Signed Inspection Report (Thu Apr 8, 2021 at 254 PM)INSPECTION WORKSHEET (SEP-009464-2021)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:SEP-0195-2021 Case Module:Permit
Inspection Date:Thu Apr 8, 2021 Inspection Status:Passed
Inspector:O'Brien, John Inspection Type:Septic
Job Address:Parcel Number:88 MONTRAY RD
Queensbury, NY, 12804
296.14-1-6
Contact Type Company Name Name
Contractor IBS Septic
Applicant IBS Septic
Granted Permission Ortiz, Richard
Primary Owner Ortiz, Richard
Checklist Item Status
Permit Card Visible From Road Passed
Building Inspector Notes Passed
4/8/21 Septic System Approved
As-Built Received
Soil Type: Sand Passed
Soil Type: Loam Passed
Type of Water: Municipal / Well Water Passed
Municipal
Apr 08, 2021 Page (1)
INSPECTION WORKSHEET (SEP-009464-2021)
Checklist Item Status
Waterline separation distance Passed
Absorbtion Fields: Total Length Passed
240' stone & pipe
Length of Each Trench Passed
4@60'
Depth of Trenches Passed
36"-48"
System Use Status Passed
4/8/21 Septic System Approved
As-Built Received
Size of Stone Passed
#2
Building to Tank Passed
Existing 4" sch40 pvc
Tank to Distribution Box Passed
4" sdr35 pvc
Distribution box to Field / Pit Passed
4" sdr35 pvc to 4" sdr35 pvc perforated to looped end of 4" sdr35 pvc to charcoal vent.
Opening Sealed:Passed
End Cap Passed
End looped
InletOutlet Pipes & Baffles Passed
Apr 08, 2021 Page (2)
INSPECTION WORKSHEET (SEP-009464-2021)
Checklist Item Status
Manholes 12 or less below grade Passed
Extension on existing tank.
[Provide extension collar if Yes]Passed
Extension on existing tank.
Locations / Separations Passed
Foundation to Tank Passed
10'+
Foundation to Absorption Passed
56'
Conforms as per Plot Plan Passed
Engineer Report and As-Built Passed
As-Built Received
Location of system on property Passed
Rear left side
Apr 08, 2021 Page (3)
O'Brien, John