2010-549 TOWN OFQ UEENSBURY
vcs742 Bay Road Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100549 Date Issued: Wednesday, November 24, 2010
This is to certify that work requested to be done as shown by Permit Number P20100549
has been completed.
Tax Map Number 523400-301-006-0002-075-000-0000
Location: 7 WESTLAND Ave
Owner. ERIC & LAURIE ANDERSON
Applicant ERIC & LAURIE ANDERSON
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 (ajf'
property owner of the responsibility for compliance with Site Plan, / .01
Variance, or other issues and conditions as a result of approvals by the Director of Building&Co.a Enfo` rent
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
sto 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100549 Application Number: A20100549
Tax Map No: 523400-301-006-0002-075-000-0000
Permission is hereby granted to: ERIC &LAURIE ANDERSON
For property located at: 7 WESTLAND Ave
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: ERIC &LAURIE ANDERSON Septic Alteration Residential
7 WESTLAND Ave
Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-549
SEPTIC ALTERATION RESIDENTIAL
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,November 18,2011
(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 of ensb�y; , ovember 18,2010
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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Community Development Office , t
:, Town of Queensbury • 742 Bay Road • Queensbury, New York •1 P80 'd"d� � [)�r
_ f8UftD NG & CODES
Office Use Qnly. .�.. �w 4
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TAX MAP NO. PERMI NO. PERMIT FEE, %--
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APPROVALS: ZONING TOWN CLERK__ _ J
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINEC
BEFORE,OR_kz. I C_BEGINg. APICATION IS SUBJECT TO REVIEW FORE ISSUAN OF A VALI PERMIT.
s
OWNER: =Li N__ .2RcP3 INSTALLER ,/ r
ADDRESS:--1 Mss LA Al il-4? ADDRESS: f v -2O Z 2-Y6
PHONE NOS. 7?3-----3 0 3 PHONE NOS. 7% — 0P.5-0
LOCATION OF INSTALLATION: 7 L".P_sf j
NO.OF COMPUTATION RESIDENCE INFORMATION:
YEAR BUILT BEDROOMS X (Gallons per bedroom) = TOTAL DAILY FLOW
GARBAGE GRINpFb
1980 or older 3 X 150 = „j0 INSTALLED? `�
1981 -1991 X 130 = SPA OR HOT TUB t s,-1
1992-present X 110 = INSTALLED? r,
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT RC)/..14143" 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 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:t 0 0° 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?
ALTERNATIVE SYSTEM da.r other type? 1/0 •0i— 2.S
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.
I have read le regulations with respect to this application and agree to
-.ide by th an, -II requ,,- ents of the Town of Queen bury QUESTIONS? CALL 761-8256 OR EMAIL
S.nitary Set.ge I 'Os. I f.finance. l 7 codesC�?queensburv.net
,/ �� -- VISIT OUR WEBSITE FOR MORE INFORMATION
u.nature • Pe son Responsible D to
www.queensbury.net
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request re Z -.: — -
Queensbury Building&Code Enforcement Arrive: am '.0 j +
742 Bay Rd., Queensbury, NY 12804 Ins s Initia
NAME: j�ti,�t _ ��it • KNIT NO.: kL
LOCATION: 7 ti> L)TL-A- ON: I
RECHECK:
Comments and/or diagram
Soil Type:61 7•_ •• /Clay
Type of Wate `Munid..l ell Water
Wa' _ - .. •tion distance _ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50'+/- Y N N/A
[150'to well required if NO]
A
Absorption Field: Total length ft. 4,1
Length of each trench ft.
Depth of trenches '`r� ft.
Size of Stone
Seepage Pits: Number -- ._
Size:
Stone Size: 2--
177
Piping
Building to tank a ^ /
Tank to Distribution Box 6'1'' 1'7)
Distribution Box to Field/ Pit `' Yj 4 .
Opening Sealed: Y N
End Cap _N
Inlet/Outlet Pipes&Baffles N
Manholes 12"or less below grade N
[provide extension collar if Yes] Y—N
Location/Separations
Foundation to tank 1c' ft. C;,-0
Foundation to absorption IA t 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 Rear Right Side Middle Front (Middle Rear-.
System Use Stiltus:
V Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
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CENTER PROJECT
SERVICES
73 Sheridan Street, Glens Falls, NY 12801
Phone-518-796-2515
November 17, 2010
Project# 132
Dan Drellosr
97
Saniatry Sewer Services • -
Luzern Road `
1J
Queensbury,NY 12804 �I Nov _ �U
Re: Proposed Replacement Septic �`-' `` ' `" ' e° L`°` '-
BUIL!DING a GC )ES
Eric Anderson Residence
Dear Dan:
At your request we have reviewed your proposed replacement septic system design at the site of
the existing 3 bedroom house of Eric Anderson at 7 Westland Avenue 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 450 GPD and a percolation rate of
1 to 5 minutes, you will need 475 square feet of absorptive area. We recommend using a 20 ft
wide by 25 ft long absorption bed with 4 — 20 foot long laterals, which will provide 500 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,
Thomas R. Center Jr, P.E.
Cc w/encl.: Dan Drellos