SEP-003570-2019 06142019INSPECTION WORKSHEET (SEP-003570-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:SEP-0393-2019Case Module:Permit
Inspection Date:Fri Jun 14, 2019Inspection Status:Passed
Inspector:Mark SmithInspection Type:Septic
Job Address:13 SUGAR PINE RDParcel Number:301.6-1-56
Queensbury, NY 12804
Contact TypeCompany NameName
ContractorIBS Septic
Primary OwnerCarey, Tyler
Granted PermissionCarey, Tyler
ApplicantIBS Septic
Checklist ItemPassedComments
Building Inspector NotesYES6/14/19 septic system approved. New 1250 gallon septic tank
with 200' of absorption field of pipe and stone.
Type of Water: Municipal / Well WaterYESMunicipal
Absorbtion Fields: Total LengthYESFive laterals at 40'. 200' total
Length of Each TrenchYES40'
Depth of TrenchesYES24/30"
Size of StoneYES#2
Building to TankYES4" sch 40
Jun 14, 2019Page (1)
INSPECTION WORKSHEET (SEP-003570-2019)
Checklist ItemPassedComments
Tank to Distribution BoxYES4" SDR 35
Distribution box to Field / PitYES4" sdr35 perforated
Manholes 12 or less below gradeYESRiser on inlet side of tank
Foundation to TankYES10'6"
Foundation to AbsorptionYES23'
Location of system on propertyYESBackyard right side
System Use StatusYESSystem approved
Smith, Mark (Inspector)
Jun 14, 2019Page (2)