Signed Inspection Report (Thu May 6, 2021 at 213 PM)INSPECTION WORKSHEET (SEP-010154-2021)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:SEP-0232-2021 Case Module:Permit
Inspection Date:Thu May 6, 2021 Inspection Status:Partial Pass
Inspector:O'Brien, John Inspection Type:Septic
Job Address:Parcel Number:19 MOON HILL PL
Lake George, NY, 12845
289.7-2-3
Contact Type Company Name Name
Granted Permission WHITING, JAMES
Engineer Hutchins Engineering
Applicant Hutchins Engineering
Contractor Doug Wholey's Ideal Excavating
Primary Owner WHITING, JAMES
Checklist Item Status
Permit Card Visible From Road Passed
Building Inspector Notes Failed
5/6/21 Septic System Partial Approval
Remaining Items:
- Submit certified Septic System As-Built.
Soil Type: Sand Passed
Soil Type: Loam Passed
Type of Water: Municipal / Well Water Passed
May 06, 2021 Page (1)
INSPECTION WORKSHEET (SEP-010154-2021)
Checklist Item Status
Well
Waterline separation distance Passed
Well separation distance Passed
100' +
Absorbtion Fields: Total Length Passed
15'x30' absorption stone bed
85 lf
Length of Each Trench Passed
3@25' with end looped
Depth of Trenches Passed
18"-30"
System Use Status Failed
5/6/21 Septic System Partial Approval
Remaining Items:
- Submit certified Septic System As-Built.
Size of Stone Passed
#2
Building to Tank Passed
Existing
Tank to Distribution Box Passed
Existing 4" sdr35 pvc to new 4" sdr35 pvc
Distribution box to Field / Pit Passed
4" sdr35 pvc
Opening Sealed:Passed
May 06, 2021 Page (2)
INSPECTION WORKSHEET (SEP-010154-2021)
Checklist Item Status
End Cap Passed
End looped
Manholes 12 or less below grade Passed
Locations / Separations Passed
Foundation to Tank Passed
Existing
Foundation to Absorption Passed
34'
Conforms as per Plot Plan Passed
Engineer Report and As-Built Failed
5/6/21 Septic System Partial Approval
Remaining Items:
- Submit certified Septic System As-Built.
Location of system on property Passed
May 06, 2021 Page (3)
O'Brien, John