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inspection 08272018INSPECTION WORKSHEET (SEP-006182-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number: Inspection Date: Inspector: Case Module: Inspection Status: Inspection Type: RC-000719-2017 08/27/2018 John O'Brien Permit Partial Pass Septic Job Address:Parcel Number:40 Sunnyside E Queensbury, NY 12804 290.6-1-62.2 Contact Type Company Name Name Architect Northern Design & Building Associates , Applicant Callahan, Paul Granted Permission Callahan, Paul Primary Owner Callahan, Paul Checklist Item Passed Comments Building Inspector Notes NO 8/27/18 Septic System Partial Approval -Provide Engineer's As-Built and Final Approval Soil Type: Loam YES Soil Type: Clay YES Type of Water: Municipal / Well Water YES Well Waterline separation distance YES Well separation distance YES Well Casing Lengt: 50ft +/-YES Absorbtion Fields: Total Length YES 300 ft Length of Each Trench YES 6@50 ft Depth of Trenches YES 24-30 inches Size of Stone YES #2 Building to Tank YES 4 inch sch40 Tank to Distribution Box YES 4 inch sdr35 pvc Distribution box to Field / Pit YES 4 inch pvc to 4 inch pvc perforated Opening Sealed:YES End Cap YES InletOutlet Pipes & Baffles YES Manholes 12 or less below grade YES Locations / Separations YES Foundation to Tank YES 10 ft + Foundation to Absorption YES 21 ft Engineer Report and As-Built YES 8/27/18 Septic System Partial Approval -Provide Engineer's As-Built and Final Approval Location of system on property YES Rear left side System Use Status YES 8/27/18 Septic System Partial Approval Aug 27, 2018 Page (1) INSPECTION WORKSHEET (SEP-006182-2018) Checklist Item Passed Comments -Provide Engineer's As-Built and Final Approval Aug 27, 2018 Page (2) O'Brien, John (Inspector)