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signed inspection slipINSPECTION WORKSHEET (SEP-000612-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:SEP-0580-2018 Case Module:Permit Inspection Date:Thu May 9, 2019 Inspection Status:Partial Pass Inspector:John O'Brien Inspection Type:Septic Job Address:Parcel Number:3 BAYBERRY CT Queensbury, NY 12804 296.12-1-7 Contact Type Company Name Name Contractor Rob Lanfear Excavating Granted Permission Rob Lanfear Excavating Primary Owner Turley, Leo Engineer Rucinski-Hall Architecture Applicant Rob Lanfear Excavating Checklist Item Passed Comments Building Inspector Notes NO 11/13/18 Septic System Partial Approval Remaining Items: - Stabilization of mound with vegetation (Lawn) - Submit Engineer's Final Approval and as-built. 12/4/18 Septic System Partial Approval - Received Ethan Hall's Final Approval Letter and As-Built 5/9/19 Septic System Partial Approval Remaining Item: - Stabilization of mound with vegetation (Lawn) Type of Water: Municipal / Well Water YES Municipal Absorbtion Fields: Total Length YES 270' Length of Each Trench YES 6@45' May 09, 2019 Page (1) INSPECTION WORKSHEET (SEP-000612-2019) Checklist Item Passed Comments Depth of Trenches YES 18" Size of Stone YES #2 Building to Tank YES -Existing sanitary from house to existing septic tank - 4" sch40 pvc Existing Septic Tank to new Effluent Pump Chamber. Tank to Distribution Box YES - 2" pumpline to 4" pvc From Pump Tank to distribution box. Distribution box to Field / Pit YES 4" pvc to 4" pvc perforated Foundation to Tank YES Existing Septic Tank Foundation to Absorption YES 60'+ Engineer Report and As-Built YES 11/13/18 Septic System Partial Approval Remaining Items: - Stabilization of mound with vegetation (Lawn) - Submit Engineer's Final Approval and as-built. 12/4/18 Septic System Partial Approval - Received Ethan Hall's Final Approval Letter and As-Built Location of system on property YES Rear left side May 09, 2019 Page (2) INSPECTION WORKSHEET (SEP-000612-2019) Checklist Item Passed Comments System Use Status NO 11/13/18 Septic System Partial Approval Remaining Items: - Stabilization of mound with vegetation (Lawn) - Submit Engineer's Final Approval and as-built. 12/4/18 Septic System Partial Approval - Received Ethan Hall's Final Approval Letter and As-Built Remaining Items: - Stabilization of mound with vegetation (Lawn) 5/9/19 Septic System Partial Approval Remaining Item: - Stabilization of mound with vegetation (Lawn) May 09, 2019 Page (3) O'Brien, John (Inspector)