2011-248 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110248 Date Issued: Wednesday, July 13, 2011
This is to certify that work requested to be done as shown by Permit Number, . P'20110248
has been completed.
Tax Map Number: 523400-302-019-0001-014-000-0000
Location: 6 ANTES Pl
Owner: JUDITH & DANIEL CARPENTER
Applicant: JUDITH &DANIEL CARPENTER
This structure.may be occupied as a:
Septic Alteration Residential
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, ° h
Variance,or other issues and conditions as a result of approvals by the Director of Building&,Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110248 Application Number: A20110248
Tax Map No: 523400-302-019-0001-014-000-0000
Permission is hereby granted to: JUDITH&DANIEL CARPENTER
For property located at: 6 AMES PI
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed.
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: JUDITH&DANIEL CARPENTER Septic Alteration Residential
6 AMES PI QUEENSBURY,NY 12804 Total Value
Contractor or.Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-248
septic alteration residential
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 31,2012
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T n o ueen ryX , ay 31,2011
r
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
F
;m- Community Development Office MAY
2 7 2011
Town of Queensbury • 742 Bay Road • Queensbury, New York •12 4
T
Office Use OnIV BUILDIN%G& COpBURY
TAX MP PERMIT NO. PERMIT FEE _
APPROVALS: ZONING TOWN CLE F_ P
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMI UST BE OBTAINED
BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW B FORE ISSUANCE OF A VALID
PERMIT.
OWNERV'Q i TAI,I-PAN4_L INSTALLER: -Ab
ADDRESS4 A"MQS Lf rc-k ADDRESS:-f_C.) �x'_ la-Y
PHONE NOS.?9?--y PHONE NOS.
LOCATION OF INSTALLATION:
RESIDENCE INFORMATION:
YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW
BEDROOMS Gallons per bedroom GARBAGE GRINPgR
1980 or older X 150 = ® INSTALLED?NP 0
1981 -1991 X 130 = SPA OR HOT TUB pc,
1992-present X 110 = INSTALLED?
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLI STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND LOAM _ CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH?
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL__ WELL__(If well:water supply from any septic system absorption is: ft)
✓ PERCOLATION TEST: RATE IS " 3__PER MIINUTE PER INCH[mpi] (Test to be completed by a licensed professional
engineer or architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or
architect(unless installed in a Planning Board approved subdivision).
TANK SIZE: ______GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder,
spa or whirlpool tub.
SYSTEM TYPE:
❑ABSORPTION FIELD(WITH NO. 2 STONE) Total length ---ft. Each trench___ X
❑SEEPAGE PIT(S) (WITH NO. 3 STONE) How many?____ _ Size?_
AALTERNATIVE SYSTE Bed r other type? 2 O, y- Z'r P - _-
❑ HOLDING TANK SYSTEM Total required capacity? ___Tank size? Number of tanks?
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL
INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval
granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant,shall be void.
I have read the regulations with respect to this application and agree to
aPnSewa
these requirements of the Town of ueensbury QUESTIONS? CALL 761-8256 OR EMAIL
Di p al Orance. codes(ftueensburv.net
21-71 77
Sre of Pers9 Responsible Date VISIT OUR WEBSITE FOR MORE INFORMATION
www.ciueensbury.net
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EUILDINGA-CODES
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TOWN OF QUEENSBURY
BUILDING-DEPAR-T-MENT
Based on our limited exa� ,nation,comp iance
yvittrourcomments-'shall not-be-eonstr ed-as TO-W- -O — - -� -
indicating Ithe Mans%andspedifications:are in , I , I I
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Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/nm Depart: am/pm
742 Bay Rd., Quee ury, NY 12gO4 Inspector's Initials:
NAME: h PE4 NO.:
LOCATION: INSPECT ON: —
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam Clay
Type of Water: Municipal Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50'+/- Y N N/A
150'to well required if NO
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x U
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field/ Pit
Opening Sealed: _Y N
End Cap N
Inlet/Outlet Pipes&Baffles Y N
Manholes 12"or less below grade _Y_ N
[provide extension collar if Yesl N
Location Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits L ft.
Conforms as per Plot Plan N
Engineer Report and As-Built Y N
ETU Maintenance Contract Y_N
provided
Location of System on Property:
Front R r Left Side Right Side Middle Front Middle Rear
5stem Use Stat :Use Stat
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
L:\Pam Wh11Jng\2010\Bu11ding Codes Forms\Inspection Forms\Septic Inspecdon Report-03 2910.doc
J 73 Sheridan Street, Glens Falls, NY 12801
Phone-5 l 8-796-25 i 5
June 2, 2011 ,
Project# 143
Dave Hatin
Code Enforcement Officer
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Re: Carpenter—Replacement Septic System
Dear Dave:
This letter is to inform you that we inspected the completed replacement septic system for the
Carpenter Residence located at 6Ames Place in the Town of Queensbury on May 31, 2011.
