IM Inspection Worksheet_25-09-2023_12-58-10INSPECTION WORKSHEET (SEP-027916-2023)
SEP-0690-2022Case Number:Case Module:Permit Management
09/25/2023 Partial PassInspection Status:Inspection Date:
SepticInspection Type:Inspector:Mark Smith
Job Address:Parcel Number:20 Burnt Ridge Rd
Lake George, NY 12845
239.16-1-19
Company Name NameContact Type
Applicant Environmental Design Partnership (EDP)
Contractor Moss Capital Group LLC
Engineer Environmental Design Partnership (EDP)
Granted Permission DAN SLOTE
Primary Owner DAN SLOTE
Checklist Item CommentsPassed
Building Inspector Notes False 8/25/23 partial approval for septic system.
-placement of 1250 gallon poly septic tank verified
-placement of 1000 gallon pump tank verified..
- placement of 20' x30' raised absorption bed verified.
2' forced main from pump tank verified.
items remaining
- verify baffles at septic tank.
-verify alarm and pump floats at pump tank.
- verify grinder pump and alarms at grinder pump are operational.
-provide proof of final electrical inspection.
-provide final as built drawing from design engineer.
- verify final grading at raised bed.
9/25/23 partial approval for septic system.
Alarms and floats at both the grinder pump at the house and
pump tank at the top of the hill verified
baffles at septic tank verified.
connection of forced main at septic tank verified.
items remaining
proof of final electric inspection
submit certified as built drawing from design engineer
ETU Maintenance Contract provided False
Final Electrical False
Roof gutters don't discharge over leach field True
Waterline separation distance True
Building to Tank True 2" forced main
Tank to Distribution Box True 2" forced main to raised pressure bed
Opening Sealed:True
90% alarm level activates True
End Cap True
Absorbtion Fields: Total Length True 30' x20'bed system
Septic system field above flood plain True
Foundation to Tank True
Engineer Report and As-Built False
September 25, 2023 Page 1 of 2
INSPECTION WORKSHEET (SEP-027916-2023)
Checklist Item CommentsPassed
Sump pump not connected to septic system True
Location of system on property False
Inlet & Outlet manholes 12"+ below grade True
Type of Water: Municipal / Well Water True lake water supply
Separation of Pits False
Length of Each Trench True 30' x 20' bed system
System Use Status True system approved for use
Conforms as per Plot Plan False
Size of tank True 1250 gallon septic tank 1000 gallon pump tank
Foundation to Absorption False
InletOutlet Pipes & Baffles True
50% alarm level activates True
September 25, 2023 Page 2 of 2