IM Inspection Worksheet_10-08-2023_11-40-43INSPECTION WORKSHEET (PTI-027116-2023)
PT-0283-2023Case Number:Case Module:Permit Management
08/10/2023 Partial PassInspection Status:Inspection Date:
Property Transfer InspectionsInspection Type:Inspector:Mark Smith
Job Address:Parcel Number:68 Richardson St
Queensbury, NY 12804
309.18-1-46
Company Name NameContact Type
Primary Owner SUSAN BISHOP
Checklist Item CommentsPassed
Building Inspector Notes True 6/29/23 property transfer inspection not approved
- septic system is failing, D box was observed to be full of sludge
and solids, laterals were flowing back into D box.
- plumbing at kitchen sink drains into a dry well, this plumbing will
need to be re routed to drain into the septic tank.
A separate building permit and engineered plans will need to be
submitted for the replacement system
8/10/23 partial approval of property transfer inspection
-provide as built drawing from design engineer
- existing waste water system has been removed and replace. the
replacement system has been approved.
plumbing at kitchen sink has been connected to flow into septic
tank
Capacity in gallons True 1000 gallon septic tank
Roof gutters don't discharge over leach field True negative
Concrete tank True
Temperature (Fahrenheit)True 74 degeres
D-box material: concrete or plastic True precast concrete
Baffle & D-box or 45° angle True
Septic tank (include # of tanks)True 1000 gallon septic
Number of tank compartments True one
Plumbing fixtures tested & confirmed True
Speed levers in D-box True
Stormwater True negative
Septic tank for bdrms/whrlpl/grndr w/in 250 gal True
Tank cover True precast concrete
System appears to have functioned adequately True replacement system has been approved
System passes all function testing True
Roof runoff True negative
Absorption bed True 20' x 25' absorbtion bed
Depth below grade to top of tank True 8"/10"
Inlet baffle True
Number of drop box(es)True 4
As-built provided is accurate False provide as built drawing for final approval
Test each fixture flow to septic tank True
Outlet baffle True
August 10, 2023 Page 1 of 2
INSPECTION WORKSHEET (PTI-027116-2023)
Checklist Item CommentsPassed
Weather True sunny
Leaking water fixtures True negative
Water tight tank True
August 10, 2023 Page 2 of 2