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SEP-002455-2019 05062019INSPECTION WORKSHEET (SEP-002455-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:SEP-0270-2019 Case Module:Permit Inspection Date:Mon May 6, 2019 Inspection Status:Passed Inspector:John O'Brien Inspection Type:Septic Job Address:Parcel Number:55 Gregwood CIR Queensbury, NY 12804 308.14-1-52 Contact Type Company Name Name Primary Owner FOREST PARK MHC, LLC Contractor Stone Installations Granted Permission Stone Installations Applicant Gannon, Maggie Checklist Item Passed Comments Building Inspector Notes YES 5/6/19 Septic System Approved Type of Water: Municipal / Well Water YES Municipal Absorbtion Fields: Total Length YES 105' ADS Hancor ARC 24 Chambers Length of Each Trench YES 3@35' ADS Hancor ARC 24 Chambers Depth of Trenches YES 18"-24" Building to Tank YES 4" sch40 Tank to Distribution Box YES 4" pvc May 06, 2019 Page (1) INSPECTION WORKSHEET (SEP-002455-2019) Checklist Item Passed Comments Distribution box to Field / Pit YES 4" pvc to ADS Hancor ARC 24 Chambers InletOutlet Pipes & Baffles YES Outlet effluent filter installed Foundation to Tank YES Home to edge of tank 5'+ Foundation to Absorption YES Edge of deck to first lateral 6' Conforms as per Plot Plan YES As per As-Built Location of system on property YES Front yard System Use Status YES 5/6/19 Septic System Approved May 06, 2019 Page (2) O'Brien, John (Inspector)