IM Inspection Worksheet_22-01-2024_13-03-33INSPECTION WORKSHEET (SEP-000191-2024)
SEP-0001-2022Case Number:Case Module:Permit Management
01/22/2024 FailedInspection Status:Inspection Date:
SepticInspection Type:Inspector:John O'Brien
Job Address:Parcel Number:930 State Rte 149
Lake George, NY 12845
279.-1-53
Company Name NameContact Type
Applicant IBS Septic
Contractor IBS Septic
Engineer Wales Engineering
Granted Permission Gary West
Primary Owner Gary West
Checklist Item CommentsPassed
Building Inspector Notes False 6/13/23 Septic System Not Approved
- No inspections and permit has expired.
As per my conversation with the owner Gary West and Ivan Bell the
system was not inspected but installed. The engineer Jeff Mancini
has inspected and will provide an as-built. Ivan will have a crew on
site tomorrow to exposed septic tank and distribution box along
with camera each line for length and functionality.
Ivan will call and set up an inspection with Kate Deck.s
6/21/23 Septic System Inspection Not Approved
Remaining Items:
- Inlet pipe to septic tank needs a sanitary tee and downspout
installed
- Submit as-built septic system plot plan from engineer.
Note: Call for reinspection of sanitary tee do not backfill inlet
location of septic tank.
6/23/23 Septic System Partial Approval
Remain Item:
- Submit as-built septic system plot plan from engineer.
Note:
- Sanitary Tee installed
1/22/24 Septic System Not Approved
Remain Item:
- Submit as-built septic system plot plan from engineer.
Soil Type: Sand True
Size of Stone True #2
Waterline separation distance True
Building to Tank True Existing
[Provide extension collar if Yes]True
Tank to Distribution Box True 4" sdr35 pvc
Opening Sealed:True
End Cap True
Absorbtion Fields: Total Length True 180'
Foundation to Tank True 10'+
January 22, 2024 Page 1 of 2
INSPECTION WORKSHEET (SEP-000191-2024)
Checklist Item CommentsPassed
Engineer Report and As-Built False 6/23/23 Septic System Partial Approval
Remain Item:
- Submit as-built septic system plot plan from engineer.
Note:
- Sanitary Tee installed
1/22/24 Septic System Not Approved
Remain Item:
- Submit as-built septic system plot plan from engineer.
Location of system on property True Rear of property left side.
Inlet & Outlet manholes 12"+ below grade True
Type of Water: Municipal / Well Water True Well
Locations / Separations True
Well separation distance True 100' +
Depth of Trenches True 24"
Length of Each Trench True 4@45'
System Use Status False 6/21/23 Septic System Inspection Not Approved
Remaining Items:
- Inlet pipe to septic tank needs a sanitary tee and downspout
installed
- Submit as-built septic system plot plan from engineer.
Note: Call for reinspection of sanitary tee do not backfill inlet
location of septic tank.
6/23/23 Septic System Partial Approval
Remain Item:
- Submit as-built septic system plot plan from engineer.
Note:
- Sanitary Tee installed
1/22/24 Septic System Not Approved
Remain Item:
- Submit as-built septic system plot plan from engineer.
Conforms as per Plot Plan True
Size of tank True Existing 1000 gallon concrete tank
Distribution box to Field / Pit True 4" sdr35 pvc to 4" sdr35 pvc perforated
Foundation to Absorption True 65'
InletOutlet Pipes & Baffles True Effluent filter installed
Soil Type: Loam True
January 22, 2024 Page 2 of 2