IM Inspection Worksheet_17-07-2023_14-52-11INSPECTION WORKSHEET (SEP-026651-2023)
SEP-0425-2023Case Number:Case Module:Permit Management
07/17/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Mark Smith
Job Address:Parcel Number:51 Smoke Ridge Rd
Queensbury, NY 12804
308.8-1-22
Company Name NameContact Type
Applicant Tammie Landers
Contractor Smith's Excavating
Granted Permission James Landers
Primary Owner Tammie Landers
Checklist Item CommentsPassed
Building Inspector Notes False 7/17/23 septic system approved.
-a 40' x20' bed system was installed with the existing 1500 gallon
tank remainimg.
Soil Type: Sand True
Size of Stone True #2
Roof gutters don't discharge over leach field True
Waterline separation distance True 20 x 40 bed system with 4 laterals, ends are looped and the
system is vented
Building to Tank True existing`
Tank to Distribution Box True 4"sdr 34
Opening Sealed:True
End Cap True ends are looped
Absorbtion Fields: Total Length True 20 x40' bed system
Foundation to Tank True 12'
Location of system on property True back yard right side
Type of Water: Municipal / Well Water True municipal water supply
Locations / Separations True
Depth of Trenches True 24" / 36"
System Use Status True system approved for use
Conforms as per Plot Plan True
Size of tank True 1500 gallon
Distribution box to Field / Pit True 4" sanatery pipe
Foundation to Absorption True 25'
InletOutlet Pipes & Baffles True
July 17, 2023 Page 1 of 1