INSPECTION WORKSHEET 03182024
INSPECTION WORKSHEET
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number: RC-0275-2023 Case Module: Permit
Inspection Date: March 18, 2024 Inspection Status: Reinspect
Inspector: Charles Dyer Inspection Type: Septic
Job Address: 81 ASSEMBLY POINT RD
, Parcel Number:
Contact Type Company Name Name
Owner N/A
G. THOMAS MOYNIHAN
JR
Contractor J. Clarke Constructiion
Owner N/A Joan Moynihan
Checklist Item
Status
Building Inspector notes
3/18/24 verified placements of Fujiclean ETU, 500 gallon pump chamber
and 13x28 stone absorption bed as per specs.
PASS
Public sewer sign off
N/O
Roof gutters don't discharge over leach
field
N/O
Soil type: sand
PASS
Soil type: loam
N/O
Soil type: clay
N/O
Type of water: municipal or well water
Lake
N/O
Waterline separation distance
PASS
Total length of absorption fields
3 lines at 23/24 ft
PASS
Septic system field above field plain
N/O
Sump pump not connected to septic
system
N/O
Water softener not hooked to septic
system
N/O
Length of each trench
stone absorption bed with 3 lines of 4” sewer and drain perforated. See
specs
N/O
Depth of trenches
N/O
System use status
N/O
Distance from building to tank
N/O
Distance from tank to d-box
N/O
Distance from d-box to field or pit
N/O
Opening sealed
lines are looped
PASSN/O
End cap
lines are looped
PASSN/O
Inlet outlet pipes and baffles, provide
extension collar if yes
N/O
Locations and separations
N/O
Distance from foundation to tank
N/O
Distance from foundation to absorption
field
N/O
Stone size
#2
PASS
Size of tank
Fujiclean model CEN-5 ETU / 500 gallon precast pump chamber
PASS
50 percent alarm level activates
N/O
90 percent alarm level activates
N/O
Water shut off activates at 90 percent full
N/O
Final electrical
N/O
Conforms as per plot plan
N/O
Engineer report and as-built
N/O
ETU Maintenance Contract provided
please provide
N/O
Location of system on property
see specs
PASS
Charles Dyer
Code Enforcement Officer