Signed Inspection Report (Thu May 6, 2021 at 1029 AM)INSPECTION WORKSHEET (SEP-010178-2021)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:CC-0144-2020 Case Module:Permit
Inspection Date:Thu May 6, 2021 Inspection Status:Partial Pass
Inspector:O'Brien, John Inspection Type:Septic
Job Address:Parcel Number:409 DIX AVE
Queensbury, NY, 12804
303.16-1-6
Contact Type Company Name Name
Contractor Rozell Industries Inc.
Primary Owner South Queensbury Volunteer Fire Co
Granted Permission Rozell Industries Inc.
Engineer Schoder Rivers Associates, PC Sandblom, Erik
Checklist Item Status
Building Inspector Notes Failed
1/8/21 Septic System Partial Approval - Absorption Beds Only!
NOTE:
Where water line and 1.5" sch40 pvc sanitary force main cross the force main needs to be sleeved in 4" sch40
pvc 10' passed the waterline each way(20' sleeve).
Ok to backfill beds!
5/5/21 Septic System Partial Approval
- Operation of alarm and pumps have been verified. Engineer on site.
Remaining Items:
- Submit Certified Septic As-Built Plan & Engineer's Report.
- Install sanitary line from building to new tank.
- Final Electrical Inspection for pumps and alarm.
5/6/21 Septic System Partial Approval
- verified sanitary line from building to septic tank and baffle.
Remaining Items:
- Submit Certified Septic As-Built Plan & Engineer's Report.
- Final Electrical Inspection for pumps and alarm.
- Verify water shut off(solenoid) on high alarm.
May 06, 2021 Page (1)
INSPECTION WORKSHEET (SEP-010178-2021)
Checklist Item Status
Soil Type: Sand Passed
Soil Type: Loam Passed
Soil Type: Clay Passed
Clay at 72"
Type of Water: Municipal / Well Water Passed
Municipal
Waterline separation distance Passed
NOTE:
Where water line and 1.5" sch40 pvc sanitary force main cross the force main needs to be sleeved in 4" sch40
pvc 10' passed the waterline each way.
Absorbtion Fields: Total Length Passed
2 - 15' x 60' Pressure Absorption Beds
330' of 1.5" sch40 pvc absorption lines
Length of Each Trench Passed
2 Absorption Beds with 3 lines in each at 55' long.
Depth of Trenches Passed
18" - 24"
May 06, 2021 Page (2)
INSPECTION WORKSHEET (SEP-010178-2021)
Checklist Item Status
System Use Status Failed
1/8/21 Septic System Partial Approval - Absorption Beds Only!
NOTE:
Where water line and 1.5" sch40 pvc sanitary force main cross the force main needs to be sleeved in 4" sch40
pvc 10' passed the waterline each way(20' sleeve).
5/5/21 Septic System Partial Approval
- Operation of alarm and pumps have been verified. Engineer on site.
Remaining Items:
- Submit Certified Septic As-Built Plan & Engineer's Report.
- Install sanitary line from building to new tank.
- Final Electrical Inspection for pumps and alarm.
5/6/21 Septic System Partial Approval
- verified sanitary line from building to septic tank and baffle.
Remaining Items:
- Submit Certified Septic As-Built Plan & Engineer's Report.
- Final Electrical Inspection for pumps and alarm.
- Verify water shut off(solenoid) on high alarm.
Size of Stone Passed
#2
Building to Tank Passed
4" sch40 pvc from building to septic tank
4" sch40 pvc from septic tank to pumpstation.
Tank to Distribution Box Passed
(2) 1-1/2" pvc forcemains to absorption bed manifolds
Distribution box to Field / Pit Passed
Manifold to absorption bed lines 1.5" sch40 pvc
Opening Sealed:Passed
- Cap ends of absorption bed lines
May 06, 2021 Page (3)
INSPECTION WORKSHEET (SEP-010178-2021)
Checklist Item Status
End Cap Passed
- Cap ends of absorption bed lines
InletOutlet Pipes & Baffles Passed
Manholes 12 or less below grade Passed
Locations / Separations Passed
Foundation to Tank Passed
10'
Foundation to Absorption Passed
As per plan
Conforms as per Plot Plan Failed
- Submit Certified Septic As-Built Plan & Engineer's Report.
Engineer Report and As-Built Failed
- Submit Certified Septic As-Built Plan & Engineer's Report.
Location of system on property Failed
- Submit Certified Septic As-Built Plan & Engineer's Report.
May 06, 2021 Page (4)
O'Brien, John