IM Inspection Worksheet_22-09-2023_08-49-42INSPECTION WORKSHEET (SEP-027867-2023)
SEP-0583-2023Case Number:Case Module:Permit Management
09/22/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:1560 Ridge Rd
Queensbury, NY 12804
266.3-1-72
Company Name NameContact Type
Applicant Hutchins Engineering
Contractor Stone Installations
Engineer Hutchins Engineering
Granted Permission Jessica (Mackrodt) Taylor
Primary Owner Jessica (Mackrodt) Taylor
Checklist Item CommentsPassed
Building Inspector Notes False
Soil Type: Sand True
Size of Stone True #2
Waterline separation distance True
Building to Tank True existing line
[Provide extension collar if Yes]True
Tank to Distribution Box True 4" SCHD 40
Opening Sealed:True
End Cap True
Absorbtion Fields: Total Length True 200 ft
Septic system field above flood plain True
Foundation to Tank True 10+ ft
Engineer Report and As-Built True please provide engineer asbuilt report / received
Sump pump not connected to septic system False
Well Casing Length: 50ft +/-True
Location of system on property True see specs
Inlet & Outlet manholes 12"+ below grade True
Type of Water: Municipal / Well Water True well
Locations / Separations True See specs
Well separation distance True
Depth of Trenches True 12-24"
Length of Each Trench True 50 ft
System Use Status True
Conforms as per Plot Plan True
Size of tank True existing 1250
Distribution box to Field / Pit True 4" sewer and drain
Foundation to Absorption True 20+ ft
InletOutlet Pipes & Baffles True
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