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1990-329 •• -- r•-• - • " . • ; CERTIFICATE OF COMPLIANCE - t..,•,1 TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date June 5 19 90 3a This„is to certify that work requested to be done as shown by Permit No. 90-20 has been completed. This structure may be'occupied as a Sewage Alteration Groom° sss Trailer Park - Pinello Road - #4 Location Owner Art Almy • By Order Town Board • TOWN OF QUEENSBURY • • , • Director of Bldg. & Code Enforcement •: BUILDING PERMIT t >4 TOWN OF QUEENSBURY 90 cl No. „ WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Art Al my .A OWNER of property located at Groom's Trailer Park - Pi nel l o 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 Queensbury Building and Zoning Ordinance. r 1. OWNER'S Address is ..< I. r. Same 2. CONTRACTOR or BUILDER'S Name 3. CONTRACTOR or BUILDER'S Address G7 O 4. ARCHITECT'S Name —i m 5. ARCHITECT'S Address 'O 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. Existing 1000 gal tank with 1 8' x 8' seepage pit +2 t/) 8. Proposed Use Sewage Alteration I- r $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 31 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 31st Day of May 19 go SIGNED BY for the Town of Queensbury Building and Zoning Ynspector ita '&2 TOWN OF • E: NSBURY � � APPLICATION FOR SEP , D POSAL PERMIT - ;+�35�!N CIF Q(J E JS!URY RECEIVED LOCATION OF PROPERTY FOR INSTALLATION MAY 2 9 1990 Owner's Name: 4 ifri Address: 77771/'o/ . 67' rt74 I' a Installer' s Name: Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Topography: Circle one: GINO Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Ground Water: At what depth? 1 c?'® Feet Bedrock or Impervious Material : At what depth? Feet Percolation test: Circle one: not required required Rate - Min. Per Inch Domestic water supply: Circle one: ‘TI-1;3) Other If domestic water supply is a. well : Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank / 0 gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench feet/Totals0ystem length feet SEEPAGE PIT(S): Number of / /Size each Irlfeet by <rfeet Size of stone to be used #.: /Depth or Thickness . feet ***************************** 4r/.. - G II= � HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alarm system and associated electrical work to be inspected by an approved agency. 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: C ' w• DATE: J� g 6 - G • I 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 co 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 drywalls B. Nu 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 co $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure co produce said plot plan at time of inspection say result in an immediate work stoppage. • D. Should unforeseen problems during construction prevent proper installa— tion, alteration or repair of an approved system, anew proposal must bu submitted co the Queensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 • • k,Irn rks: :, by cc� / awn 01 Queen Jur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTI DISPOSA SYSTEM INS"ECTION NAMEai(ay-- /l LOCAT I O / ' AILU /: ( DATE ( /i-/ qO PERMIT NO. Q-,3( � SOIL TYPE Altt - Loam - C :y - Percolation ' est Required? YES -0) Percolation .ate - Min/Inch TYPE of SYST 1: Absorption fie d, total 1-, gth Length of each trench Depth of trenc es ' Size of gravel SEEPAGE PITS{N .er of) Size- ft. X ft. Gravel size PIPING: .ize Type Bldg. to tank IS b)(16 1/,fj/L_ Tank to dist. box Dist. box to field PVC Openings sealed? ' S NO Partial LOCATION/SEPARATION'. ,,�� Foundation to tank TKO ' Foundation to absor. .ion _ ft. Absorption to lot in- ft ©) Separation of pits ft. LO ION OF SYSTEM ON \PROPERTY(circle one) ront - Rear - Left side - Right side - C ENTS: 1 t 0 . \ . . SYSTEM USE A"•ROVED Es- Build ng /Inspect r 01/86 and vl (7y #eipo e ) 1aaa./ 1/27 --11rtno, -ems, 066t 6 ZXVIM Niti‘01. 0 jj I I ------------ 1 11