Signed Inspection Report (Mon Jan 11, 2021 at 327 PM)INSPECTION WORKSHEET (SEP-007595-2021)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0353-2020 Case Module:Permit
Inspection Date:Mon Jan 11, 2021 Inspection Status:Partial Pass
Inspector:Dyer, Charles Inspection Type:Septic
Job Address:Parcel Number:1440 BAY RD
Lake George, NY, 12845
265.-1-73.12
Contact Type Company Name Name
Contractor R & K Drywall
Granted Permission PATTON PROPERTY
DEVELOPMENTLLC
Patton, Chris
Contractor Charles Friedman Excavating
Contractor PATTON PROPERTY
DEVELOPMENTLLC
Patton, Chris
Concrete Contractor JD Boucher Enterprises Inc
Primary Owner ENTWISTLE, ELI
Applicant PATTON PROPERTY
DEVELOPMENTLLC
Patton, Chris
Contractor Production Drywall
Architect Rucinski-Hall Architecture
Checklist Item Status
Building Inspector Notes Failed
Soil Type: Sand Passed
Jan 11, 2021 Page (1)
INSPECTION WORKSHEET (SEP-007595-2021)
Checklist Item Status
Soil Type: Loam Passed
Type of Water: Municipal / Well Water Passed
Well
Waterline separation distance Passed
Well separation distance Passed
100 + ft
Well Casing Lengt: 50ft +/-Passed
Absorbtion Fields: Total Length Passed
220 ft
Septic system field above flood plain Passed
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 Passed
No
Length of Each Trench Passed
55 ft
Depth of Trenches Passed
Jan 11, 2021 Page (2)
INSPECTION WORKSHEET (SEP-007595-2021)
Checklist Item Status
16+"
System Use Status Passed
Size of Stone Passed
#2
Seepage Pits: Number NA
Size:NA
Stone Size:NA
Building to Tank Passed
4" SCHD 40
Tank to Distribution Box Passed
4" SDR 35
Distribution box to Field / Pit Passed
4" sewer and drain perforated
Opening Sealed:Passed
End Cap Passed
InletOutlet Pipes & Baffles Passed
Jan 11, 2021 Page (3)
INSPECTION WORKSHEET (SEP-007595-2021)
Checklist Item Status
Manholes 12 or less below grade Passed
No
[Provide extension collar if Yes]NA
Locations / Separations Passed
Foundation to Tank Passed
14 + ft
Foundation to Absorption Passed
D box -+ 36 ft
Separation of Pits NA
Conforms as per Plot Plan Failed
Engineer Report and As-Built Failed
Provide engineer asbuilt
Location of system on property Passed
Rear left corner of home, looking at home from driveway
Jan 11, 2021 Page (4)
Dyer, Charles