inspectionsINSPECTION WORKSHEET (SEP-001461-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:SEP-0098-2019 Case Module:Permit
Inspection Date:Fri Mar 15, 2019 Inspection Status:Passed
Inspector:Mark Smith Inspection Type:Septic
Job Address:Parcel Number:14 ARBUTUS DR
Queensbury, NY 12804
302.17-2-16
Contact Type Company Name Name
Contractor Bradley's Septic
Primary Owner Hamm, Daniel
Engineer Robinson, Garry
Applicant Hamm, Daniel
Granted Permission Hamm, Daniel
Checklist Item Passed Comments
Building Inspector Notes NO 3/14/19 As built received
Document from engineer stating that the system is built to
Design is required before backfill.
Public Sewer Sign-Off NO
Soil Type: Loam NO
Soil Type: Clay NO
Type of Water: Municipal / Well Water YES Municipal
Waterline separation distance YES 10'+
Mar 15, 2019 Page (1)
INSPECTION WORKSHEET (SEP-001461-2019)
Checklist Item Passed Comments
Well Casing Lengt: 50ft +/-NO
Absorbtion Fields: Total Length YES 60'
Septic tanks & pump station anchored in flood
zone
NO
Length of Each Trench YES 20'
Depth of Trenches YES 10"to24"
Size of Stone NO
Size:NO
Stone Size:NO
Building to Tank YES Existing, 10'+-
Tank to Distribution Box YES 2 feet
Distribution box to Field / Pit YES 2 feet
Opening Sealed:NO
InletOutlet Pipes & Baffles YES Outlet with saber filter, inlet not exposed.
Manholes 12 or less below grade YES Riser installed on outlet side only.
[Provide extension collar if Yes]NO
Mar 15, 2019 Page (2)
INSPECTION WORKSHEET (SEP-001461-2019)
Checklist Item Passed Comments
Locations / Separations NO
Foundation to Tank YES Existing tank. 10'
Foundation to Absorption NO 26 feet
Separation of Pits NO
ETU Maintenance Contract provided NO
Location of system on property YES Front right side.
System Use Status NO
Mar 15, 2019 Page (3)
Smith, Mark (Inspector)
INSPECTION WORKSHEET (SEP-001413-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:SEP-0098-2019 Case Module:Permit
Inspection Date:Thu Mar 14, 2019 Inspection Status:Failed
Inspector:Mark Smith Inspection Type:Septic
Job Address:Parcel Number:14 ARBUTUS DR
Queensbury, NY 12804
302.17-2-16
Contact Type Company Name Name
Primary Owner Hamm, Daniel
Granted Permission Hamm, Daniel
Contractor Bradley's Septic
Engineer Robinson, Garry
Applicant Hamm, Daniel
Checklist Item Passed Comments
Building Inspector Notes NO 3/14/19 As built received
Document from engineer stating that the system is built to
Design is required before backfill.
Public Sewer Sign-Off NO
Soil Type: Loam NO
Soil Type: Clay NO
Type of Water: Municipal / Well Water YES Municipal
Waterline separation distance YES 10'+
Mar 14, 2019 Page (1)
INSPECTION WORKSHEET (SEP-001413-2019)
Checklist Item Passed Comments
Well Casing Lengt: 50ft +/-NO
Absorbtion Fields: Total Length YES 60'
Septic tanks & pump station anchored in flood
zone
NO
Length of Each Trench YES 20'
Depth of Trenches YES 10"to24"
Size of Stone NO
Size:NO
Stone Size:NO
Building to Tank YES Existing, 10'+-
Tank to Distribution Box YES 2 feet
Distribution box to Field / Pit YES 2 feet
Opening Sealed:NO
InletOutlet Pipes & Baffles YES Outlet with saber filter, inlet not exposed.
Manholes 12 or less below grade NO
[Provide extension collar if Yes]NO
Mar 14, 2019 Page (2)
INSPECTION WORKSHEET (SEP-001413-2019)
Checklist Item Passed Comments
Locations / Separations NO
Foundation to Tank NO
Foundation to Absorption NO 26 feet
Separation of Pits NO
Conforms as per Plot Plan NO
Engineer Report and As-Built NO
ETU Maintenance Contract provided NO
Location of system on property YES Front right side.
System Use Status NO
Mar 14, 2019 Page (3)
Smith, Mark (Inspector)