The replacement septic system as installed was for a four bedroom home and consisted of the
existing septic tank, new distribution box and 20 ft wide by 25 ft long absorption bed constructed
with pipe & stone and 4 — 20 ft long laterals. The system conforms to the requirements of the
approved replacement septic system design.
Please call me if you have any questions.
Sincerely,
Thomas R. Center, PE
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: 9 am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: t
- e
NAME: �� ►°— PE K NO.:
LOCATION: INSPECT ON: —
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam/Clay
Type of Water: unici al Well Water
Waterlin a aration distance ft.
We paration distance ft.
Other wells: ft.
Well Casin ,LeAgth 50' +/- N N/A
150'to well kquired if NO
Absorption Field: Total length ft.
Len th of 4ch trench ft.
Depth o trenches ft.
Size V Stone
Seepige Pits: mber
Size: xL
Stone Vzei
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field Pit
Opening Sealed: j N
End Ca Y N
Inlet/Outlet Pipes&'Bafflefi Y N
Manholes 12".or less below gra a _Y N
[provide extension collar if Y Y N
Location SeparaVons
Foundation,to/tank
Foundation to ab4QtPUon ft.
Se aration of Pits ftN�'
Conforms as r Plot Plan Y
Engineer Report and As-Built _Y N
ETU Maintenance Contract Y_N
provided
Location of System on Property:
ak/
r Left Side Right Side Middle Front Middle Rear
S stem proved
rtial Approved and needs to be re-inspected, please call the Building&Codes Office
approved
L:\Pam Whiti \Building Codes Forms\Inspection Fomns\Septic Inon Report-03 2910.doc
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: �m/prn
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT NO.: .� t— 2-
LOCATION: -1,4i. INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam/Clay
Type of Water: Municipal Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' +/- Y N N/A
150'to well required if NO
Absorption Field: Total length ft.
Length of each trench '' ft.
De th of trenches ft.
Size of Stone
Seepage Pits: Number
Size:
Stone Size:
Piping Size T
Building to tank
Tank to Distribution Box `
Distribution Box to Field/ Pit
Opening Sealed: Y N
End Ca —VY N "Z
InIeV ut eePipes&'Bales VA N
Manholes 12 or less below grade N
[provide extension collar if Yes
Location Separations
Foundation to tank ft. Lz � �
Foundation to absorption
Separation of Pits ft.
Conforms as per Plot Plan Y
Engineer Report and As-Built Y
ETU Maintenance Contract _Y_N
provided -
Location of System on Property:
Front Rear Left S' Right Side Middle Front Middle Rear
stem Use S s:
A roved
artial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
L:\Pam Whiting\2010\13ullding Codes Forms\Inspection Forms\SepUc Inspecdon ReporLO3 2910.doc
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CENTER PROJECT SERVICES��
73 Sheridan Street, Glens Falls,NY 12801
Phone-518-796-2515 E
D
roject
Dave Hatin ��V / o
Code Enforcement Officer
11
Town of Queensbury T
742 Bay Road �I�II-DIN A 0��€� Y
Queensbury,NY 12804
Re: 6 Ames Place—Replacement Septic System
Dear Dave:
On May 25, 2011, I performed a deep soil test pit and percolation test at the Carpenter residence
located at 6 Ames Place in Queensbury. The test was performed to the west of the existing
residence in the location where construction of a new leach field is proposed. The residence has
an existing failed septic system which will be decommissioned upon completion and certification
of the replacement system.
The results of the testing are as follows:
Deep Soil Test Pit
0—7" Topsoil
7—20" Loamy Medium Coarse Sand
20—78"Medium Coarse Sand
No mottling or groundwater observed.
Percolation Test
Stabilization percolation rate- 1"in 1 minute, 03 seconds
The hole was presoaked and the test was run 9 times until it stabilized with three consecutive
runs of 1:00, 1:00 and 1:03 respectively.
The design flow for this 4 bedroom residence at 110 gpd per bedroom requires 463 sf of
absorptive area. The new replacement absorption system should consist of the existing 1,000
gallon septic tank located west of the residence, a new distribution box, a 20 foot wide by 25 feet
long absorption bed(500 sf) with 4—20 foot long laterals located to the west of the residence.
See the typical detail sheet attached for installation details.
Please call me if you have any questions.
Sincerely,
xz�
Thomas R. Center, PE
INSTALLATION OF DISPOSAL FIELDS
I. CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING, 6. ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL
CONCRETE OR STORE AND SHALL BE IN ACCORDANCE WITH THE N.Y.S. AND TO DIVERT SURFACE RUNOFF FROM ADJACENT AREAS AWAY
!`APPROAMATE MAAKGRADE MER MI ALL DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS, AND FROM THE DISPOSAL FIELD.
