1988-662 •
BUILDING PERMIT
1-3
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TOWN OF QUEENSBURY
No. 88-RR2
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Harold Smith
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OWNER of property located at Seelye Rd. Rockhurst 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 Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
Same
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2. CONTRACTOR or BUILDER'S Name c
Sunsoval
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address o
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6. TYPE of Construction—(Please indicate by X) (�
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( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
No. 1000 gal. (existing) tile field 252 ft. as per plot plan, and application
8. Proposed Use
Sewage alteration
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 31 19 90
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the CD
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 31st Day of August 19 88
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SIGNED BY for the Town of Queensbury
Bui ding and Zoning Inspe or
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APPLICATION FOR SEPTIC DISPOSAL PERMIT
1983
i B.UJLDIRG.& COD.E DEPT.
DATE August. 29 / 88
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LOCATION OF PROPERTY FOR INSTALLATION Seelye Road, Cleverdale
Owner's Name: Harold Smith Telephone: 656-9956
Address: _ Seelye Road, Rockhurst, Cleverdale, NY 12820
Installer's Name: Sunsoval, Inc. Telephone: 656-9956
Number of bedrooms (residential only) 4
Total daily flow (compute @ 150 gal per bedroom) 600 gal.
Topography: circle one: Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: 5_ feet
Ground Water: At what depth? over 5 feet
Bedrock or Impervious Material: At what depth? over 5 feet
Percolation test: circle one: not required required / rate 5 min. inch.
Domestic water supply: circle one: Municipal Well Other lake
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ 105 feet
PROPOSED SYSTEM: Septic Tank 1000 gal. (minimum size: 1,000 gal.) (existing)
TILE FIELD: Each Trench 15-4 9.. .feet / Total system length 252 feet
SEEPAGE PIT(S): Number of - / Size each - feet by - feet
Size of stone to be used # 3 / Depth or Thickness _ 2 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
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 Disposal Ordinance.
Signature of responsible person:
Date: _ 8/29/88
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
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LOCATION SKETC-H11
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BC =
Seelye Rd: AD =
BD =
tennis court
I, . distribution box•
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�..
- driveway
existing 1000g ,� TRENCH DETAIL
concrdte tankr
_
tmuraf i siv" s. L. 6"
fabric 112"
house 14" perf .PVC 2 ston
�24'��
DESIGN BASIS
1. No. of bedrooms 4 - - -
2 . Daily flow 600 gpd
3. Septic tank capacity 1000 gals .
4 . Percolation rate 5 min/in.
5. Length of absorption field • 252 ft.
NAME: Harold Smith
DATE: August 29 , 1988
The above sketch shows the locations of the units comprising
your sewage disposal system for future reference, in case of
difficulty. It shows measured distances from buildings ,
trees, garage, fence posts , etc. , to septic tank, sewers ,
distribution box and absorption field or,seepage pits .
SAVE POST IN BASEMENT SAVE
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Jown of �ueenaburt�GY.
VBUILDING and ZONING DEPARTMENT
J Bay and Haviland Road, R.D. 1 Box 98
' w , Queensbury, New York 12801
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' PTIC DISPOSAL SYSTEM INSPECTION/
NAME � d ,, ,�Yy- 7M
LOCATION .Z�-ki-e_... /Lg'L
DATEQ- 9 /, PERMIT NO. .. '-` Lg k •
SOIL TYPE - Sand - Loam - Clay - • /
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE Of S STEM: (
Absorption field, total length . I '
Length of e ch• trench `Sv,tD.- ill�t �` , �
Depth of tre ches "
Size of grave 1 /ta•
SEEPAGE PITS{Number of) ' /
Size- ft. X\ ft. I
• Gravel size /
PIPING: ize Type
Bldg. to tank �/ I/-/C
Tank to dist. boxi/,,e,
Dist. box to field9 `7ci-C
Openings sealed? YES /NO Partial
LOCATION/SEPARA IONS: -
Foundation to ank E'1f,(K/Att
Foundation to bsorption/, t�'
Absorption to lot line ft.
Separation o pits /1/% ft.
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LOCATO F� YSTEM ON• PROPERTY(circle one) •
Fron - Rear; - Left side - Right side -
COMM TS:
� ,,-( s1/7 ft 0 0 .7o/t/./
SYSTEM USE APPROVE / YES ) NO
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