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1989-368 BUILDING PERMIT 'WWI x TOWN OF QUEENSBURY No. 89.. 368 a I/ { WARREN COUNTY, NEW YORKwo oil 4� ll 44tt � PERMISSION is hereby granted o Raandal l Searle cc OWNER of property located at 10 Re5@yier. Dpive Street, Road or Ave_ in the Town of Queensbury, To Construct or place a SeM/age A7 ter-atian at the above location in accordance to application together with plat 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 y Sallie [p !St fb Y 2. CONTRACTOR or BUILDERS Name Action Septic Service r 3. CONTRACTOR or BUILDER'S Address Glens Falls , H . Y . 12801 4. ARCHITECT'S Name O 5. ARCHITECT'S Address N tb C J. CI ^f 6. TYPE of Construction — (Please indicate by x) C! J. { } wood Frame { ) masonry { ) Steel { ) C tD 7. PLANS and Specifications No. Existing 1000 gal . tank , 2 4 ' x 8 ' seepage pits as per plot plan and application . 8. Proposed use Sewage Alteration SIM $ 2fia00 PERMIT FEE PAIR -- THIS PERMIT EXPIRES -VXjjN l*jt June 2 19 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.) Aj t-h Dated at the Town of Queensbury this f2nd Day of June 19 89 0 SIGNED BY 1 _t_/L:� '`.� for the Town of Queensbury Building and Zoning lInsbector OWN OF QUEENSPURY dv�y ,��F , APPLICATION FOR � TQ N OF QUEENSBURY }�-.ti SEPTIC DISPOSAL PERMIT RECEDED MAY 2 6 7989 g �+ BLDG. $c CODE DEPT. DATE LOCATION OF PROPERTY FOR INST 1 AnTION .r'r445 r, is .,r�,r ,// p t 't ✓/C Owner's Name.�Crl� t F�/ [ G ; a��I elephone. to Address: Installer's Name: 4:5;, Telephone : Number of bedrooms (residential only) Total daily flow (compute (d 150 gal per bedroom) 5�10Q Topography: Circle one: Fla Rolling Steep Slope of Slope Soil Nature: Circle one: an Loam Clay Other. /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: Municipal Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank /47007 gal. (minimum size: 1 , 000 gal.) TILE FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of CZ / Size each feet by yfeet Size of stone to be used # .3 /Depth or Thickness 40;9y � 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 DDispos Ordinance, SIGNATURE OF RESPONSIBLE PERSON: �.: DATE: ,.�.�`�-2��-�•_-'� ! a'� y I OVER. Septic System Inspections . A . All applications for septic system installation , alteration or repair , as required by the Town of Queensbury Sanitary Sewage Ordinance , shall bo submittud to the Building Depaartmi:nt at least 24 hours before start of construction and shall include a plot plan showing : 1 . ) the proposed location of Clio system 2 . ) location and distance to lot lines 3 . ) lOcaciun and distance to structures 4 . ) location and distance Co any water supply 5 . ) size and dimensions of all tanks , distribution boxes , tilu fields and /or drywells 13 . No system shall be covered before inspection and approval by the i: ullding 111spcctor . Failure to comply with this requirement may result in the uncovering; of Che system by the installer and a fin` Uf up to $ 250 . 00 . C . Aa approved copy of Cite 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 problams during construction prevent proper installa— tion , alteration or repair of an approved system , a new proposal must be submittect to the Queunsbury Building Department before further cols :; r rue C Ion . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and 1laviland loads Quuensbury , New York 12804 own o� �ueere3hxrr� ���'"" BUILDING and ZONING DEPARTMENT Bay and Naviland Road, R.D. 1 Box 98 ©ueensbury, New York 12801 i SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT I ON DATESI PERMIT NO. SOIL TYPE - Sand - Loam ed7Clay aES~- NO Percolation Test Requ Percolation gate - Min/Inch _ TYPE of SYSTEM: Absorption f iipld , total length Length of eac trench Depth of tren hes size of grave SEEPAGE PI S4 -er f) _ Size- f to ft. Gravel sx e P TP ING : �x §� Ype Bldg . to tank Tank to dist. bo _ ! Dist, box to fief t• �'' Openings sealed? E O Partial LOCATTON/SEPARl°+TIONS . �r ft. Foundation to tank x ft . Foundation to absorpti ft. Absorption to lot line ft. Separation of pits LOCATI SYSTEM ROPE Y (circle one) Front ear - ft id Ri ht side - CCMM S : All f � 1 1 bwSYSTEM USE APPROVE Building inspector 01/e5 and vl Ni ROM-Rp w` s i^ ; M6 to k 5 , -!! - % 1 ctivr� Septic S' ervice�- � _z Shaw 's Septic Service 66 , P.U. Box 1430 § Saratoga Road <.: .�.x Rom✓ ' Y/c !r" South Glens Fatl!f, N.Y. 12803 Gf yf y is J/ ° y /�l vlp$ x gy ol p , 1 . .Y^;vx y F ii" r,' 'Cxls+ f n• "•.('F L + T�' A /l t/Lr�sai. ::. L 1A. �to y1 . d pill Ll�k.• i � �� R �4' �xy� , i b9l/all. Id I k Is x : t ., I �y a r" Ip 01ork if yi xA N L LIN I WA F • �ior kA ok.ok, �=yr tl 3 n of ktp Id k ko- % 1 �Y fir R i 5y'ih" fi tko k�o ko Ilk. k- to r ' .. d Y :. ,l, L I- As l e5e/we r� `F I,- ok �T. DATE 793-2115 - 793-4949 - 5874444 i A ''5'' - Troubleshooting Our Specialty ,� h H .C9 � 4M .y{�.'�Q.}H MVI^ JY?}..:. " Lif4