2010-009 ��` TOWN OFQ UEENSBURY
Fora742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100009 Date Issued: Monday, April 26, 2010
This is to certify that work requested to be done as shown by Permit Number P20100009
has been completed.
Tax Map Number. 523400-266-001-0002-018-000-0000
Location: 268 PICKLE HILL Rd
Owner. DONALD & BARBARA MANAHER
Applicant: DONALD & BARBARA MANAHER
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 4
property owner of the responsibility for compliance with Site Plan, +
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
Fors 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100009 Application Number: A20100009
Tax Map No: 523400-266-001-0002-018-000-0000
Permission is hereby granted to: DONALD & BARBARA MANAHER
For property located at: 268 PICKLE HILL Rd
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 Queens bury Zoning
Ordinance. Type of Construction Value
Owner Address: DONALD & BARBARA MANAHER
268 PICKLE HILL Rd Septic Alteration Residential
QUEENSBURY, NY 12804 Total Value
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2010-009
septic alteration residential
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,January 12, 2011
(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 Town of Queensbury; Tuesday,January 12, 2010
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
For an EPA homeowner's guide: htto://www.eoa.gov/nodes/pubs/homeowner guide lona customize.odf
OFFICE USE ONLY f
2&4. /-2___I
TAX MAP NO. L PERMIT NO. /lam' tel/(: PERMIT FEE 2S
APPROVALS: ZONING TOWN CLERK
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT. / ,4� A
OWNER: `//% _,, �j/!i//�i Aid Alfiir
/�
r! INSTALLER: 6//��4i21Z4 7i`/F.
ADDRESS: �� _2Q' ADDRESS: i !, £ ,, a — , ' //Ai
PHONE NOS. —792" Wig
`` PHONE NOS. �9g",S—S{�Z
LOCATION OF INSTALLATION: Z# / 5 4//14 2
RESIDENCE
YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW INFORMATION:
BEDROOMS
1980 or older X 150 gallon per bedroom = 0 GARBAGE GRINDER
INSTALLED? /t/t2
1981 -1991 1 3 I X 130 gallon per bedroom = 39 0
1992-present X 110 gallon per bedroom = 0 SPA OR HOT TUB
INSTALLED? vVv
PARCEL INFORMATION: K
✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE SLOPE
✓ SOIL NATURE: SAND LOAM X CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?
✓ DOMESTIC WATER SUPLYV
MUNICIPAL WELL (If well:water supply from any septic system absorption is:140 ft)
✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH(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).
FX/5774/6
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 3 ft. Each trench $ X (0/
❑SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size?
El ALTERNATIVE SYSTEM Bed or other type?
❑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 wad the regulations with respect to this application and agree QUESTIONS? CALL 761-8256 OR EMAIL
to abideby these and all wquirements of the Town of Queensbury codes(c ciueensburv.net
Sanithry Sew ge DSpos (`Ordinance.
I 1 VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
kl 1
1 2 7c� '0
nature
'SI o Person Responsible
r g ate
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
Septic Inspection Report
Office No. (518) 761-8256 Date Inspecti ue,,st recei ed:
Queensbury Building &Code Enforcement Arrive: , m/p •epart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspect OSs ItSitials:
NAME: [ cAAer- .� PERMIT NO.: <
_M
LOCATION: �i . //i1` INSPECT ON: TOM
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam / Clay
Type of Water: Municipal/ Well Water j, �`; ��ee J ol-Y
Waterline separation distance
Well separation distance ft.
Other wells: ft. re C e/ il -
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
Stone Size:
Piping Size Type
Building to tank
_ Tank to Distribution Box
Distribution Box to Field / Pit
Opening Sealed: Y_ N
End Cap _Y N
Inlet/Outlet Pipes&Baffles Y N
Manholes 12"or less below grade _Y N
[provide extension collar if Yes] _Y N
Location / Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Engineer Report and As-Built 1 Y— N
ETU Maintenance Contract _Y N
provided
Location of System or Property:
Front r ear Left Side Right Side Middle Front Middle Rear
system Use Sta us:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report 03 29 10.doc
169 Haviland Road
• Queensbury, NY 12804
Hutchins Engineering Phone: (518)745-0307
Fax: (518) 745-0308
April 19, 2010
Town of Queensbury Buildings Department
742 Bay Road
Queensbury, NY 12804
Reference: Manaher Residence— 268 Pickle Hill Road
Septic System Replacement
Gentlemen:
For the referenced property, attached please find a record drawing of the recently
completed septic system installation.
I have inspected the installation at this residence and in my opinion it is installed in
general conformance with this record drawing.
Should you have any questions, please contact me.
Regards,
6V+�
G. Thomas Hutchins, P.E.
Cc.
Donald Manaher
G.Thomas Hutchins,P.E.
