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INSPECTION WORKSHEET 04102024 INSPECTION WORKSHEET Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number: PT-0764-2023 Case Module: Permit Inspection Date: April 10, 2024 Inspection Status: Reinspect Inspector: Charles Dyer Inspection Type: Property Transfer Job Address: 256 Lake Pkwy , Parcel Number: Contact Type Company Name Name Agent N/A George Pensel Primary Owner Patricia A Pensel Revocable Trust Checklist Item Status Building Inspector notes Need to witness operation of pump fllow to distribution box. FAIL Weather PASS Temperature (Fahrenheit) PASS Test each fixture flow to septic tank PASS Septic tank for bedrooms, whirlpool, garbage grinder within 250 gallons PASS Leaking water fixtures PASS Plumbing fixtures tested and confirmed PASS Excavate 18 inches around to verify no leach field is connected PASS Watertight PASS Septic tank; include number of tanks PASS Concrete tank PASS Access riser; if yes, what is depth to cover PASS Depth below grade to top of tank PASS Tank cover PASS Septic outlet cover extension, required 12 inches or more below grade PASS Pump station extension, required 12 inches or more below grade PASS Septic inlet cover extension, required 12 inches or more below grade PASS Inlet baffle PASS Outlet baffle PASS Effluent filter PASS Liquid level at, above or below discharge invert At PASS Number of tank compartments two PASS Visible scum layer PASS Main tank cleanout size and location PASS Capacity in gallons 1250 gallon PASS Water tight tank PASS Dosing or pump tank sealed PASS Capacity of pump tank, in gallons 1000 PASS Ejector or grinder pump sealed PASS Does the pumps appear to be operating properly PASS Is there a high water alarm PASS Are both switch and alarm operable PASS Is there evidence of surface water infiltrating PASS Are there any obvious electrical shortcomings PASS D-box material: concrete or plastic PASS Baffle and d-box or 45 degree angle PASS Cracked, corroded or deformed PASS Speed levers in d-box PASS Solids in d-box PASS Number of drop boxes PASS Outflow line invert above leach line inverts PASS Evidence of liquid above outlet inverts PASS Absorption field PASS System appears to have functioned adequately Need to witness operation of pump fllow to distribution box. FAIL As built provided is accurate PASS System passes all function testing Need to witness operation of pump fllow to distribution box. FAIL Charles Dyer Code Enforcement Officer