INSPECTION WORKSHEET 04192024
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-0576-2023 Case Module: Permit
Inspection Date: April 19, 2024 Inspection Status: Reinspect
Inspector: Charles Dyer Inspection Type: Septic
Job Address: 335 Gurney Lane
, Parcel Number:
Contact Type Company Name Name
Owner N/A Justin Beach
Owner N/A Catherine Beach
Designer Williams & Williams Designers Inc.
Contractor Nims Outdoor Services Inc null null
Contractor Mastroianni Stone LLC
Checklist Item
Status
Building Inspector notes
PASS
Roof gutters don't discharge over leach
field
N/O
Soil type: sand
PASS
Soil type: loam
PASS
Soil type: clay
PASS
Type of water: municipal or well water
well
N/O
Waterline separation distance
PASS
Well casing length 50 ft. more or less
PASS
Total length of absorption fields
180 ft
PASS
Septic system field above field plain
N/O
Sump pump not connected to septic
system
N/O
Septic tanks and pump station anchored
in flood zone
N/O
Water softener not hooked to septic
system
N/O
Length of each trench
45 ft
PASS
Depth of trenches
16-20”
PASS
System use status
N/O
Distance from building to tank
14 ft with SCHD 40 4”
PASS
Distance from tank to d-box
30 ft 4” sewer and drain
PASS
Distance from d-box to field or pit
PASS
Opening sealed
PASS
End cap
PASS
Inlet outlet pipes and baffles, provide
extension collar if yes
with effluent filter at outlet
PASS
Locations and separations
PASS
Distance from foundation to tank
14 ft
PASS
Distance from foundation to absorption
field
25 ft
PASS
Stone size
#2
PASS
Size of tank
1,000 gallon
PASS
Conforms as per plot plan
N/O
Engineer report and as-built
to be provided
FAIL
Location of system on property
front of home
PASS
Well separation distance
100
N/O
Charles Dyer
Code Enforcement Officer