0 MINIMU S 0
` 1 f ® _. » ®®err, / / EFFLUENT SEWER PIPE
/ F ca. PIPING TO BE 4 SDR-35 OR SCHEDULE 40 PVC. INSTALL WITH 1/8 PER 0 T M L PE.
\\ \� —!- — / \ \ �0� o MOUND ABSORPTION BED PLAN FORCEMAIN
\ � / ® �Q��
\\ NEIGHBORING 1,250 ` \ ,. / / SCALE;NTS PIPING TO BE 1-1/2" SDR-ti HDPE, PROVIDE POSITIVE DRAWBACK TO PUMP STA770N.
FILTER FABRIC
u+y GALLON SEPTIC TANK �� / FILTER FABRIC TO BE 4.8 OZ/SY NON-WOVEN SEPARA7ION FABRIC, TENCATE MIRAR 140N OR EQUIVALENT
- PROP. 20 x 35 //
arm PIPE-IN-STONE ;.�;: HOUSE SEWER PIPE
U NEIGHBORING 15 X35 ` ABSORPTION BED EXIS77NG SEEPAGE
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ABSORPTION BED INSTALLED IN PIT TO BE REMOVED PIPING TO BE 4" SDR-35 OR SCHEDULE 40 PVC. INSTALL WITH 1/4" PER FOOT MINIMUM SLOPE.
%, \ _ STABILIZED FILL, /� / ,-'""zX"u
'
SHALLOW TRENCH FILL MATERIAL
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ti' B „ S / MATERIAL TO HAVE SIMILAR PERCOLATION RATE TO EXISTING IN-SITU SOILS. NO PAR77CLES GREATER THAN 3".
r�
\ o�.► \ ABOVE EXISTING �% , SEE "SHALLOW TRENCH FILL MATERIAL NOTES."
` ) .
� TOPSOIL
n 24' MIN. IDTH OF TOP OF SYSTEM FILL PLACE 4" MINIMUM TOPSOIL OVER ENTIRE BACKFILL AREA SEED, MULCH, ESTABLISH TURF
AND
`A\,a-..x 43' MIN. LENGTH OF BOTTOM OF SYSTEM FILL �q 6 Ufa, h u I i.I a � .�.1.,W�� � ,U "hI
T'CF.t \ ,
` L w� �\�:� a"�, � � �h w : ,� h �,: .. I1
\ I 12 OF 31 FILTER FABRIC I Y
\ , Q> ® WASHED CRUSHED STONE MIRAFI 140N OR EQUAL
,0. 4P / ABSORPTION BED OVER TOP OF STONE , +� P11 �"'�I'„1L P,r�; i I , „M N
LANDS NIF OF \ 41 10 MIN. TAPER 20 BED WIDTH 1O' MIN. TAPER �.�rao t °� �� " W
3' TO TOP , 3 TO TOP
CHARLES GALES ,► OF TAPER OF TAPER 'm' �p In O
„°,.„u,
/ +� 5' TYP. PIPE 2.5' TYP fl O -/ SPACING 6" MIN. COVER AT 4" TOPSOIL ON ENTIRE FILL AREA, n tD Ul
/ : / EDGE OF MOUND SEED AND ESTABLISH TURF
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/ ll` 3 10' MAX COVER N® / 1 MAX -�^-"- ,.. �.
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\ i SLOPE .- ; +.- ° �+`+ �»- "'"I
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DIANE H. MATTHEWS TRUSTEE .. . :..:.... ;'
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12 6 .....<_ ,.,.: .,, .. : , APPROXIMATE NA17t?E GRADE: .. :,. ._ . ., nfik7 C)L11' �,r.. wxk ,,:
h.rr O'..'':, r ���wl
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i 3 MIN .. _ �I ti.., ... —c
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EXIST GRADE BELOW PIPE . . . ., ..... , rr r;t tf u,r•t
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/ / i NG ORGANICS & TOP 24" OF NATIVE -18'x35' STONE 4" PERFORATED PVC AREA - MAXIM
__ O���.on.�.w.,
EX STT UM SLOPE 1:3. N
\ `' / LANDS NIP OF LOAM TO BE EXCAVATED & REMOVED ABSORPTION BED LATERALS W/MANIFOLDEd ENDS, SYSTEM FILL MATERIAL ALL AROUND
/ ' JOSHUA'S ROCK CORP PRIOR TO PLACING FILL INSTALLED LEVEL
v / ,_l l / TAX MAP # 239. f 5-1-2
"� MOUND ABSORPTION FIELD SECTION Dig Safely.
