IM Inspection Worksheet_28-09-2023_15-22-29INSPECTION WORKSHEET (SEP-028001-2023)
SEP-0598-2023Case Number:Case Module:Permit Management
09/28/2023 Partial PassInspection Status:Inspection Date:
SepticInspection Type:Inspector:Mark Smith
Job Address:Parcel Number:18 Moorwood Dr
Queensbury, NY 12804
295.15-1-46
Company Name NameContact Type
Applicant Nick Daigle
Contractor Nick Daigle
Granted Permission Nick Daigle
Primary Owner Martin Shaffer
Checklist Item CommentsPassed
Building Inspector Notes False 9/28/23 partial approval for septic system.
- a new 1250 gallon septic tank with 200' of pipe and stone was
installed.
- provide as built drawing for final approval.
Soil Type: Sand True
ETU Maintenance Contract provided False
Size of Stone True # 2
Roof gutters don't discharge over leach field True
Waterline separation distance True
Building to Tank True 4" sch 40
Tank to Distribution Box True 4" SDR 35
Opening Sealed:True
End Cap True
Absorbtion Fields: Total Length True 4 laterals @ 50' each 200' total
Foundation to Tank False
Engineer Report and As-Built False provide as built drawing
Location of system on property False back yard
Type of Water: Municipal / Well Water True municipal water supply
Locations / Separations True
Depth of Trenches True 16/18"
Length of Each Trench True 4 laterals @ 50' each 200' total
System Use Status True system approved for use
Conforms as per Plot Plan True
Size of tank True 1250 gallon septic tank
Distribution box to Field / Pit True 4" SDR 35 perforated
Foundation to Absorption False
InletOutlet Pipes & Baffles True
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