06142019 (2)INSPECTION WORKSHEET (SEP-003631-2019)
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:Fri Jun 14, 2019Inspection Status:Passed
Inspector:Charles DyerInspection Type:Septic
Job Address:65 JOHN CLENDON RDParcel Number:295.15-2-11
Queensbury, NY 12804
Contact TypeCompany NameName
Primary OwnerJohn Clendon Hidden Estates LL
EngineerVision Engineering
ApplicantFOOTHILLS BUILDERS, LLC
ContractorFOOTHILLS BUILDERS, LLC
Granted PermissionFOOTHILLS BUILDERS, LLC
Checklist ItemPassedComments
Building Inspector NotesNO
Public Sewer Sign-OffNO
Soil Type: LoamNO
Soil Type: ClayNO
Type of Water: Municipal / Well WaterYESMunicipal
Absorbtion Fields: Total LengthYES150 ft
Length of Each TrenchYES37' 6"
Jun 14, 2019Page (1)
INSPECTION WORKSHEET (SEP-003631-2019)
Checklist ItemPassedComments
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
Foundation to TankYES11' 4"
Foundation to AbsorptionYES23 ft
Conforms as per Plot PlanNO
Engineer Report and As-BuiltYESReceived as-built from installer
Received 6/14/19
ETU Maintenance Contract providedNO
Location of system on propertyYESRear of home
Dyer, Charles (Inspector)
Jun 14, 2019Page (2)