IM Inspection Worksheet_17-11-2023_13-29-57INSPECTION WORKSHEET (SEP-028966-2023)
SEP-0655-2023Case Number:Case Module:Permit Management
11/17/2023 Partial PassInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:14 Seneca Dr
Queensbury, NY 12804
239.8-1-27
Company Name NameContact Type
Applicant Hutchins Engineering
Contractor Crandall Excavating
Engineer Hutchins Engineering
Granted Permission GEORGE WALKER
Primary Owner GEORGE WALKER
Checklist Item CommentsPassed
Building Inspector Notes True Partial inspection for verification of (2) 18x35 absorption beds. For
12 Seneca and 14 Seneca drive. Consisting of 4" sewer and drain
perforated with distribution boxes (precast)11/16/23
Soil Type: Sand False
ETU Maintenance Contract provided False
Size of Stone True #2
Final Electrical False
Waterline separation distance False
Building to Tank False
Public Sewer Sign-Off False
[Provide extension collar if Yes]False
Tank to Distribution Box False
Opening Sealed:False
Soil Type: Clay False
90% alarm level activates False
End Cap True lines are looped
Absorbtion Fields: Total Length True 135 ft per bed
Septic system field above flood plain True
Foundation to Tank False
Engineer Report and As-Built False
Water shut off activates at 90% full False
Well Casing Length: 50ft +/-False
Location of system on property False
Inlet & Outlet manholes 12"+ below grade False
Type of Water: Municipal / Well Water False
Locations / Separations False
Well separation distance False
Separation of Pits False
Length of Each Trench True (2) absorbption beds / see specs
System Use Status False
November 17, 2023 Page 1 of 2
INSPECTION WORKSHEET (SEP-028966-2023)
Checklist Item CommentsPassed
Conforms as per Plot Plan False
Size of tank False
Distribution box to Field / Pit True from 2" force main to 4" sewer and drain
Foundation to Absorption False
InletOutlet Pipes & Baffles False
50% alarm level activates False
Soil Type: Loam True
November 17, 2023 Page 2 of 2