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1990-133 BUILDING PERMIT. 1-3 TOWN OF QUEENSBURY No. 90-133 '3D t WARREN COUNTY, NEW YORK ° PERMISSION is hereby granted to ✓ PAUL CAMPP cn OWNER of property located at 84 Boulevard 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 ro same ro ro 2. CONTRACTOR or BUILDER'S Name Condon's Septic & Drain Service co 3. CONTRACTOR or BUILDER'S-Address 17 Grant Avenue Glens FAlls NY 12801 4. ARCHITECT'S Name n • 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) (1) ( )Wood Frame ( ) Masonry ( )Steel ( ) ro 7. PLANS and Specifications No. Sewage Alteration — new 1000 gallon tank with one seepage pit of 10' x 8' with #3 stone at 2 foot depth as per application and specifications. 8. Proposed Use Sewage alteration $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 9 19 92 (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 this 9th-._. '. Day of April 19 90 . .SIGNED BY Cr-. ,"). ,o Pfor the Town of Queensbury Building and Zoning In pector - TOWN OF QUEENSnURY ,05 f APPLICATION FOR -_v >` SEPTIC DISPOSAL PERMIT �,\/ o rOWN OF QUEENSBUR, IRECEIVED P, APR 0 61990 DATE`- 6 --'.7 o I I J ' e -1-- BLbG. & CODE DEPT. LOCATION OF PROPERTY FOR INSTALLATION 6 l Di9J_t1AR Owner's Name: P LA C4M f21 ,--P , Telephone: 7 T3 `7 33 Address: 0' 4i ,I,0 0 L O VAA c. c. Installer's Name:( /v )tW,5 P jt(.., a AM( S'Ek Telephone: 773 g•SL"l Zs Number of bedrooms (residential only) ' — Total daily flow (compute (d 150 gal per bedroom) 2jt(.9 Topography: Circle one: ' Rolling Steep Slope % of Slope, Soil Nature: Circle one: Sand Loam clay Other /vWA /Depth: Feet Ground Water: At what depth? IVA Feet Bedrock or Im ervious Material: . At what depth? /WA Feet Percolation test: Circle one: not required required rate) min. inch. Domestic water supply: circle one: Municipa) Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet it1£u, PROPOSED SYSTEM: Septic Tank /000 gal._(minimum size: 1,000 gal.) TILE FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of /_/ Size each /0 feet by 9 feet Size of stone to be used # 3 /Depth or Thickness 2 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 RE PONSIBLE PERSON: -g' - r.',7frid, DATE: )--//& ? V OVER Septic System Inspections: A. A11 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 installa— tion, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further . construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads • Queensbury, New York 12804 Remarks : awn O Queen.sbur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98, . Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION • NAME aff 4w/y3 • ,, , LOCAT I ON . Q,(/r DATE 010 9i PERMIT NO. 'D—if9 �,' • r SOIL TYPE - Sand - Loam - Clay - / Percolation Test Required? YES - NO Ji •Percolation rate - Min/Inch / TYPE of SYSTEM: Absorption field, total" length Length of each trench ' 1 /. Depth of trenches ' 1 I Size of gravel 1 / , SEEPAGE PITS{Number, of) I/ • Size- 11 ft. X. / G;ft. A 1" Gravel size _ I. PIPING: Size Type Bldg. to tank ill fiu�/z. Tank to dist. box /41 /�__ Dist. box to field/ , , 1 /c Openings sealed? ,•ES N ' artial LOCATION/SEPARATIONS: Foundation to tank �. 1 ft. . Foundation to absorption 1,.• tt. Absorption to lot line / fit. Separation of pits • � ft: LOCATION OFISYSTEM ON PROPE5 TY(circle one) Front Rear Ii Left side - Right side - COMMENT \. /J \\.\\\.\\ SYSTEM USE APPROVED YES ) NO i Building Inspector 01/86 and vl PA 1- CAM -793 -75 33 C©/1);Ps .c ‘,(2) z,i`v ER 8 y &nv feVi D zz e ivt Ave_ rvr e/Nu s Fails #— 0 00 7 y 7 9'S', Y 2- C--`L' APR 06 j.� NEW 1000 Ohs CoivCrE f Ser-i c, SA