IM Inspection Worksheet_12-12-2023_15-33-49INSPECTION WORKSHEET (SEP-029368-2023)
SEP-0654-2023Case Number:Case Module:Permit Management
12/12/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:12 Seneca Dr
Queensbury, NY 12804
239.8-1-26
Company Name NameContact Type
Applicant Hutchins Engineering
Contractor Crandall Excavating
Engineer Hutchins Engineering
Granted Permission JAMES MASON
Primary Owner JAMES MASON
Checklist Item CommentsPassed
Building Inspector Notes True See notes from permit # 655-2023 pertaining to installation from
engineer plan from T Hutchins # 292249-0-S1 for # 14 Seneca,
same as #12 Seneca. Waste water system completed as per
specs. CMD 12/12/23
Soil Type: Sand False
Size of Stone True #2
Final Electrical True
Roof gutters don't discharge over leach field False
Waterline separation distance True
Building to Tank True
Public Sewer Sign-Off False
[Provide extension collar if Yes]False
Tank to Distribution Box True
Opening Sealed:False
Soil Type: Clay False
90% alarm level activates True
End Cap False
Absorbtion Fields: Total Length True see specs
Foundation to Tank False
Engineer Report and As-Built True
Location of system on property True See specs
Inlet & Outlet manholes 12"+ below grade False
Type of Water: Municipal / Well Water False
Locations / Separations False
Depth of Trenches False
Separation of Pits False
Length of Each Trench False
System Use Status True
Conforms as per Plot Plan True
Size of tank False
December 12, 2023 Page 1 of 2
INSPECTION WORKSHEET (SEP-029368-2023)
Checklist Item CommentsPassed
Distribution box to Field / Pit True
Foundation to Absorption False
InletOutlet Pipes & Baffles False
50% alarm level activates True
Soil Type: Loam False
December 12, 2023 Page 2 of 2