SEP-002568-2019 05092019INSPECTION WORKSHEET (SEP-002568-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:SEP-0269-2019 Case Module:Permit
Inspection Date:Thu May 9, 2019 Inspection Status:Passed
Inspector:Mark Smith Inspection Type:Septic
Job Address:Parcel Number:1232 WEST MOUNTAIN RD
Queensbury, NY 12804
288.-1-65
Contact Type Company Name Name
Applicant Sanitary Sewer Service
Contractor Sanitary Sewer Service
Granted Permission Williams, Tom
Primary Owner Williams, Tom
Checklist Item Passed Comments
Building Inspector Notes YES 1000 gallon poly tank with 96' of absorption field. 3 laterals @
33 feet each
System is for apartment only
Type of Water: Municipal / Well Water YES Municipal
Waterline separation distance YES 50'+
Absorbtion Fields: Total Length YES 3 laterals @ 33' each
Length of Each Trench YES 3 @ 33' each
Depth of Trenches YES 18 to 24"
May 09, 2019 Page (1)
INSPECTION WORKSHEET (SEP-002568-2019)
Checklist Item Passed Comments
Size of Stone YES #2
Building to Tank YES Sch 40
Tank to Distribution Box YES SDR 35
Distribution box to Field / Pit YES SDR 35
Foundation to Tank YES 15'
Foundation to Absorption YES 20'
Location of system on property YES Rear of apartment
System Use Status YES System approved
May 09, 2019 Page (2)
Smith, Mark (Inspector)