IM Inspection Worksheet_20-12-2023_12-28-26INSPECTION WORKSHEET (SEP-029420-2023)
SEP-0614-2021Case Number:Case Module:Permit Management
12/20/2023 Partial PassInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:80 Rockhurst Rd
Queensbury, NY 12804
227.13-2-42
Company Name NameContact Type
Applicant Joseph Sheehan
Architect Rucinski Hall Architecture
Contractor IBS Septic
Granted Permission Joseph Sheehan
Primary Owner Joseph Sheehan
Checklist Item CommentsPassed
Building Inspector Notes True 11/2/22 verified placement of 3 1500 gallon holding tanks /
precast concrete / traffic rated
System consists of (3) 1500 gallon holding tanks all of precast
concrete 5/31/23
Please provide as built for holding tanks
Final Electrical True Provide final electrical / received 12/20/23
Waterline separation distance True
Building to Tank True 4" SCHD 40
[Provide extension collar if Yes]True
Opening Sealed:True
90% alarm level activates True Installed / not verified with alarm as per main panel not completed
12/20/23 verified
Absorbtion Fields: Total Length False
Foundation to Tank True 4" SCHD 40
Engineer Report and As-Built False Provide asbuilt report from Architect - 12/20/23 please provide
asbuit as per specs from Rucinski Hall Architecture.
Sump pump not connected to septic system True No
Water shut off activates at 90% full True Installed / not verified with alarm as per main panel not completed
12/20/23 verified / completed
Location of system on property True See specs
Inlet & Outlet manholes 12"+ below grade True Yes / traffic rated
Type of Water: Municipal / Well Water True Lake
Locations / Separations True See specs
System Use Status False Verified main line 4" SCHD 40, home is still in stage of rough
plumbing
Conforms as per Plot Plan True Yes
Size of tank True (3)1500 gallon holding tanks
InletOutlet Pipes & Baffles True
50% alarm level activates True Installed / not verified with alarm as per main panel not completed
12/20/23 verified floats / alarm and water shut off
Permit Card Visible From Road True
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