IM Inspection Worksheet_29-08-2023_11-46-39INSPECTION WORKSHEET (SEP-027477-2023)
SEP-0590-2022Case Number:Case Module:Permit Management
08/29/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:61 Seelye Rd
Queensbury, NY 12804
227.17-1-32
Company Name NameContact Type
Applicant DARWIN DELAPPA
Contractor Chris Crandall
Engineer Environmental Design Partnership (EDP)
Granted Permission Cindy Delappa
Primary Owner DARWIN DELAPPA
Checklist Item CommentsPassed
Building Inspector Notes False
Soil Type: Sand True
Size of Stone False N/A washed sand
Final Electrical True please provide final electric / received 8/14/23
Waterline separation distance True
Building to Tank True 4" SCHD 40
[Provide extension collar if Yes]False
Tank to Distribution Box True 1 1/2" force main to manifold
Opening Sealed:True
90% alarm level activates True
End Cap True
Absorbtion Fields: Total Length True Eljen pressure trenchs / 2 @ 32 ft= 64 ft
Septic system field above flood plain True
Foundation to Tank True 10 ft
Engineer Report and As-Built True please provide engineer asbuilt / received
Sump pump not connected to septic system False
Location of system on property False see specs
Inlet & Outlet manholes 12"+ below grade True at inlet
Water softener not connected to septic system False
Type of Water: Municipal / Well Water True Lake George
Locations / Separations True
Depth of Trenches True 14"- 16"
Length of Each Trench True Eljen pressure trenches / 2 @ 32 ft= 64 ft
System Use Status True
Conforms as per Plot Plan False position of tanks changed from what's on plot
Size of tank True 1000 gallon septic / 1000 gallon pump chamber
Distribution box to Field / Pit True 1 1/2" with drilled holes 8' oc into 4" sewer and drain perforated
Foundation to Absorption True 20 ft
InletOutlet Pipes & Baffles True
August 29, 2023 Page 1 of 2
INSPECTION WORKSHEET (SEP-027477-2023)
Checklist Item CommentsPassed
50% alarm level activates True
August 29, 2023 Page 2 of 2