Signed Inspection Report (12-30-2020) (6).pdfINSPECTION WORKSHEET (SEP-007393-2020)
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:Wed Dec 30, 2020 Inspection Status:Partial Pass
Inspector:Dyer, Charles Inspection Type:Septic
Job Address:Parcel Number:12 HALL RD EXT
Queensbury, NY, 12804
289.11-1-17
Contact Type Company Name Name
Applicant Leonardo, Adam
Primary Owner Leonardo, Rebecca
Contractor Rosewood Home Builders
Applicant Leonardo, Rebecca
Granted Permission Rosewood Home Builders
Engineer VanDeLoo, Walter
Primary Owner Leonardo, Adam
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.
Verified 1 1/2" water line sleeved in SCHD 80 under access road 11/25/20
Soil Type: Sand Passed
Type of Water: Municipal / Well Water Failed
Well
Dec 30, 2020 Page (1)
INSPECTION WORKSHEET (SEP-007393-2020)
Checklist Item Status
Waterline separation distance Failed
Well separation distance Passed
Well Casing Lengt: 50ft +/-Passed
Absorbtion Fields: Total Length Passed
240 ft
Septic system field above flood plain Passed
Yes
Sump pump not connected to septic system Passed
No
Septic tanks & pump station anchored in flood zone NA
Water softener not hooked to septic system NA
Length of Each Trench Passed
60 ft
Depth of Trenches Passed
12-16 inches
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.
Dec 30, 2020 Page (2)
INSPECTION WORKSHEET (SEP-007393-2020)
Checklist Item Status
12/30/20 field has been verified 4 lines @ 60-2" force main connection to 4" SCHD 40 to D-box, pump/floats
alarm to be verified.
Size of Stone Passed
#2
Size:Failed
Stone Size:Failed
Building to Tank Failed
Tank to Distribution Box Passed
2" force main to D box
Distribution box to Field / Pit Passed
4" SDR 26 to sewer and drain perforated
Opening Sealed:Passed
End Cap Passed
InletOutlet Pipes & Baffles Failed
Field verification 12/30/20
Manholes 12 or less below grade Failed
[Provide extension collar if Yes]Failed
Dec 30, 2020 Page (3)
INSPECTION WORKSHEET (SEP-007393-2020)
Checklist Item Status
Locations / Separations Failed
See specs
Foundation to Tank Failed
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
See specs
Dec 30, 2020 Page (4)
Dyer, Charles