2010-246 TOWN OFQ UEENSBURY
ow742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20100246 Date Issued: Monday, June 07, 2010
This is to certify that work requested to be done as shown by Permit Number P20100246
has been completed.
Tax Map Number. 523400-266-001-0001-052-000-0000
Location: 20 FOX Rd
Owner. DAVID & PENNY KOVACS
Applicant DAVID & PENNY KOVACS
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,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enfor\ment
Planning Board or Zoning Board of Appeals.
ille` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
LT 1
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100246 Application Number. A20100246
Tax Map No: 523400-266-001-0001-052-000-0000
Permission is hereby granted to: DAVID &PENNY KOVACS
For property located at: 20 FOX 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 Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: DAVID &PENNY KOVACS
20 FOX Rd Septic Alteration Residential
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
SMITH EXCAVATING
Plans &Specifications
2010-246
septic alteration residential
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,May 21,2011
(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 own Que b , Dpi'! : •,May 21, 2010
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
2C' . I-- /—57 OFFICE USE ONLY
TAX MAP NO. ERMIT NO. /6)-2%2 PERMIT FEE ` ' '"=` ��
APPROVALS: ZONINGcf/ i IN CE M-A :"%_,V i tt 'I Y
TOWN CLERK tig P I I'
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: L_ .m
- .,a7._.-'
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.
OWNER:DAV
E cO VP c S INSTALLER: ✓a;IM .2. /+ Vffamg
ADDRESS: (90 FOX Add ADDRESS: Wit/1'41n4 ,4o
PHONE NOS. PHONE NOS. 77 0Y 936
LOCATION OF INSTALLATION: 4;12O / )( -
NO.OF RESIDENCE INFORMATION:
YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW
1980 or older X 150 gallon per bedroom = GARBAGE GRINDER
INSTALLED? ?J
1981 -1991 X 130 gallon per bedroom =
1992 present 3 X 110 gallon per bedroom = 33 0
SPA OR HOT ToINSTALLED? N)
PARCEL INFORMATION:
✓ TOPOGRAPHY: Flat rolling " Steep slope %Slope
✓ SOIL NATURE: Sand Loam Clay t/ Other
✓ GROUNDWATER: At what depth?
I
✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth?
✓ DOMESTIC WATER SUPLY: Municipal Well 1✓ (If well: Water supply from any septic
system absorption is ft.)
✓ PERCOLATION TEST: Rate is per minute 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 Ip a Planning Board approved subdivision).
TANK SIZE: MOO GALLON (MIN. SIZE IS 1,000 GAL.) Add 250 gallons to the size of the septic tank for
n each garbage grinder, spa or whirlpool tub.
SYSTEM TYPE: REPilie jI,QEpiact
LN\ABSORPTION FIELD (WITH NO. 2 STONE) Total length J ft. Each trench 0 X d
❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size?
❑ ALTERNATIVE SYSTEM Bed or other type?
❑ HOLDING TANK SYSTEM Total required capacity?
Tank size? Number of tanks?
li NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
11 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.
-41
\\.
Septic Inspection Report
Office No. (518)761-8256 Date Inspectio)equest received:
Z
Queensbury Building &Code Enforcement Arrive: e am/ rp part: am/pm
742 Bay Rd., Queensbu , NY 12804 Inspector's Initials: (d�
NAME: PERMIT NO.: I .
LOCATION: 1(") INSPECT ON: -- 4 -
RECHECK:
Comments and/or diagram
Soil Type: San, / L.. ' •.y
Type of Water: Munidpa r ell Water" �y�
Waterline separ.,ion djstafice /f 7" 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 y ft. r
Length of each trench �O ft.
Depth of trenches /' ft. & L—
Size of Stone
SeepagePits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box 4 �
Distribution Box to Field/ Pit
Opening Sealed: ifr N
End Cap N
Inlet/Outlet Pipes&Baffles —N
Manholes 12"or less below grade Y!N
[provide extension collar if Yes] Y N
Location/ Separations
Foundation to tanks • ft.
Foundation to absorption \' ► 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 Left Side Right Side Middle Front Middle Rear 4t-d16- ' )
System Use Stat
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 Report03 29 10.doc
ErgreMaKtel N N IOCIPIMM /0 -21/6
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-851
October 29, 2009
Project#49305
Dave Kovacs
20 Fox Road
Queensbury.NY 12804
Re: Septic System Inspection—20 Fox Road
Dear Dave:
On Friday. October 2. 2009 and Tuesday. October 13. 2009 we inspected your existing absorption
system at you residence located at 20 fox road. Based on information you provided to us and our
site investigation we have made the following observations:
1. Mr. Kovacs stated that he has had a toilet that has been intermittently running due to
possible sediment in the water system.
2. We observed standing water; which exhibited the characteristics of effluent, along the west
side of the property line near the northwest corner of the absorption system.
3. The distribution box was exposed and appears to be level. Observation of the distribution
box shows some flow back into the box from the upper most absorption lateral.
4. Locations of the absorption laterals were found using a probing rod and it was determined
that three (3) possible four (4) out of five laterals had fence posts which protruded into the
stone lateral.
We recommend the following repairs to the absorption field:
1. The faulty toilet must be repaired immediately and the septic tank pumped out to allow the
absorption field time to recover.
2. The absorption laterals should be exposed along the fence line and a minimum of five ft of
absorption lateral on either side of the fence line should be removed and replaced with new
pipe and stone.
Based on our conversations with Mr. Kovacs and our site investigation it appears that the absorption
system has malfunctioned due to fence posts being installed through the absorption laterals and
effectively rendering slightly more than half the absorption field ineffective.
Please call me if you have any questions.
Sincerely,
Thomas R. Center Jr, P.E.
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SEPTIC SYSTEM - AS -BUILT
BY NAGE ENGINEERING
Map of a Survey made for
The Michaels Group
Town of Queenebury, Warren County, New York
3 06/19/06 SEPTIC SYSTEM AS—BUILT
2 6/16/06 HOUSE LOCA TION
1 7/25/06 ADJO/NERS WELL LOCATION
NO. DATE DESCRIPTION
S-1
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:HAELS GROUP (CHERRY RI
DWG. NO. 02373-5 C1023
MAP REFERENCE:
CHERRY RIDGE
(\
A SUBDIVISION OWNED BY
JOHN WHALEN
\v�•
DATED: JULY 1, 1970
REVISED: DECEMBER 7. 1970
�IST�iIBUTION BOX
LANDS N/F OF
REYNOLDS
BY: JOHN B. VAN DUSEN
ABSORPTION
TRENCHES
«,
5 ® 60'EA.
72.08.
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SEPTIC TANK
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AD�
169 $aviland Road
Aim
M rEgS@� FOIL nL7W w sr+ a Yuro
Queensbury, New York 12804 A - AW Imo ° ,:=AL
518) 792-8474 W M moo,Aft
New York Lic. No. 50135
PORCH
UTIu-nES
OT 5 ,� 1
FA
20,71 .86 S ft. 10.00,
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10. WIDE UTILITYEASEMENT TO
I
VERIZON NEW YORK Inc.
v DATED JUNE 16, 2006
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SEPTIC SYSTEM - AS -BUILT
BY NAGE ENGINEERING
Map of a Survey made for
The Michaels Group
Town of Queenebury, Warren County, New York
3 06/19/06 SEPTIC SYSTEM AS—BUILT
2 6/16/06 HOUSE LOCA TION
1 7/25/06 ADJO/NERS WELL LOCATION
NO. DATE DESCRIPTION
S-1
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:HAELS GROUP (CHERRY RI
DWG. NO. 02373-5 C1023