/ FINI� ` MMU� CO UGATED7TUBINGALLATION E IN PTIC TANK LEACH FIELDS. AND
OF THERMOPLASTIC PIPE
� m S R 7. REMOVE LEAVES,ROOTS,PLANTS AND ORGANIC DEBRIS.PLOW SURFACE PRIOR
2, NO HEAVY EQUIPMENT SHALL BE ALLOWED WITHIN THE LIMITS TO SPREADING FILL MATERIAL
INLET SAATLE 1Y MIN.COVER OVER OF THE DISPOSAL FIELDS AFTER PIPE INSTALLATION HAS BEGUN. B. DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION FIELD AREA.
ALL siNUCIURES
B//tt NSTRIBURON BOX 3. AFTER EXCAVATION OF ABSORPTION BED TO THE DEPTHS REQUIRED, 9. PLACE FILL AND ALLOW TO STABILIZE IN ACCORDANCE WITH NEW YORK STATE
EQUAL MILLER OR THE WALLS AND FLOOR OFABSORP DON BED SHOULD BE CLEANED DEPARTMENT OF HEALTH STANDARDS.
AND RAKED TO ACHIEVE AN EVEN SURFACE AND TO LOOSEN
MIN.SLOPE t/4'PER FOOT O O SMEARED SECTIONS OF TRENCH.
MIN.SLOPE
A PER FOOT . 4. PLACEMENT OF CRUSHED STONE.PERFORATED PIPE AND UNTREATED BUILDING
ALL OUTLET IN\£RTS
EXISTING SEPTIC TANK PAPER OR STRAW SHALL BE AS SHOWN, AND CARE SHALL BE
`.EL&% T SAME EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND
DISTRIBUTION BOX (USE OF SPEED LEVELERS OTHER WASTE MATERIAL IN THE STONE AND PIPE,
au ENCOURAGm) 5. THE PIPE SHOULD BE LAID AT THE GRADES AND TO THE
RELATIONSHIPS SHOWN ON THIS DRAWNG,MAINTAINING STRAIGHT
CONTINUOUS GRADES WITHOUT SAGS,HUMPS,SEPARATED JOINTS
OR OTHER UNSUITABLE CONDITIONS. THE PIPE SHALL BE LAID
WITH THE HOLES DOWN IN ALL CASES.
e$kr�
EXISTING SEPTIC TANK n/7 2
N.T.S. V I.S D
MAY 2 7 2011
12'MAX
TOWN OF QUEENSBURY
BUILDING&CODES s'MIN.
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6'MIN. INTERCONNECT ENDS
_ BOTTOM OF BED 4"PERFORATED PVC OF LATERALS
i LATERAL,LAID LEVEL
a
STANDARD ABSORPTION BED PROFILE
N.T.S
SWALE AT UPHILL SIDE
cARAcx HOUSE OF BED TO DRAIN RUNOFF
AWAY FROM BED �' SLOPED TO DRAIN
SEPTIC TANK AT LEAST
eo•MOM V AND la j,w�' } EARTH
FROM xasEirROP.LINE m'_y'FROM BA.rEMENT WAIL 6"TO 12"BACKFILL FILL
TIGHT JOINT UCH t♦' PVC PIPE
ON SLOPE of t/B'/ gE w'TE 3 I FILTER FABRIC
TILE
Fl �D OR GEOTEXTILE
gsTweuncN Bo% p�EEttf�,/}? 2"MIN. 4"PLFA %tTED
(SEE NOTE 4)
TW MIN PROW
6'MIN. 3/4'TO 1 1/2'
SEE xotE 6 1C�MNOTE 6 o CRUSHED STONE
2'-8"~ 5•_O• 2 V MW.2-1-
SEWAGE DISPOSAL LA
YOUT T' GRO NO UZER —
NOTES: ELEVATION -
t. TIE FIELD To BE 100'OR MORE FROM ANY
LANE,M FRP.OM
DITCH OR ER LINE
AND 1U STANDARD ABSORPTION BED SECTION
OR 40RE fROM ANY WATER LJNE UNDER PRESSURE OR IN-GROUND POOL STANDARD
2 FOR SEWAGE PIPE BETWEEN HOUSE AND DISMSUIION BO%
USE DUCTILE OR CAST IRON PIPE.OR SCHEDULE 40
PAC WRH CEMENTED NRNTS.
1 DISCHARGE FOOTING.ROOF AND CF11AR DRAINAGE
AWAY FROM SEWERAGE STELA SEPTIC SYSTEM
♦. DISPOSAL FIELD SHALL BE CONSTRUCTED PARALLEL CENTER PROJECT CARPENTER RESIDENCE DETAILS
RAISED
CONTOUR LINES.xLINES. SERVICES 6 AMES PLACE
S. FOR Dt RAISED ADSORPnCN TRELICN SYSTEMS HORIZONTAL SEPMAnDI
DISTANCES SHALL BE MEASURED FROM THE EDGE OF THE AU_ 73 SHERIDAN STREET QUEENSBUR.Y,NY
GLENS FALLS,NY JOB/142 SCAM:NOT TO SCAU DATE:06/25/11