IM Inspection Worksheet_04-08-2023_14-59-18INSPECTION WORKSHEET (SEP-027054-2023)
SEP-0300-2021Case Number:Case Module:Permit Management
08/04/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:32 Bean Rd
Kattskill Bay, NY 12844
227.10-1-22
Company Name NameContact Type
Agent Hutchins Engineering
Applicant Penelope Townsend
Contractor McCall Construction
Engineer Hutchins Engineering
Granted Permission Penelope Townsend
Primary Owner Penelope Townsend
Checklist Item CommentsPassed
Building Inspector Notes True For replacement of pump chamber, 500 gallon with new floats
and alarm, verified system in working order, verified alarm, provide
final electric inspection
Soil Type: Sand True
Waterline separation distance True
Building to Tank True 1 1/2" force main
Tank to Distribution Box True See original specs
Absorbtion Fields: Total Length True Existing field remains
Septic system field above flood plain True Yes
Foundation to Tank True See specs
Engineer Report and As-Built False Provide engineer asbuilt report / received 8/4/23
Received final electric 6/18/21
Please provide engineer asbuilt report 5/19/22
Location of system on property True See specs
Inlet & Outlet manholes 12"+ below grade True
Septic tanks & pump station anchored in flood zone True No
Type of Water: Municipal / Well Water True Lake
Locations / Separations True See specs
System Use Status True
Conforms as per Plot Plan True
Foundation to Absorption True See specs
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