INSPECTION WORKSHEET 05062024
INSPECTION WORKSHEET
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number: 2024-0066 Case Module: Permit
Inspection Date: May 06, 2024 Inspection Status: Reinspect
Inspector: Mark Smith Inspection Type: Septic
Job Address: 11 SIGN POST RD
Lake George,NY 12845 Parcel Number: 239.16-1-7
Contact Type Company Name Name
Owner N/A MICHAEL L LOUGHREY
Engineer Environmental Design Partnership (EDP) null null
Contractor IBS Septic & Drain
Checklist Item
Status
Building Inspector notes
5/3/24 partial approval for septic system
- partial approval of absorption field, 3 of the eljen mats at each lateral
installed and approved to back fill.
5/6/24 partial approval for septic system
- absorption field partially approved, 6 of 8 Eljen mat’s installed at each
lateral.
PASS
Public sewer sign off
Roof gutters don't discharge over leach
field
Soil type: sand
Soil type: loam
Soil type: clay
Type of water: municipal or well water
Waterline separation distance
Well casing length 50 ft. more or less
Total length of absorption fields
Septic system field above field plain
Sump pump not connected to septic
system
Septic tanks and pump station anchored
in flood zone
Water softener not hooked to septic
system
Length of each trench
Depth of trenches
System use status
Number of seepage pits
Size
Size of stones
Opening sealed
End cap
Inlet outlet pipes and baffles, provide
extension collar if yes
Locations and separations
Distance from foundation to tank
Distance from foundation to absorption
field
Separation of seepage pits
Stone size
Size of tank
50 percent alarm level activates
90 percent alarm level activates
Water shut off activates at 90 percent full
Final electrical
Conforms as per plot plan
Engineer report and as-built
ETU Maintenance Contract provided
Well separation distance
Location of system on property
Mark Smith
Code Enforcement Officer