,-,,t, ff- a /,4 ,666_,._
______.
Septic Inspection Report
Office No. (518) 761-8256 Date Inspecti• request received: I /1 ?I/C
Queensbury Building &Code Enforcement Arrive: t amAp �D part: am/pm
742 Bay Rd., Q ensbury, NY 12804 Inspect.r's I!itials:
NAME: AC/69/'/l�i�I/6Xe - PERMIT NO.: `20/G
Kik LOCATION: il�/,,// 4, INSPECT ON: /5/6
RECHECK:
1 Comments and/or diagram
Soil Type: Sand/ Lia 1 .y
Type of Water: Municipal/ -II Wat,r ,�
Waterline separatio distan - ,�� _ft.
Well separation .' to• e ft.
Other wells: ft.
Well Casing Length 50' + / - Y N N/A
Absorption Field: Total length •'51—' ft.
Length of each trench --- -..-1-3---ft.
Depth oftrenches _ ft.
Sizeze of Stone 7/
Seepage Pits: Number
Size: x
Stone Size:
Piping 5ize Type
Building to tank >U*f ,}C�'
Tank to Distribution Box '` Coq .0
Distribution Box to Field / Pit / R %,tOpening Sealed: F _N
End Cap N
Inlet/Outlet Pipes&Baffles Y_ N 1/ Q' _ k' r , t 'I
Location/ Separations C '� r , 6 � \ l� (�
Foundation to tank _ ft.
Foundation to absorption ft.
Separation of Pits 1 ft.
Conforms as per Plot Plan J Y � � C___� \i°Engineer Report and As-Built Y N v I
Location of System on Property:
F' t Rear Left Side Right Side Middle Front Middle Rear
System Use Status:
roved
,'•/Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
PICKLE HILL ROAD
S 65- - 13' t L//.LS
WASTEWATER PLA
SCALE: 1 "=20'
TYPICALRE
REQUIRED EACH 60' TRENCHTION
(5) R LONG
4" MINIMUM TOPSOIL ON 95 $ TYP TO EDGE
ENTIRE FILL AREA, SEED OF BASAL AREA
AND ESTABLISH TURF 6' TO TOP 20' MIN.
TAPER DOWNHILL TAPER
6, 2' TYP
TYP• TRENCH TRENCH WIDTH SLOPE
20' MIN. TAPER SPACING MA,
2.5' TYP TO EDGE s -l1
OF B
ASAL
AREA
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TOG
RAD
ENSTI
TAPER AREA T --
j_MAXIMUM
......... _
L : i - { ._`: , i. TERIAL, SLOPE 1: 3. SYSTEM AROUND
_I _._ GRANULAR FILL MA MATERIAL ALL
REMOVE EXISTING ORGANICS, MECHANICALLY STABILIZED,
PERCOLATION I NPR TE
EXISTING ABSORPTION FIELD C TIpN
LACE
COMPOSOILSSANDAND
BACKFILLSILTY,
WTH TION FIELD SE
CLAYEY ABSORP
SCALE: 1 -4
12" MAX.
2" MIN.
4" MIN TOPSOIL OVER THE
ENTIRE ABSORP
SEED &
TION FI
FTURF
BACKFILL FREE OF
STONES OVER 3"�
FILTER FABRIC
MIRAFIE 40N
OR
2" MIN.
OVERFILL
ETTLEMEN
RSALLOW
Ivo 3/4„ TO 1-1/2„
CRUSHED STONE
AgSpRPTION TRENCH SECTION
NTS
SLOPE
4to MIN TOPSOIL OVER THE
ENTIRE ABSORPTION FIELD;
SEED AND ESTABLISH TURF
-FILTER FABRIC
MIRAFI 140N OR EQUIVALENT
4" PERFORATED PVC LATERAL,
PER SLOPE 1/16' /
END
4" To 1 1/2" N TRENCH PROFILE
CRUSHED STONE AgSORPTIO �ry \�v{
r F KV of
NTS
'`� E p1
� R0JSI1 R
P ��TIMES �� pF
A ®uR�-IIpN
,IRE RUG110%
Go wA
of QUENSBURY tan a
DSPARTMENcomp�
100- IN� urination,
on our Nrrated exa a t'nosno des of
,Based is shall not�c
wid10U1 c theplans ands wilding
{u11�kIng ante Wtth the
New York State.
J
A
6" MIN.
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,
425
LOCATION
MA
SITE LOCATION
NTS
SYSTEM DESIGN
WAS .,
=WATER CRITERIA
NYSDOH RAISED" CR
3 BEDROOM RESIDENCE
EXISTING WATER FIXTURES0O/BEDROOM
DESIGN FLOW _ 390 GPD
SYSTEM DESIGN FLOW -
SEPTIC TANK - EXISTING 10000 GAL PTR TRENCHES CONCRETEMIN IN
S RAISED ABSO
LEACH FIELD -
DESIGN PERCOLATION RATE IN SF L MATERIAL= 16-2
APPLICATION RATE= 0.7 GPD/
2' WIDE TRENCH LENGTH REQUIRED 279 LF
USE 5 TRENCHES AT 60' LONG (300 LF)
BASAL AREA = 1950 SF
BASAL AREA RE 6' (A7 6'PSPACING 75 SF
WITH (5) 60 TRE _ 35'x65' = 22
ACTUAL BASAL AREA PROVIDED -
POTABLE WATER SUPPLY RTOMBE ON-SITEPTIC WELL
MIN. WELL SEPARATION
MIN. WELL SEPARATION FROM LEACH FIELD=100
LL MATERIAL NOTES
I SANDY LOAM WITH IN-PLACE PERCOLATION
F INSTALLED TO ESTABLISHSTEM
"SYSTEM FILL" MATERIAL SHALL BE SAND OR TO REMOVE EXISTING
-10 MIN/INCH" To EXCEM AVATION ILL T REQUIREDgLL BE
RATE OF 3 DUE TO EX
GRADES AS NEEDED
COMPONENTS AND ASSOCIATED SOILS. BE INSTALLED THROUGHOUT
SEPARATION BE EXISTING GRADE AND BOTTOM OF
PROVIDE MINIMUM OF TWO FEET OF
ABSORPTION TRENCHES. ONLY USABLE FILL MATERIAL SHALL
TO
THE BASAL AREA AND TAPER AREAS.
