IM Inspection Worksheet_18-07-2023_11-31-13INSPECTION WORKSHEET (SEP-026650-2023)
SEP-0397-2023Case Number:Case Module:Permit Management
07/18/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:99 Aviation Rd
Queensbury, NY 12804
295.18-2-2
Company Name NameContact Type
Applicant IBS Septic
Contractor IBS Septic
Granted Permission Alexis Adams
Primary Owner Alexis Adams
Checklist Item CommentsPassed
Soil Type: Sand True
Size of Stone False N/A gravelless
Waterline separation distance False
Building to Tank True existing 4" SCHD 40
[Provide extension collar if Yes]True
Tank to Distribution Box True 4" SDR 35
Opening Sealed:True
Absorbtion Fields: Total Length True 150 ft
Septic system field above flood plain True
Foundation to Tank True 10 ft
Engineer Report and As-Built True asbuilt provided by installer
Location of system on property True see asbuilt
Inlet & Outlet manholes 12"+ below grade True
Type of Water: Municipal / Well Water True municipal
Locations / Separations True
Depth of Trenches True 3 ft
Stone Size:False N/A
Length of Each Trench True 50ft
System Use Status True
Conforms as per Plot Plan True
Size of tank True existing precast 1000 gallon / added 500 gallon fiber/plastic septic
tank
Distribution box to Field / Pit True 4" SDR 35
Foundation to Absorption True 34 ft
InletOutlet Pipes & Baffles True effulent filter at outlet
July 18, 2023 Page 1 of 1