IM Inspection Worksheet 05-17-2019 IIII IIIIIIIIIIIIIIIIII IIII IIII IIIIIIIIII III IIII III I IIII IIIIIIIIIIIII IIIIIIIIII IIIIII IIIIII IIIIIII IIIII�����II IIII IIIIIII IIII II IIII�I
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Town of Queensbury-Building and Codes - Fire Marshal
742 Bay Road -(518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number: SEP-0113-2019 Case Module: Permit
Inspection Date: Fri May 17, 2019 Inspection Status: Partial Pass
Inspector: Mark Smith Inspection Type: Septic
Job Address: 2 HALL RD Parcel Number: 289.11-1-21
Queensbury, NY 12804
Contact Type Company Name Name
Primary Owner Ogden Family Trust
Contractor IBS Septic
Applicant IBS Septic
Engineer Rucinski-Hall Architecture
Granted Permission Ogden Family Trust
Checklist Item Passed Comments
Building Inspector Notes NO 5/17/19 installation of three 1500 gallon holding tanks verified
High water alarm floats and solenoid switch not installed at
time of inspection
Type of Water: Municipal/Well Water YES Well water
Absorbtion Fields: Total Length NO
Septic system field above flood plain NO
Septic tanks & pump station anchored in flood NO
zone
Length of Each Trench NO Holding tanks only.
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Checklist Item Passed Comments
Size of Stone NO
Seepage Pits: Number NO
Building to Tank NO Sch 40 to first tank, SDR 35 piping at next two tanks
Opening Sealed: NO
InletOutlet Pipes & Baffles NO Inlet baffle at first tank only
Manholes 12 or less below grade NO
[Provide extension collar if Yes] YES Extensions provided at each tank
Foundation to Tank NO
Foundation to Absorption NO
Separation of Pits NO
Conforms as per Plot Plan NO
Engineer Report and As-Built NO
ETU Maintenance Contract provided NO
Location of system on property NO
System Use Status NO
Smith, Mark nspector
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