IM Inspection Worksheet_18-08-2023_13-58-24INSPECTION WORKSHEET (PTI-027316-2023)
PT-0496-2023Case Number:Case Module:Permit Management
08/18/2023 PassedInspection Status:Inspection Date:
Property Transfer InspectionsInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:66 Reardon Rd
Queensbury, NY 12804
289.11-1-38
Company Name NameContact Type
Agent John Buchanan III
Primary Owner John R Buchanan Trust
Septic Contractor IBS Septic
Checklist Item CommentsPassed
Watertight True
Building Inspector Notes True 8/18/23 verified installation of inlet baffle
Weather/lack of information/inaccessibility False
Capacity in gallons True 1000 gallon
System/components indicate unacceptable False no inlet baffle / verified new baffle
Is there a high water alarm?True
Concrete tank True
Temperature (Fahrenheit)True 80
Effluent filter True
Septic inlet cover ext - Req 12"+ below grade True
Visible scum layer True
Septic tank (include # of tanks)True one
Number of tank compartments False N/A
Capacity of pump tank (gallons)True 1000 gallon
Plumbing fixtures tested & confirmed True
System appears undersized/undersized components False
Verify 50% & 90% floats True
Is there evidence of surface water infiltrating False
Tank cover True
System appears to have functioned adequately True
System passes all function testing True property transfer passed
Outlet pipe (automatic failure, if yes)False
Metal tank (automatic failure)False
Does the pump(s) appear to be operating properly?True
Surface discharge? (if yes, to where?)False
System needs repairs False
Sump pump not connected to septic system False
Sand filter False
Absorption bed False
Overflow pipe (automatic failure)False
Access riser? (if yes, depth to cover)True less than 12"
Cesspool (automatic failure, if yes)False
August 18, 2023 Page 1 of 2
INSPECTION WORKSHEET (PTI-027316-2023)
Checklist Item CommentsPassed
Inlet baffle False no inlet baffle / to be provided
Recommend upgrade/expand/replace 1+ components False
No treatment tank/other critical component(s)False
As-built provided is accurate True
Mound system False
Test each fixture flow to septic tank True
Liquid level AT/ABOVE/BELOW (one) discharge invert False no D box / manifold
Water softener not connected to septic system False
Is tank pumped more than 4x/year?False
On-site as-built req'd before insp is complete True
Outlet baffle True
Leaking water fixtures False
Dosing or pump tank sealed True
Are there any obvious electrical shortcomings?False
Cracked, corroded or deformed?False
Main tank cleanout size and location True standard green cover
Weather True cloudy
Other False
Plastic tank False
Are both switch and alarm operable?True
Water tight tank True
Absorption field True infiltrators
Pump station extention - Reg 12"+ below grade True
Raised system False
August 18, 2023 Page 2 of 2