IM Inspection Worksheet_05-10-2023_14-23-02INSPECTION WORKSHEET (PTI-027942-2023)
PT-0615-2023Case Number:Case Module:Permit Management
10/05/2023 FailedInspection Status:Inspection Date:
Property Transfer InspectionsInspection Type:Inspector:Mark Smith
Job Address:Parcel Number:88 Seelye Rd
Queensbury, NY 12804
227.17-2-15
Company Name NameContact Type
Primary Owner Daureen Bennett
Septic Contractor IBS Septic
Checklist Item CommentsPassed
Watertight False
Building Inspector Notes False 10/5/23 property transfer inspection not approved.
- the metal holding tank is an automatic failure.
engineered plans will need to be submitted under a sperate
permit for the replacement holding tank system.
Weather/lack of information/inaccessibility False
Maintenance Agrmnt/Srvc contract (required)False
Holding tank (if yes, include capacity)False
Capacity in gallons False
System/components indicate unacceptable False
Is there a high water alarm?False
Roof gutters don't discharge over leach field False
Concrete tank False
Temperature (Fahrenheit)False
D-box material: concrete or plastic False
Baffle & D-box or 45° angle False
Apparent structural damage False
Effluent filter False
Septic inlet cover ext - Req 12"+ below grade False
Visible scum layer False
Septic tank (include # of tanks)False
Number of tank compartments False
Capacity of pump tank (gallons)False
Plumbing fixtures tested & confirmed False
Evidence of a pipe bypassing tank False
Holding Tank:verify level rises; cap. w/in 250 gal False
Whirlpool tub add 250 gal False
System appears undersized/undersized components False
Foundation drain(s)False
Verify 50% & 90% floats False
Speed levers in D-box False
Is there evidence of surface water infiltrating False
Stormwater False
October 05, 2023 Page 1 of 3
INSPECTION WORKSHEET (PTI-027942-2023)
Checklist Item CommentsPassed
Septic tank for bdrms/whrlpl/grndr w/in 250 gal False
Garbage grinder add 250 gal False
Tank cover False
System appears to have functioned adequately False
Engineer's report on ETU False
System passes all function testing False
Outlet pipe (automatic failure, if yes)False
Metal tank (automatic failure)False
Does the pump(s) appear to be operating properly?False
Surface discharge? (if yes, to where?)False
Roof runoff False
Septic outlet cover ext - Req 12"+ below grade False
System needs repairs False
Sump pump not connected to septic system False
Sand filter False
Absorption bed False
Outflow line invert above leach line invert(s)?False
Overflow pipe (automatic failure)False
Depth below grade to top of tank False
Evidence of prolonged high liquid level False
Access riser? (if yes, depth to cover)False
Leaking water fixtures False
Other False
Dosing or pump tank sealed False
Plastic tank False
Excavate 18" around,no leach field connected False
Cesspool (automatic failure, if yes)False
Other False
Ejector or grinder pump sealed False
Liquid level AT/ABOVE/BELOW (one) discharge invert False
On-site as-built req'd before insp is complete False
Seepage Pits: Number False
Inlet baffle False
Type False
Are there any obvious electrical shortcomings?False
Main tank cleanout size and location False
Recommend upgrade/expand/replace 1+ components False
Pump station extention - Reg 12"+ below grade False
Sump pump(s)False
Model False
Weather False
Manufacturer False
October 05, 2023 Page 2 of 3
INSPECTION WORKSHEET (PTI-027942-2023)
Checklist Item CommentsPassed
Test each fixture flow to septic tank False
Solids in D-box False
Number of drop box(es)False
Cracked, corroded or deformed?False
Outlet baffle False
As-built provided is accurate False
No treatment tank/other critical component(s)False
Absorption field False
Mound system False
Evidence of liquid above outlet inverts?False
Water softener not connected to septic system False
Other False
Are both switch and alarm operable?False
Water tight tank False
Raised system False
Aerobic system False
Cracked, corroded or deformed?False
Is tank pumped more than 4x/year?False
October 05, 2023 Page 3 of 3