Signed Inspection Report (Tue Apr 27, 2021 at 302 PM)INSPECTION WORKSHEET (SEP-009959-2021)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:SEP-0463-2020 Case Module:Permit
Inspection Date:Tue Apr 27, 2021 Inspection Status:Passed
Inspector:Smith, Mark Inspection Type:Septic
Job Address:Parcel Number:2 SUNSET LN
Lake George, NY, 12845
226.19-2-17
Contact Type Company Name Name
Primary Owner Kowalczyk, Patricia
Engineer Environmental Design Partner (EDP)
Septic Contractor IBS Septic
Granted Permission IBS Septic
Primary Owner Kowalczyk, Mario
Applicant Environmental Design Partner (EDP)
Checklist Item Status
Building Inspector Notes Passed
12/15/20 partial approval for septic system.
Provide final electrical inspection
Provide as built drawing from engineer.
Provide ultraviolet water filter at neighbors water supply
A new 1250 gallon septic tank with a 500 gallon pump tank was installed pumping effluent to a raised absorption
field of eljen mat with 4 laterals at 32' each
1/19/21 received proof of electrical inspection
ultra violet water filter at neighbors water supply to be verified before final approval can be issued.
4/27/21 water filter system at neighbors water supply has been verified, septic system approved.
Soil Type: Loam Passed
Apr 27, 2021 Page (1)
INSPECTION WORKSHEET (SEP-009959-2021)
Checklist Item Status
Raised system placed in sand
Type of Water: Municipal / Well Water Passed
Municipal water
Absorbtion Fields: Total Length Passed
4 laterals at 32' 128' total
Length of Each Trench Passed
32'
Depth of Trenches Passed
System at grade, raised system
System Use Status Passed
System approved for use
Building to Tank Passed
4" sch 40
Tank to Distribution Box Passed
4" SDR 35
Distribution box to Field / Pit Passed
4"SDR 35 perforated
Manholes 12 or less below grade Passed
Access provided at inlet outlet and pump tank
Foundation to Tank Passed
12' 7"
Foundation to Absorption Passed
22.5'
Apr 27, 2021 Page (2)
INSPECTION WORKSHEET (SEP-009959-2021)
Checklist Item Status
Engineer Report and As-Built Passed
Provide as built
Location of system on property Passed
Back yard
Apr 27, 2021 Page (3)
Smith, Mark