septic 12122018INSPECTION WORKSHEET (SEP-008690-2018)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0160-2018Case Module:Permit
Inspection Date:Wed Dec 12, 2018Inspection Status:Partial Pass
Inspector:Charles DyerInspection Type:Septic
Job Address:75 Overlook DRParcel Number:
Queensbury, NY 12804
Contact TypeCompany NameName
Primary OwnerLingel, Tyler
ApplicantLingel, Tyler
ArchitectRucinski-Hall Architecture
ContractorT.P. Monahan, Inc.
Granted PermissionLingel, Tyler
Checklist ItemPassedComments
Building Inspector NotesNOPartial inspection only for placement of tank 12/12/18,
provide connections to laterals, fill trench areas with #2
stone, cover laterals with stone and fabric as per specs, OK
to backfill, provide end caps, keep exposed as to verify.
Hutchins engineering to verify system.
Public Sewer Sign-OffNO
Soil Type: SandNO
Soil Type: LoamNO
Soil Type: ClayNO
Dec 12, 2018Page (1)
INSPECTION WORKSHEET (SEP-008690-2018)
Checklist ItemPassedComments
Type of Water: Municipal / Well WaterNO
Waterline separation distanceNO
Well separation distanceNO
Well Casing Lengt: 50ft +/-NO
Absorbtion Fields: Total LengthNO300 ft
Septic system field above flood plainNO
Septic tanks & pump station anchored in floodNO
zone
Length of Each TrenchNO60 ft
Depth of TrenchesNOShallow trench system
Size of StoneNO# 2
Seepage Pits: NumberNO
Size:NO
Stone Size:NO
Building to TankNO
Tank to Distribution BoxNO
Dec 12, 2018Page (2)
INSPECTION WORKSHEET (SEP-008690-2018)
Checklist ItemPassedComments
Distribution box to Field / PitNO
Opening Sealed:NO
End CapNO
InletOutlet Pipes & BafflesNO
Manholes 12 or less below gradeNO
[Provide extension collar if Yes]NO
Locations / SeparationsNO
Foundation to TankYES10' 3"
Foundation to AbsorptionNO
Separation of PitsNO
Conforms as per Plot PlanNO
Engineer Report and As-BuiltNO
ETU Maintenance Contract providedNO
Location of system on propertyNO
System Use StatusNO
Dyer, Charles (Inspector)
Dec 12, 2018Page (3)