inspection 05132019INSPECTION WORKSHEET (SEP-002665-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:SEP-0184-2019Case Module:Permit
Inspection Date:Mon May 13, 2019Inspection Status:Passed
Inspector:Mark SmithInspection Type:Septic
Job Address:95 DIXON RDParcel Number:302.14-2-49
Queensbury, NY 12804
Contact TypeCompany NameName
Granted PermissionIBS Septic
Primary OwnerStewart, Dave
ContractorIBS Septic
ArchitectRucinski-Hall Architecture
ApplicantIBS Septic
Checklist ItemPassedComments
Building Inspector NotesYES5/13/19 septic system approved
1000 gallon poly septic tank with filter on out let to a 20 x 6
bed . 2 laterals looped.system is vented
Type of Water: Municipal / Well WaterYESMunicipal
Waterline separation distanceYES75'+
Absorbtion Fields: Total LengthYES40'
Length of Each TrenchYES20 x6 bed
Depth of TrenchesYES20/24"
May 13, 2019Page (1)
INSPECTION WORKSHEET (SEP-002665-2019)
Checklist ItemPassedComments
Size of StoneYES#2
Building to TankYESSch 40
Tank to Distribution BoxYESNo D box SDR 35 to a cross fitting
End CapYESEnds looped
InletOutlet Pipes & BafflesYESFilter on outlet baffle
[Provide extension collar if Yes]YESExtensions on inlet and outlet of tank
Foundation to TankYES29' to tank
Foundation to AbsorptionYES36' to field
Location of system on propertyYESBack yard right side
System Use StatusYESSystem approved
Smith, Mark (Inspector)
May 13, 2019Page (2)