inspectionsINSPECTION WORKSHEET (SEP-001749-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:SEP-0049-2019 Case Module:Permit
Inspection Date:Mon Apr 1, 2019 Inspection Status:Passed
Inspector:Dave Hatin Inspection Type:Septic
Job Address:Parcel Number:19 CHURCHILL RD
Queensbury, NY 12804
227.17-2-23
Contact Type Company Name Name
Contractor Rick McGuire Excavating & Trucking
LLC
Applicant Hutchins Engineering
Granted Permission Moynihan, Molly
Engineer Hutchins Engineering
Primary Owner Moynihan, Molly
Checklist Item Passed Comments
Building Inspector Notes NO Inspected system and found south side to be 10' to close to
williams well. Tom Hutchins to redo plan and take 12' from
south side and move it to north side of system. Tom Hutchins
to provide as built and sign off prior to final inspection.
Well separation distance YES 65'
Absorbtion Fields: Total Length YES 18 Matts
Length of Each Trench YES 72'
Depth of Trenches YES 2'
Apr 01, 2019 Page (1)
INSPECTION WORKSHEET (SEP-001749-2019)
Checklist Item Passed Comments
Building to Tank YES 17'
Tank to Distribution Box YES 54'
Distribution box to Field / Pit YES 0'
Locations / Separations YES Per revised plot plan
Foundation to Absorption YES 54'
Conforms as per Plot Plan YES Revised plot recieved
Engineer Report and As-Built YES as built and sign off recieved
Location of system on property YES Rear yard
Apr 01, 2019 Page (2)
Hatin, Dave (Inspector)