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Signed Inspection Report (Thu Apr 6, 2023 at 246 PM)INSPECTION WORKSHEET (SEP-024552-2023) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:SEP-0110-2023 Case Module:Permit Inspection Date:Thu Apr 6, 2023 Inspection Status:Passed Inspector:O'Brien, John Inspection Type:Septic Job Address:Parcel Number:454 BAY RD Queensbury, NY, 12804 296.16-1-12 Contact Type Company Name Name Engineer Schroder Rivers Associates (SRA Engineers) Primary Owner Georgie Mir Corp Granted Permission Musumeci, Rocco Applicant Musumeci, Rocco Checklist Item Status Building Inspector Notes Passed 4/4/23 partial approval for septic system -a new 1500 gallon septic tank with an absorption field of pipe and stone, system is gravity fed. Provide as built drawing 4/6/23 Septic System Final Inspection Approved - Received engineer's final approval letter and certified as-built septic plan. Type of Water: Municipal / Well Water Passed Municipal water supply Absorbtion Fields: Total Length Passed 3 laterals at 46' each, total 138' Length of Each Trench Passed Apr 06, 2023 Page (1) INSPECTION WORKSHEET (SEP-024552-2023) Checklist Item Status 3 laterals at 46' each Depth of Trenches Passed Shallow system System Use Status Passed System approved for use Size of Stone Passed #2 Building to Tank Passed 4" SDR 35 Tank to Distribution Box Passed 4" SDR 35 Distribution box to Field / Pit Passed 4" SDR 35 perforated Foundation to Tank Failed Foundation to Absorption Failed Separation of Pits Failed Size of tank Passed 1500 gallon septic tank Engineer Report and As-Built Failed Provide as built drawing from design engineer Apr 06, 2023 Page (2) INSPECTION WORKSHEET (SEP-024552-2023) Checklist Item Status Location of system on property Passed Back yard Apr 06, 2023 Page (3) O'Brien, John