FILL LOF TRENCHES. MECHANICALLY STABILIZED WITH TRACKED EQUIPMENT PRIOR
INSTALLATIONIS TO 13E
PROP SOURCE OF USABLE FILL MATERIAL PRIOR TO
INSTALLERTo
NOTIFYE.ENGINEER OF P SE SEWER PIPE MAY BE NATIVE
TRANSPORTING
REQUIRED TO PROVIDE COVER ICH IS NOT NECESSARILYC TANK I AND SYSTEMFILL.
FILL RE
MATERIAL OR OTHER MATERIAL WH NOTES
INSTALLATION N
THE
SYSTEMSYSTEMS AND ASTM LEACH
THIS DRAWING AND IN ACCORDANCE WITH
SHOWN ON HOUSEHOLD
CONSTRUCTION SHALL �F HEALTH INDIVIDUAL TUB'
IN SEPTIC TANK
DEPARTMENT CORRUGATED TUB
N.Y.S. THERMOPLASTIC PIPE AND
INSTALLATION OF
FIELDS. THE WALLS AND FLOOR
TION OF 2' WIDE TRENCH TO THE DEPTHS REQUIRED,
VA AND RAKED IN ORDER TO LOOSEN SMEARED SECTIONS
AFTER EXCAVATION
OF EACH TRENCH SHALL BE CLEANED FILTER FABRIC SHALL BE AS
OF TRENCH.
CRUSHED STONE, PERFORATED PIPE AND
ND
PLACEMENT OF EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS A
SHOWN, AND CARE SHALL BE EXE MAINTAINING STRAIGHT CONTINUOUS
THE PIPE SHOULD BE LAI STONE AND PI
WASTE MATERIAL IN THE GRADES INDICATED, MA R BLE CONDITIONS.
THE SEPARATED JOINTS, OR OTHE
H MPS,
GRADES WITHOUT SAGS,
PIPE SHALL BE LAID WITH HOLES DOWN IN ALL CASES. UNSUITABLE
DED TO SHED RAINFALL AND DIVERT SURFACE RUNOFF
ALL DISPOMg7HEEDIDSPOSALSHALL
FIELD GRA AREA AFTER PIPING HAS BEEN
AWAY FROM
NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION SIGNED TO
DO N
INSTALLED. AND IS NOT DE
IS DESIGNED FOR WATER CONSERVING FIXTURES
SYSTEM OR EXTREME ORGANIC LOADING DEVICES SUCH A
THIS ODAWATER USE
ACCOMODATE EXTREME
JACUZZI TYPE SPAS OR GARBAGE GRINDERS.
ST BE EXCLUDED FROM
SURFACE WATER DRAINAGE MU
E CELLAR AND
RooF�
WAT
BUILDrl � '�
IN Z� lJ 1
Reviewed By .
TAX MAP # 266.1-2-18
"ate: LICENSED PROFESSIONAL
ALTERATION OF THIS DOCUMENT EXCEPT BY A
ENGINEER IS A VIOLATION OF NYS EDUCATION LAW•
M R
:NCE
C
E
E
R
F
E
R
P
A -
0
ORMATION TAK:N FROM:
BDIVISION
"MAP OF PHASE
BOUNDARY INF ONE GRANT ACRES A SU
MADE FOR EDWARD GRANT," SURVEYORS,
" GLENS
DATED DECEMBER 29,
BY: JOHN B. VAN DUSEN LAVD
FALLS, NY.
D MAP FOR ORIGINAL SOILS TEST
SEE REFERENCE
PIT DATA. _
ISSUED FOR APPROVAL Date
0 Revisions
No •TER SYSTEM DESIGN
REPLACEMENT WASTEWATER
prepared for
Donald &
Barbara Manaher
Road R
Hill oa
H
i
" le
6
8
pickle I
z
Warren County, New York
Town of Queensbury, Warr
Date: 12/28/09
Scale: NOTED
Checked: STH Road
Drawn: LWD een bury, nd 12804 29436-01
Queensbury, NY
(518) 745-0307 Phone
Hutchins Engineering (518) 745-0308 Fax