04292019INSPECTION WORKSHEET (SEP-002291-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0116-2019Case Module:Permit
Inspection Date:Mon Apr 29, 2019Inspection Status:Partial Pass
Inspector:Charles DyerInspection Type:Septic
Job Address:65 JOHN CLENDON RDParcel Number:295.15-2-11
Queensbury, NY 12804
Contact TypeCompany NameName
ApplicantFOOTHILLS BUILDERS, LLC
Granted PermissionFOOTHILLS BUILDERS, LLC
EngineerVision Engineering
Primary OwnerJohn Clendon Hidden Estates LL
ContractorFOOTHILLS BUILDERS, LLC
Checklist ItemPassedComments
Building Inspector NotesNO
Public Sewer Sign-OffNO
Soil Type: SandYES
Soil Type: LoamNO
Soil Type: ClayNO
Type of Water: Municipal / Well WaterYESMunicipal
Waterline separation distanceYES
Apr 29, 2019Page (1)
INSPECTION WORKSHEET (SEP-002291-2019)
Checklist ItemPassedComments
Absorbtion Fields: Total LengthYES150 ft
Septic system field above flood plainYES
Length of Each TrenchYES37' 6"
Depth of TrenchesYES18+"
Size of StoneYES# 2
Building to TankYES4" schd 40
Tank to Distribution BoxYES4" sewer and drain
Distribution box to Field / PitYES4" sewer and drain to perforated
Opening Sealed:YES
End CapYES
InletOutlet Pipes & BafflesYES
Locations / SeparationsYES
Foundation to TankYES11' 4"
Foundation to AbsorptionYES23 ft
Conforms as per Plot PlanNO
Engineer Report and As-BuiltNOReceived asbuilt from installer
Apr 29, 2019Page (2)
INSPECTION WORKSHEET (SEP-002291-2019)
Checklist ItemPassedComments
ETU Maintenance Contract providedNO
Location of system on propertyYESRear of home
System Use StatusYES
Dyer, Charles (Inspector)
Apr 29, 2019Page (3)