Signed Inspection Report (03-24-2020).pdfINSPECTION WORKSHEET (SEP-001567-2020)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0625-2018 Case Module:Permit
Inspection Date:Tue Mar 24, 2020 Inspection Status:Passed
Inspector:Charles Dyer Inspection Type:Septic
Job Address:Parcel Number:154 CLEVERDALE RD
Queensbury, NY, 12804
227.17-2-30
Contact Type Company Name Name
Primary Owner Stonewood Development of
Northeastern NY Inc
Engineer Environmental Design Partnership, LLC
Contractor Stonewood Development of
Northeastern NY Inc
Applicant HOFFMAN, JEAN
Architect McLaughlin, Tim
Granted Permission HOFFMAN, JEAN
Framing Contractor Top Notch Builders
Concrete Contractor R. C. Springer Concrete
Checklist Item Status
Building Inspector Notes Failed
Public Sewer Sign-Off Failed
Roof gutters don't discharge over leach field Failed
Mar 24, 2020 Page (1)
INSPECTION WORKSHEET (SEP-001567-2020)
Checklist Item Status
Soil Type: Sand Failed
Soil Type: Loam Failed
Soil Type: Clay Failed
Type of Water: Municipal / Well Water Failed
Waterline separation distance Failed
Well separation distance Failed
Well Casing Lengt: 50ft +/-Failed
Absorbtion Fields: Total Length Failed
Septic system field above flood plain Failed
Sump pump not connected to septic system Failed
Septic tanks & pump station anchored in flood zone Failed
Water softener not hooked to septic system Failed
Mar 24, 2020 Page (2)
INSPECTION WORKSHEET (SEP-001567-2020)
Checklist Item Status
Length of Each Trench Failed
Depth of Trenches Failed
System Use Status Failed
Size of Stone Failed
Seepage Pits: Number Failed
Size:Failed
Stone Size:Failed
Building to Tank Failed
Tank to Distribution Box Failed
Distribution box to Field / Pit Failed
Opening Sealed:Failed
Mar 24, 2020 Page (3)
INSPECTION WORKSHEET (SEP-001567-2020)
Checklist Item Status
End Cap Failed
InletOutlet Pipes & Baffles Failed
Manholes 12 or less below grade Failed
[Provide extension collar if Yes]Failed
Locations / Separations Failed
Foundation to Tank Failed
Foundation to Absorption Failed
Separation of Pits Failed
Conforms as per Plot Plan Failed
Engineer Report and As-Built Passed
Received 3/24/20
ETU Maintenance Contract provided Failed
Location of system on property Failed
Mar 24, 2020 Page (4)
INSPECTION WORKSHEET (SEP-001567-2020)
Checklist Item Status
Mar 24, 2020 Page (5)
Dyer, Charles