Signed Inspection Report (11-02-2020) (16).pdfINSPECTION WORKSHEET (SEP-006142-2020)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0255-2020 Case Module:Permit
Inspection Date:Mon Nov 2, 2020 Inspection Status:Partial Pass
Inspector:O'Brien, John Inspection Type:Septic
Job Address:Parcel Number:12 HALL RD EXT
Queensbury, NY, 12804
289.11-1-17
Contact Type Company Name Name
Primary Owner Leonardo, Rebecca
Applicant Leonardo, Rebecca
Primary Owner Leonardo, Adam
Engineer VanDeLoo, Walter
Applicant Leonardo, Adam
Granted Permission Rosewood Home Builders
Contractor Rosewood Home Builders
Checklist Item Status
Building Inspector Notes Failed
11/2/20 Septic System Partial Approval
- Verified sanitary force main has been sleeved with 20' of pipe at location where water line to well will cross force
main 5' above. Force main has been installed at approximately 10' below proposed grade.
Type of Water: Municipal / Well Water Failed
Well
Waterline separation distance Failed
Well separation distance Failed
Nov 02, 2020 Page (1)
INSPECTION WORKSHEET (SEP-006142-2020)
Checklist Item Status
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
Length of Each Trench Failed
Depth of Trenches Failed
System Use Status Failed
11/2/20 Septic System Partial Approval
- Verified sanitary force main has been sleeved with 20' of pipe at location where water line to well will cross force
main 5' above. Force main has been installed at approximately 10' below proposed grade.
Size of Stone Failed
Size:Failed
Nov 02, 2020 Page (2)
INSPECTION WORKSHEET (SEP-006142-2020)
Checklist Item Status
Stone Size:Failed
Building to Tank Failed
Tank to Distribution Box Failed
Distribution box to Field / Pit Failed
Opening Sealed:Failed
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
Nov 02, 2020 Page (3)
INSPECTION WORKSHEET (SEP-006142-2020)
Checklist Item Status
Foundation to Absorption Failed
Conforms as per Plot Plan Failed
Engineer Report and As-Built Failed
ETU Maintenance Contract provided Failed
Location of system on property Failed
Nov 02, 2020 Page (4)
O'Brien, John