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2010-574 .#111" TOWN OFQ UEENSBURY Iwo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20100574 Date Issued: Wednesday, December 15, 2010 This is to certify that work requested to be done as shown by Permit Number P20100574 has been completed. Tax Map Number. 523400-315-006-0001-034-000-0000 Location: 4 FOUNDERS Way Owner. EILEEN SPINELLI Applicant EILEEN SPINELLI 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 theme °property owner of the responsibility for compliance with Site Plan, x¶ 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. 4�` TOWN OF QUEENSBURY IF4TO 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100574 Application Number. A20100574 Tax Map No: 523400-315-006-0001-034-000-0000 Permission is hereby granted to: EILEEN SPINELLI For property located at: 4 FOUNDERS Way 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: EILEEN SPINELLI 4 FOUNDERS Way Septic Alteration Residential QUEENSBURY,NY 12804-0000 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency SANITARY SEWER DAN DRELLOS PO BOX 224 GLENS FALLS NY Plans &Specifications 2010-574 $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,December 14,2011 (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 To Queens , /Tp eday,December 14,2010 SIGNED BY ` for the Town of Queensbury. Director of Building • Code nforcement Community Development Office Town of Queensbury - 742 Bay Road • Queensbury, New York •12804 Office Use Only f--'74, `L' TAX MAP NO._-- PERMIT NO. ( —__-- PERMIT FEE:��� APPROVALS: ZONING__ ____ TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW FORE ISSUANCE F A VALA ERMIT. OWNER:_ELL-e N v( j iv e-LC �� INSTALLER: _ ,rte 2 t; ADDRESS:/___ThUftin e12i Cue T ADDRESS: f S.z_-aa_t_ 2.2 t __T PHONE NOS.2k_L—3'0_9 PHONE NOS. 7 .910- O P s"3 LOCATION OF INSTALLATION: / Fv'^13 P j�f A�/ j RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older X 150 = INSTALLED? ___ 1981 -1991 X 130 = SPA OR HOT TUB NO, 1992-present X 110 = if / O INSTALLED? '"v PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLII�IGSTEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? .1DOMESTIC WATER SUPLY: MUNICIPAL 1V—WELL(If well:water supply from any septic system absorption is: ft) ✓ PERCOLATION TEST: RATE IS____________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: I 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: o ABSORPTION FIELD(WITH NO. 2 STONE) Total length ft. Each trench X o SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? ALTERNATIVE SYSTEMr ed other type? .7D 1 } _33 1. 0 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. •. - read the r.,: lations with respect to this application and agree to a ide i y these a , a equirem;'/ of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL nit. Sewa.��Isis •.al Or,, Ace. /1/ I` ) (Q codesalqueensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION gnature of Person esponsible Date www.queensbury.net 1 : 00 Septic Inspection Report Office No. (518) 761-8256 Date Inspection re9ueet - -•: Queensbury Building &Code Enforcement Arrive: - gym �,� / `•,:.=.rt: i f-t) am 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial,;/,Aw- NAME: 5' / ' // / PERMIT NO.: LOCATION: Air. _P,,► - : Jr . INSPECT ON: - 47D RECHECK: Comments and/or diagram Soil Ty nd oam/Clay Type of Watertz-ZIAmpicW Well Water Waterline separa istance 1- 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 Z ft. Size of Stone Atrz Seeped ts. imber Size: x StgserSize: Piping Size Type Building to tank E X 1 -7r, L f..d 1 4 e_- L L; Tank to Distribution Box i_, '` 5 775-- Distribution j5jDistribution Box to Field/ Pit Lt" 5 Tt..) i E uo Opening Sealed: N End Cap N Inlet/Outlet Pipes&Baffles `N Manholes 12"or less below grade N fpflavideetterisiormilar if-Yes] Y_N Location/ Separations Foundation to tank E y_4571-ft. 6,,QAf Foundation to absorption i ft. Separation of Pits ft. Conforms as per Plot Plan ._Y N Engineer Report and As-Built ^Y—N ETU Maintenance Contract _Y_ N provided Location of System on Property: Front Rea Left Side Right Side --- Middle Front,---/ Middle Rear stem Use S Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forams\Inspection Forms\Septic Inspection Report._03 29 10.doc a , ,.. , i _ (--: tr--p N. 1 k----- :at ------9 --,_ I .... I ‘ 1 i'.....,_ C. .?.) f"..,.. 1 ' ' • n › c '-: r• '' ,2 • 13-9,"-I LAL —__— nerved, or believe I saw evicicnr.e .',4., , TOWN OF QUEE)18)3. 'r.17.eS, Wells, trpes, ferces, Ar i BUILDING & COD ;,,,w if 4 - Reviewed By: ..ii.14 r.ill 41 Date: ____ i.3.,p, I_ 4 — - -- -------- „ . , * it e /C) 7// CENTER PROJECT SERVICES 73 Sheridan Street, Glens Falls, NY 12801 Phone-518-796-2515 December 10, 2010 Project# 134 Dan Drellos Sanitary Sewer Services Luzerne Road Queensbury, NY 12804 Re: Proposed Replacement Septic Eileen Spinelli Residence Dear Dan: At your request we have reviewed your proposed replacement septic system design at the site of the existing 4 bedroom house of Eileen Spinelli at 4 Founders Way in Queensbury. As per our conversation the residence has an existing failed septic system. We have reviewed the proposed replacement septic system design and we agree that a standard absorption bed is acceptable. Based upon a design flow rate of 440 GPD and a percolation rate of 1 to 5 minutes, you will need 463 square feet of absorptive area. We recommend using a 20 ft wide by 30 ft long absorption bed with 4 — 25 foot long laterals, which will provide 600 sf of absorptive area. The absorption bed should be constructed with a new distribution box, 4 inch diameter perforated pipe and stone. Please feel free to contact me at 796-2515 if you have any questions and that you for your assistance with this request. Sincerely, omas R. Center Jr, P.E.