IM Inspection Worksheet_27-11-2023_14-55-47INSPECTION WORKSHEET (SEP-029114-2023)
RC-0533-2022Case Number:Case Module:Permit Management
11/27/2023 Partial PassInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:6 Alessia Dr
Queensbury, NY 12804
315.10-1-45
Company Name NameContact Type
Applicant Cerrone Builders Inc
Contractor Cerrone Builders Inc
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" SDR 35
Opening Sealed:True
End Cap False lines are looped
Absorbtion Fields: Total Length True absorbition bed 20x25 / 95 ft
Foundation to Tank True 18 ft
Engineer Report and As-Built False asbuilt provided by installer / please provide engineer asbuilt
Location of system on property True right side of home
Inlet & Outlet manholes 12"+ below grade False
Type of Water: Municipal / Well Water True municipal
Locations / Separations False
Depth of Trenches True bed is roughly 16"-18"
Length of Each Trench True absorbition bed
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 35 ft
InletOutlet Pipes & Baffles True concrete
Soil Type: Loam True
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