inspections‘TOWN OF QUEENSBURY
BUILDING &CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Vat ke
Location A sid bn fe
Date 424 93 Permit #43-1 Ip
SOIL TYPE:Sand-Loam-Clay-.
Results of Percolation Test-(if applicablé)Rate-Minute/Inch
TYPE OF SYS)
ABSORPTION
Size of st
SEEPAGE PITS
Size -
Stone sizePIPING:
Bldg.to Tank
Tank to Dist.Dist.Box t
onforms as per Plot Pl
LOCATION OF SYSTEM OW
(circle one)
Front -Rear
Middle Front
COMMENTS:
‘SYSTEM USE APPROVED:
ind 3)Qaairaleg
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road,R..1 Box 98
Queensbury,New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME.kk
LOCATION.h Me berg @
pare 9/92 permit No.99-
Percolation Test Required?YES =\NOPercolationrate-Min/Inch _
TYPE of SYSTEM:
Absorption field,total Yength.
Length of each/trench fi
size-_[ft.]x
Gravel size
PIPING:
Dist.box to
Openings sealed?ves NO”Partial
Foundation to ()_ft.
Foundation to abforption 20 ft.
Absorption to lgt line ig ft2%atts
RROPERTY (circle one)
=Right side -LOCATION OF S¥8Front-Ready
thee
)
averen use arpnoven (res)vowash|on Thspector
01/86 md v1