IM Inspection Worksheet_16-11-2023_08-39-09INSPECTION WORKSHEET (SEP-028881-2023)
CC-0241-2023Case Number:Case Module:Permit Management
11/16/2023 Partial PassInspection Status:Inspection Date:
SepticInspection Type:Inspector:Mark Smith
Job Address:Parcel Number:355 Dix Ave
Queensbury, NY 12804
303.15-1-27
Company Name NameContact Type
Applicant Blueprint Engineering and Desing LLC
Contractor Hunt Companies Inc
Engineer Blueprint Engineering and Desing LLC
Granted Permission Hospitality Syracuse Inc
Primary Owner Hospitality Syracuse Inc
Checklist Item CommentsPassed
Building Inspector Notes False 10/26/23 partial approval of septic system.
- placement of 1000 gallon grease trap, 2000 gallon septic tank
and 1000 gallon pump tank only.
- Alarms and float switches have not been verified.
- baffles at grease trap and septic tank have not been installed at
time of inspection.
11/16/23 partial approval for septic system.
- placement of absorption field verified.
- operation of sump chamber and alarms verified.
- flow to D- box verified
- final electrical inspection verified.
- Engineer on site at time of inspection.
Items remaining.
- Submit as built drawing and letter of substantial completion from
design engineer.
- verify final grading at raised absorption field.
Soil Type: Sand True
Size of Stone True # 2
Final Electrical True
Roof gutters don't discharge over leach field True
Waterline separation distance True
Building to Tank True 4' sch 40 from building to septic tank with clean out. 4' sch 40
connecting grease tank to septic tank. both septic and pump tank
are vented.
[Provide extension collar if Yes]True
Tank to Distribution Box True 2" forced main PVC
Opening Sealed:True
90% alarm level activates True
End Cap True
Absorbtion Fields: Total Length True 10 laterals at 100' each, 1000' total.
Septic system field above flood plain True
Foundation to Tank False
Engineer Report and As-Built True provide as built drawing
Inlet & Outlet manholes 12"+ below grade True
November 16, 2023 Page 1 of 2
INSPECTION WORKSHEET (SEP-028881-2023)
Checklist Item CommentsPassed
Water softener not connected to septic system True
Type of Water: Municipal / Well Water True municipal water supply
Locations / Separations True
Depth of Trenches True 12/16"
Length of Each Trench True 10 laterals at 100' each, 1000' total.
System Use Status True system approved for use
Conforms as per Plot Plan True
Size of tank True 1000 gallon grease tank, 1000 gallon pump tank, 2000 gallon
septic tank.
Distribution box to Field / Pit True 4" D S 3000 PVC perforated
Foundation to Absorption False
InletOutlet Pipes & Baffles True
November 16, 2023 Page 2 of 2