INSPECTION WORKSHEET02232024
INSPECTION WORKSHEET
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number: SEP-0607-2023 Case Module: Permit
Inspection Date: February 23, 2024 Inspection Status: Reinspect
Inspector: Charles Dyer Inspection Type: Septic
Job Address:
, Parcel Number:
Contact Type Company Name Name
Engineer RU Holmes Engineers PLLC
Contractor Crandall Excavating
N/A Curtis Carstensen
Checklist Item
Status
Building Inspector notes
partial inspection / will need to return to verify operation of pumps / alarm
and water shut off. Call when ready
N/O
Soil type: sand
PASS
Type of water: municipal or well water
lake
PASS
Waterline separation distance
PASS
Total length of absorption fields
84 ft / ELJEN system see “ELJEN” notes on spec sheet
PASS
Septic system field above field plain
PASS
Septic tanks and pump station anchored
in flood zone
At / behind apartment connection
PASS
Length of each trench
There are 3 lines of ELJEN matts 28 ft in length with 4” sewer and drain
perforated
PASS
Depth of trenches
see specs
PASSN/O
System use status
N/O
Distance from building to tank
no habitable space (basements)where tanks are placed. See specs
PASS
Distance from d-box to field or pit
manifold
PASS
Opening sealed
PASS
End cap
PASS
Inlet outlet pipes and baffles, provide
extension collar if yes
PASS
Locations and separations
PASS
Distance from foundation to tank
see specs
PASS
Distance from foundation to absorption
field
installed as per specs
PASS
Size of tank
there’s a total of 4 precast tanks / (2)1,000 gallon septic tanks (2) 1,000
gallon pump chambers.
PASS
50 percent alarm level activates
PASS
90 percent alarm level activates
PASS
Water shut off activates at 90 percent full
PASS
Final electrical
PASS
Conforms as per plot plan
PASS
Engineer report and as-built
to be provided
FAIL
Location of system on property
see specs
PASS
Charles Dyer
Code Enforcement Officer