inspection 06182019INSPECTION WORKSHEET (SEP-003653-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0189-2019Case Module:Permit
Inspection Date:Tue Jun 18, 2019Inspection Status:Passed
Inspector:Mark SmithInspection Type:Septic
Job Address:354 LUZERNE RDParcel Number:308.11-1-41
Queensbury, NY 12804
Contact TypeCompany NameName
Primary OwnerSmith, Fred
ApplicantSmith, Fred
Granted PermissionSmith, Fred
ArchitectRyan, Dan
Checklist ItemPassedComments
Building Inspector NotesYES6/18/19 septic system approved. 1000 gallon septic tank with
200' of absorption field of pipe and stone
Type of Water: Municipal / Well WaterYESMunicipal
Absorbtion Fields: Total LengthYES4 laterals at 50' each, 200' total
Length of Each TrenchYES50'
Depth of TrenchesYES16/24"
Size of StoneYES#2
Building to TankYES4" sch 40
Jun 18, 2019Page (1)
INSPECTION WORKSHEET (SEP-003653-2019)
Checklist ItemPassedComments
Tank to Distribution BoxYES4" sdr35
Distribution box to Field / PitYES4" sdr35 perforated
Foundation to TankYES12'
Foundation to AbsorptionYES26'
Location of system on propertyYESSide yard, left side.
System Use StatusYESSystem approved
Smith, Mark (Inspector)
Jun 18, 2019Page (2)