SEP-003670-2019 06182019INSPECTION WORKSHEET (SEP-003670-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:SEP-0410-2019 Case Module:Permit
Inspection Date:Tue Jun 18, 2019 Inspection Status:Passed
Inspector:John O'Brien Inspection Type:Septic
Job Address:Parcel Number:23 HILLCREST AVE
Queensbury, NY 12804
301.12-3-24
Contact Type Company Name Name
Granted Permission Pixley, Joyce
Primary Owner Pixley, Joyce
Contractor IBS Septic
Applicant IBS Septic
Checklist Item Passed Comments
Building Inspector Notes YES 6/18/19 Septic System Approved
Type of Water: Municipal / Well Water YES Municipal
Absorbtion Fields: Total Length YES 200'
Length of Each Trench YES 4@50'
Depth of Trenches YES 24"-30"
Size of Stone YES #2
Building to Tank YES Existing
Jun 18, 2019 Page (1)
INSPECTION WORKSHEET (SEP-003670-2019)
Checklist Item Passed Comments
Tank to Distribution Box YES 4" sdr35 pvc
Distribution box to Field / Pit YES 4" sdr35 pvc to 4"sdr35 pvc perforated
Locations / Separations YES Front left side
Foundation to Tank YES Existing
Foundation to Absorption YES 24'
Conforms as per Plot Plan YES As per as-built
Engineer Report and As-Built YES As-Built
System Use Status YES 6/18/19 Septic System Approved
Jun 18, 2019 Page (2)
O'Brien, John (Inspector)