IM Inspection Worksheet_30-11-2023_15-39-06INSPECTION WORKSHEET (SEP-029190-2023)
SEP-0655-2023Case Number:Case Module:Permit Management
11/30/2023 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 11/30/23
returned to verify placement of pump chambers and septic tank,
new 1000 gallon septic at #12 with 1000 gallon pump chamber at
#14
Soil Type: Sand True
Size of Stone True #2
Final Electrical False
Waterline separation distance True
Building to Tank False
Public Sewer Sign-Off False
[Provide extension collar if Yes]False
Tank to Distribution Box True 2" force main to 4" SCHD 40
Opening Sealed:True
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 True see specs
Engineer Report and As-Built False please provide engineer asbuilt
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 True at inlet
Type of Water: Municipal / Well Water True lake
Locations / Separations True
Well separation distance False
Length of Each Trench True (2) absorbption beds / see specs
System Use Status False
Conforms as per Plot Plan True
November 30, 2023 Page 1 of 2
INSPECTION WORKSHEET (SEP-029190-2023)
Checklist Item CommentsPassed
Size of tank True 1000 gallon tanks
Distribution box to Field / Pit True from 2" force main to 4" sewer and drain
Foundation to Absorption True see specs
InletOutlet Pipes & Baffles True
50% alarm level activates False will need to verify pumps / alarms
Soil Type: Loam True
November 30, 2023 Page 2 of 2