1989-488 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 89 4F1R .�
WARREN COUNTY, NEW YORK
L45
!\3
ts+
PERMISSION is hereby granted to James Curcio
OWNER of property located at Hal l Road 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. Cm
c.
[7.
OWNER'S Address is
RR#5 Box 60 Hall Road
Queensbury , N . Y . 121304 �
Mo
t
CONTRACTOR or BUILDER'S Name
Action Septic Services
3. CONTRACTOR or BUILDER'S Address
Glens Falls ,N . Y . 12801
V
4. ARCHITECT'S Name
G
r
5. ARCHITECT'S Address
i'
C
F7.
TYPE of Construction - (Please indicate by x)
l 1 Wood Frame 1 ) Masonry I ) Steel I )
PLANS and Specifications
No. 1000 gal tank , 2 6 ' x 8 ' seepage pits as per plot plan and application
jKXjKKl1(AX# Town Board Approval
8. Proposed Use
Sewage Alteration
June 27 19 91
$ 25 , 00 PERMIT FEE PAID — THIS PERMIT EXPIRES
(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.)
Dated at the Town of Queensbury t 27th Ray of Done 1989.
for the Town of Queensbury
SIGNED BY 11
B"andng Inspector
APPLICATION FOWWjy flF' QUEE OWN OF UE=EIVSBL
�► ---
y ST PTiC DISPOSAL PERMiT �ECEI�r
BL.
�5$ RE= EIV
3 JUN 26 1989 APR 77 1989
J $LOG. &. COOE bE '
P DG* $c CO DEP'I
LATE �/ � 1 .� �
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: L �: z J� : Telephone: - C) t j
Address: Ca. �c
Installer's Name;,/0/� ;q ae ,��, . ' � �` ,z , - _ Telephone: ss 9 -3 Q' +
Nur'nber of bedrooms (residential only)
Total daily flow (compute (d 150 gal per bedroom)
Topography: Circle one: Flat Rolling Steep Slope % of Slope7Q waajZ.
Soil Nature: Circle on : San Loam Clay Otherr /Depth: Feet
Ground LVater: At what depth? Feet
Bedrock or Impervious Material. At what depth ? Feet
Percolation tests Circle one: not required required rate min. inch.
Domestic water supply: circle one: Municipal ell Other
If domestic water supply is a well:
}} Separation: Water supply from septic abscrptznr feet
f PROPOSED SYSTEl11 : Septic Tank _
� p IdoCJ gal, ( minimum size: 1 ,000 gal.)
TILE FIELD: Each Trench feet/Total system length feet
SEEPAGE PITS): Number of . �/ Size each {_� yfe-et by feet
Size of stone to be used # /Depth or Thickness feet
I have read the regulation on the reverse side of this sheet and agree to abide by these
I` and all requirements of the Town of Queensbury Sanitarry� Sewjlge Disposal Ordinance.
` SIGNATURE OF RESPONSIBLE PERSON: C� i� q /L"
z -
IX
DATE: /
OVER
s
J'owrn o/ Queen .sgury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. I Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION /1c
DATE 1: PERMIT NO . <zv�__
SOIL TYPE Sand - Loam - Clay
Percolation Required? YES
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field , otal
Length of each
Depth of nches
S3.z of grave]:_
SEEPAGE ITS-EN of.),'
Size- JR ft. X ft,€
Gravel size
-
PIPING : = S ze Type
Bldg * to tank
Tank to dirt. box t Y
Dist . box to fiele /
Openings sealed? YES ENO Partial
a
LOCATION/SEPARATIONS c _
Foundation to i*nk t.
Foundation toIabsorption Absorption tollot line
Separation of pits t
LOCAIT11ON OF SYSTEM ON PROPERTY,(circle one)
rout Rear - Left side - Right side -
TS :
SYSTEM USE APPROVED YE N
Bui ding xnspe or
01/86 and vl
d Wo v S� fo
r
I D
`45
6)(nq
Opp
Is
i
I �
«. ICJ ya
\ V
1
l ^�
A
i
f
I
s! F
1
� [•. �:. mot. _. _ _._. . . __ .. ._ .. ___.. _ . ...__
f'l"i°"� .l ' yr �.,rrrj '-'t•�/ w�9 �.�.inrc�ua v�/�
�'�'�'1 �� �N�l3'•� (ivs� N..,rC'cI''r.�S/ � r?R2" j � 0�/ �
r v r Mtn f 47
a/
YY
rMe �
r3
-' aw,
Y
Ik
1
crJ
r
} y
ti