IM Inspection Worksheet_26-10-2023_12-46-13INSPECTION WORKSHEET (SEP-028494-2023)
SEP-0587-2023Case Number:Case Module:Permit Management
10/26/2023 Partial PassInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:33 Bonner Dr
Queensbury, NY 12804
295.11-1-8
Company Name NameContact Type
Applicant Tom Center
Contractor Sanitary Sewer Service
Engineer Hutchins Engineering
Granted Permission Nathan Fuller
Primary Owner Nathan Fuller
Checklist Item CommentsPassed
Building Inspector Notes False
Soil Type: Sand True
Size of Stone True #2
Waterline separation distance True
Building to Tank True 4" SCHD 40
[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 bed system / 95 ft
Foundation to Tank True 13 ft
Engineer Report and As-Built False please provide engineer asbuilt
Location of system on property True see specs
Inlet & Outlet manholes 12"+ below grade False N/A
Type of Water: Municipal / Well Water True municipal
Locations / Separations False
Depth of Trenches True bed is roughly 20" in depth
Length of Each Trench True bed system / 4 lines at 20 ft then looped=95ft
System Use Status True
Conforms as per Plot Plan True
Size of tank True 1000 pre cast
Distribution box to Field / Pit True 4" sewer and drain perforated
Foundation to Absorption True 32 ft
InletOutlet Pipes & Baffles True concrete
Soil Type: Loam True
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