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SEP-003316-2019 06052019INSPECTION WORKSHEET (SEP-003316-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:SEP-0343-2019Case Module:Permit Inspection Date:Wed Jun 5, 2019Inspection Status:Passed Inspector:Dave HatinInspection Type:Septic Job Address:65 HAVILAND AVEParcel Number:309.15-1-67 Queensbury, NY 12804 Contact TypeCompany NameName ContractorAdirondack Industries Primary OwnerDetrick, Dan EngineerEdward LaPoint P.E. ApplicantGarafalo, Gregory Primary OwnerGarafalo, Gregory Granted PermissionAdirondack Industries Checklist ItemPassedComments Building Inspector NotesNO Waterline separation distanceYESFront yard Absorbtion Fields: Total LengthYES180 Length of Each TrenchYES45 Depth of TrenchesYES6" in virgin soil Size of StoneYES2 Jun 05, 2019Page (1) INSPECTION WORKSHEET (SEP-003316-2019) Checklist ItemPassedComments Building to TankYES13' Tank to Distribution BoxYES25' Distribution box to Field / PitYES1' Location of system on propertyYESRear yard System Use StatusYESOk to use Hatin, Dave (Inspector) Jun 05, 2019Page (2)