IM Inspection Worksheet_29-09-2023_15-17-56INSPECTION WORKSHEET (SEP-028034-2023)
SEP-0448-2023Case Number:Case Module:Permit Management
09/29/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Mark Smith
Job Address:Parcel Number:53 Birch Rd
Lake George, NY 12845
289.13-1-31
Company Name NameContact Type
Applicant Daphne Sanborn
Contractor IBS Septic
Engineer Hutchins Engineering
Granted Permission Daphne Sanborn
Primary Owner Daphne Sanborn
Checklist Item CommentsPassed
Building Inspector Notes True 9/27/23 Partial approval for septic alterations.
- replacement of septic tank only approved. a 1000 gallon septic
tank was installed to service the garage apartment only.
provide certified as built drawing from design engineer
9/29/23 final inspection for replacement of septic approved.
- as built received
Building to Tank False 10'
[Provide extension collar if Yes]True
Opening Sealed:True
Foundation to Tank True 4"sch 40
Location of system on property True side yard
Inlet & Outlet manholes 12"+ below grade True
System Use Status True approved
InletOutlet Pipes & Baffles True
September 29, 2023 Page 1 of 1