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IM Inspection Worksheet_24-10-2023_12-01-33.pdf Illl 111 IIII llllllll llllll4l lllllllllllllll IIIIIII llllllllllllllllllll 111111111 fill���� �����lull fill llllllll���1�1 ll`1�1 llllllll fill IIIII IIIIIIUUUIII IIIIIIIIIIIIIII lllllllllllll4l IU llllllll lllllllllllllll 1111111111U IIII fill �1� 11111111 111 ���� lull ���� 1�l ll l l ll ll U l l l l ll l l Il l� i l l ll I l l ll l U l ll 11ll�ll ll llllllll Case Number: SEP-0653-2023 Case Module: Permit Management Inspection Date: 10/18/2023 Inspection Status: Partial Pass Inspector: Mark Smith Inspection Type: Septic Job Address: 8 Wintergreen Rd Parcel Number: 309.5-1-25 Queensbury, NY 12804 Contact Type Company Name Name Applicant Morning Star Excavation &Septic Contractor Morning Star Excavation &Septic Engineer Harlan-McGee of North America Granted Permission Morning Star Excavation &Septic Primary Owner Beth Cummings Checklist Item Passed Comments Building Inspector Notes True 10/18/23 partial approval for septic system -existing 1000 gallon septic tank with 200'of pipe and stone was installed remaining items - provide certified as built drawing from design engineer. Soil Type: Sand_ True Size of Stone True #2 Roof gutters don't discharge over leach field True Waterline separation distance True Building to Tank True existing Tank to Distribution Box True 4"sdr 35 Opening Sealed True End Cap True Absorbtion Fields: Total Length True 4 laterals at 50'each 200'total Septic system field above flood plain True Foundation to Tank True 14' Engineer Report and As-Built False provide certified as built drawing from design engineer. Location of system on property True Type of Water: Municipal/Well Water True municipal water supply Locations/Separations True Depth of Trenches True 20" Length of Each Trench True 4 laterals at 50'each, 200'total System Use Status True system approved for use Conforms as per Plot Plan True Distribution box to Field/Pit True 4"sanitary lines Foundation to Absorption True 22' InletOutlet Pipes& Baffles True October 24,2023 Page 1 of 1