IM Inspection Worksheet_15-11-2023_15-15-49INSPECTION WORKSHEET (SEP-028884-2023)
RC-0296-2023Case Number:Case Module:Permit Management
11/15/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:98 West Mountain Rd
Queensbury, NY 12804
315.6-1-18
Company Name NameContact Type
Applicant Cerrone Builders Inc
Contractor Cerrone Builders Inc
Engineer Vision Engineering
Granted Permission Cerrone Builders Inc
Primary Owner Cerrone Builders Inc
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" sewer and drain
Opening Sealed:True
End Cap True
Absorbtion Fields: Total Length True 250 ft
Foundation to Tank True 11 ft
Engineer Report and As-Built False
Location of system on property True right side of home
Inlet & Outlet manholes 12"+ below grade False N/A
Type of Water: Municipal / Well Water True municipal
Locations / Separations False
Depth of Trenches True 20+"
Length of Each Trench True 50 ft
System Use Status True
Conforms as per Plot Plan False
Size of tank True 1000
Distribution box to Field / Pit True 4" sewer and drain perforated
Foundation to Absorption True 20+ ft
InletOutlet Pipes & Baffles True
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