IM Inspection Worksheet_17-10-2023_14-24-09 (2)INSPECTION WORKSHEET (SEP-028357-2023)
SEP-0648-2023Case Number:Case Module:Permit Management
10/17/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:12 Bardin Dr
Queensbury, NY 12804
316.13-1-24
Company Name NameContact Type
Applicant Morning Star Excavation & Septic
Contractor Morning Star Excavation & Septic
Granted Permission Morning Star Excavation & Septic
Primary Owner ALLEN TURCOTTE
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 tank
[Provide extension collar if Yes]False
Tank to Distribution Box True 4" SDR 35
Opening Sealed:True
End Cap True lines are looped
Absorbtion Fields: Total Length True 192 ft
Septic system field above flood plain True
Foundation to Tank True existing tank
Engineer Report and As-Built True asbuilt provided by installer
Location of system on property True
Inlet & Outlet manholes 12"+ below grade False
Type of Water: Municipal / Well Water True municipal
Locations / Separations False
Depth of Trenches True 20+"
Length of Each Trench True 3 lines at 60 ft, then looped at ends
System Use Status True
Conforms as per Plot Plan False
Size of tank True existing 1000 gallon
Distribution box to Field / Pit True 4" sewer and drain perforated
Foundation to Absorption True 30+ ft
InletOutlet Pipes & Baffles True new outlet baffle
Soil Type: Loam True
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