IM Inspection Worksheet_03-08-2023_14-17-50INSPECTION WORKSHEET (SEP-027007-2023)
RC-0056-2022Case Number:Case Module:Permit Management
08/03/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Mark Smith
Job Address:Parcel Number:1481 Bay Rd
Lake George, NY 12845
265.-1-21.2
Company Name NameContact Type
Applicant Jesse Stevenson
Concrete Contractor Ottens Concrete
Contractor Ottens Concrete
Engineer Infinite Engineering Solutions
Granted Permission Jesse Stevenson
Primary Owner Jesse Stevenson
Checklist Item CommentsPassed
Building Inspector Notes True 1/25/23 septic system not approved
- unable to verify absorption field due to snow cover, call for
recheck when snow has been cleared.
8/3/23 final inspection for septic system approved.
Size of Stone True # 2
Roof gutters don't discharge over leach field True
Waterline separation distance True
Building to Tank True 4" sch 40
Tank to Distribution Box True 4" sch 40
Opening Sealed:True
End Cap True
Absorbtion Fields: Total Length True 5 lasterals at 50' each, 250; total
Septic system field above flood plain True
Foundation to Tank True 10'
Engineer Report and As-Built True received
Sump pump not connected to septic system True
Location of system on property True front yard
Type of Water: Municipal / Well Water True well water supply
Locations / Separations True
Well separation distance True
Depth of Trenches True 24"
Length of Each Trench True 50'
System Use Status True system approved for use
Conforms as per Plot Plan True
Distribution box to Field / Pit True 4" sanarty lines
Foundation to Absorption True 22'
InletOutlet Pipes & Baffles True
Soil Type: Loam True
Permit Card Visible From Road True
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