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1989-199 BUILDING PERMIT TOWN OF QU EENSBURY No. 89- 199 � �r., .C"� � WARRENCOUNTY, NEW YORK PERMISSION is hereby granted to GERALD CARROLL Iw 1 OWNER of property located at r# ZENAS DRIVE Street, Road or Ave. in the Town of Oueensbury, 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. C'i 1 . OWNER'S Address is G? SAME r" r Y 2. CONTRACTOR or BUI LOER°S Name SELF ro 3. CONTRACTOR or BUILDER'S Address SAME 4, ARCHITECT'S Name Cie N 5. ARCHITECT'S Address a Ln 6. TYPE of Construction — (Please indicate by X) ( wood Frame C ] Masonry 11 Steel f Y �, PLANS and Specifications ang15D feet file field as per plot plan , Na. 1000 gal .exJa and application S. Proposed Use SEWAGE ALTERATION471 t� a $ 25 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES "RILL 17r h 7g 91 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) M+ Dated at the Town of Queensbury this 17-L-1h Day ofApril 89 � SIGHTED BY �.,� / d Z for the Town of Queensbury Bui ding and oni I nape ctor T4)W4 OF QUEENSBURW TOWN OF QUEENSBURY APPLICATION FOR BUILDING $c CODES DEPT. v ly SEPTIC DISPOSAL PERMIT 1~.EVlEW ED B DATE LOCATION OF PROPERTY FOR INSTALLATION G ' 7c S p�? 1CIk Owner's Name: �ZIeY� t_ O'L; erO, i Telephone: � T Address: 3k x �/1111, Installer's Name: : 4A(l Telephone: Number of bedrooms (residential only) Total daily flow {compute (a 150 gal per bedroom) Topography: Circle one: Flat Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Others/ / 0 /Depth: Feet Ground Water: At what depth ? Feet Bedrock or Impervious Material: At what depth ? Feet Percolation test: Circle one: not required required rate min. inch. Domestic water supply: circle one: Mwnicip�.a> Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank () e gal. ( minimum size: 1 , 000 gal.) TILE FIELD: Each Trench r. ] L) feet/Total system length _feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # , /Depth or Thicknesst feet I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: �Tr4 eF OUEESBUFIY DATE: / ~ �� ~ RECEIVED OVER ,APR 171989 BLDG. & CODE DEFT. 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 Elie 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 , rile fields and /or drywells B . No system shall be covered before inspection and approval by the Building Inspector . Failure to comply with this requirGmcnt may ru5ult in the uncovering; of the system by the installer and a fine of up to $ 250 . 000 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 installa- tion , alteration or repair of an approved system , a new proposal must i, e submitted to the Queensbury Building Department before further cono-. Vruction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 f3L111_offdG and ZC�1dfi3G DEPAR'TMfrfVT viland Raad, R. d . i Bo 9s gay and Ha Yank 128G1 pueens► %A(YF New SP�t- SYSTEM iNSP�GT iC7N S�P�{'i C D i SPC'1 NO Sand Laaam Clay YES e10 SosL TI Teat R ixea Fercalation to _ Mi'rLflncll _--�"r�~ Perct]latjIOn ra of Sy STEM: ,T,ypE f i.elti , total if n9t f eachcheench Depth Of tren - --~ _ Size csf c3xavel� -- SEEPAGE 'PI`T5��uxnber'- ft. ft. X Size- ise Size Type Gravel --- p1PlL3G I tan]clto �~ Tank It© diet-zsteaYES JONS : tt, nk.Eoundatjon sorpic.ionFovnd2Rtionot linepl,sorptionpits one) ri,YSTF1� �'RCSPER Y ��ixC1e Sel7aration e I pCATlOt3 _ Left side - R3.9r't si x c ME14TS = , r SYST �35E APPED YES 140 nspe or III �- Ql1$6 and vl . Jown o4eeeny �ttr� /J � BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D . i BOX 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEMM ,Iri'/4/SPEECTION LOCAT I OfN,� �s ISATE -05 I PERMIT NO._ SOIL TYPE - and - Loam - Clay - Percolation lest Required? YES - NO Percolation rAte - Min/inch TYPE of SYSTEM: Absorption fieldr total leng h Length of each trench Depth of trenche Size of gravel SEEPAGE PITS#Nun%b r a£) Size_ ft. X _ ft. 1 Gravel size Iy]Pe PIPING : Sze Bldg . to tank. Tank to disc. box Dist, box to field/1� ' Openings sealed? JNO artial LOC'.ATION/SEFARATION�S _ Foundation to tank,e fto ft ` Foundation to absOrPtaxOn G Absorption to lot line ft.ft. Separation of P?4ts LOCATION OF SYSTEM ON PROPicircle one) Front - Rear ;Left side fight side COMMENTS SYSTEM USE APPROVED YES N Building inspector 01/86 and vl f TOWN OF QUEENSBURY RECEIVED APR 171989 BLM & CODE DEBT, TOWN OF QUEENSBURY BUILDING & D S D PT. REVIEWED BY DATE { 27 41 C) � ,