/ SCALE:NTS Nevi York
\ /-' ®Gail Before You Dig
®Waif The Required Time
/ SYSTEM
IM Confirm Utility Response
WASTEWATER SYSTEM PLAN [3 Respect The Marks
®Dig With Care
SCALE: 1"=30' 800- 62-7962 0 ISSUED FOR PERMIT 121412023
GRAPHIC SCALE MAP REFERENCE: www.d91;;, ei'i I york.00m N R e V I S I O r1 S D Q t
1. BOUNDARY INFORMATION FROM "MAP OF LANDS NOW OR '�"�
7.5 0 7.5 15 30 60 FORMERLY OF MALCOLM MITCHELL, SITUATE IN LOTS 8 AND 10 � AST WAT R SYSTEM PLAN DETAILS
FRENCH MTN. TRACT," IN THE TOWN OF QUEENSBURY, WARREN -ON TTC�
3
( IN FEET ) COUNTY, NEW YORK. DATED MAY 3, 1960. LAST REVISED �* /< .� prepared for:
,.,�,.,��iI:X,',__�..".�';�,",.,,z,1�_I1�,1.��,,.1"."�_'_I�,�,o1,�,�,,.":��1�,,,,],�.,�,'�I"�II,.�,"1-'�_,�"._",�"��I_",1,4,!_:,',�1,_;"1,I���I"�,,,,�,�,c,,_��""�,,e,,I.�`�:,,_;-
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WASTEWATER SYSTEM SETBACK REQUIREMENTS 2. �ASTER�1PROPERT PRN�ORMDTION FROM OVERALLE& DETAILED 7 ,
CONTRACTOR TO FIELD VERIFY LOCATIONS AND DISTANCES (� A U'BI
James & Diane Fuhrer
WASTEWATER SITE PLAN PREPARED FOR DAVID AND SALLY J 0 ; ur
W 1 15 Rocky Shore Road
STREAM, LAKE, KELLY, DWG NO. 29904-01-S1, IN THE TOWN OF QUEENSBURY, �"Q.. :� 1
PROPERTY LINE HOUSE WATERCOURSE, WELL WARREN COUNTY, NEW YORK. DATED JUNE 11, 2015. LAST Town Of QueenSbury, County of Warren, State Of New York
WETLAND REVISED MAY 27, 2016. PREPARED BY HUTCHINS ENGINEERING. �, '067879
SEPTIC TANK 10' 10' S0' S0' 3, WESTERLY NEIGHBOR INFORMATON FROM "WASTEWATER SYSTEM e O'�F`', I " „ Drawn: JRS/WGC/AVA Checked; GTH Scale: NOTED Date; 81312023
PLAN & DETAILS PREPARED FOR JAMES T. SEARS," IN THE 169 Haviland Road
ABSORPTION FIELD 10' 20' F77100 100' TOWN OF QUEENSBURY, WARREN COUNTY, NEW YORK. DATED ALTERATION OF THIS DOCUMENT EXCEPT BY Queensbury, NY 12804 �+
JUNE 18, 2013. LAST REVISED DECEMBER 29, 2015. PREPARED A LICENSED F THIS
ENGINEER IS A (518) 745-0307 Phone 292190-01 -S l
BY HUTCHINS ENGINEERING. VIOLATION OF NYS EDUCATION LAW. Hutchins Engineering PLLC (518) 745-0308 Fax