Signed Inspection Report (Wed Mar 31, 2021 at 105 PM)INSPECTION WORKSHEET (SEP-009263-2021)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0765-2020 Case Module:Permit
Inspection Date:Wed Mar 31, 2021 Inspection Status:Partial Pass
Inspector:Dyer, Charles Inspection Type:Septic
Job Address:Parcel Number:3 AMETHYST DR
Queensbury, NY, 12804
308.14-1-26
Contact Type Company Name Name
Granted Permission Monsour Enterprises, LLC
Primary Owner Monsour Enterprises, LLC
Contractor Saratoga Fireplace & Stove
Excavation Contractor Charles Friedman Excavating
Applicant Monsour Enterprises, LLC
Checklist Item Status
Permit Card Visible From Road Passed
Building Inspector Notes Failed
Public Sewer Sign-Off Failed
Roof gutters don't discharge over leach field Passed
No
Soil Type: Sand Passed
Mar 31, 2021 Page (1)
INSPECTION WORKSHEET (SEP-009263-2021)
Checklist Item Status
Soil Type: Loam Failed
Soil Type: Clay Failed
Type of Water: Municipal / Well Water Passed
Municipal
Waterline separation distance Passed
Well separation distance Failed
Well Casing Lengt: 50ft +/-Failed
Absorbtion Fields: Total Length Passed
160 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 Passed
No
Water softener not hooked to septic system Passed
No
Length of Each Trench Passed
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INSPECTION WORKSHEET (SEP-009263-2021)
Checklist Item Status
40 ft
Depth of Trenches Passed
12"-16"
System Use Status Passed
No water at time of inspection,all connections verified
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" sewer and drain
Distribution box to Field / Pit Passed
4" sewer and drain perforated
Opening Sealed:Passed
End Cap Passed
Mar 31, 2021 Page (3)
INSPECTION WORKSHEET (SEP-009263-2021)
Checklist Item Status
InletOutlet Pipes & Baffles Passed
Manholes 12 or less below grade Passed
No
[Provide extension collar if Yes]Passed
No
Locations / Separations Passed
Foundation to Tank Passed
12' 6"
Foundation to Absorption Passed
24-26 ft
Separation of Pits NA
Conforms as per Plot Plan Failed
Engineer Report and As-Built Failed
Provide engineer asbuilt report
Location of system on property Passed
Right rear of home looking at home from garage
Mar 31, 2021 Page (4)
Dyer, Charles