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inspections 05162019INSPECTION WORKSHEET (SEP-002679-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:SEP-0263-2019Case Module:Permit Inspection Date:Thu May 16, 2019Inspection Status:Passed Inspector:Mark SmithInspection Type:Septic Job Address:17 REVERE RDParcel Number:308.18-1-43 Queensbury, NY 12804 Contact TypeCompany NameName ContractorSanitary Sewer Service Granted PermissionSanitary Sewer Service EngineerCenter Project Services Primary OwnerObst, John ApplicantSanitary Sewer Service Checklist ItemPassedComments Building Inspector NotesYES5/16/19 septic system approved Type of Water: Municipal / Well WaterYESMunicipal Waterline separation distanceYES75' Absorbtion Fields: Total LengthYES4 laterals @ 25' with ends looped 100' total Depth of TrenchesYES30 x 20 stone bed 18/20" deep Size of StoneYES#2 Building to TankYESSDR 35 May 16, 2019Page (1) INSPECTION WORKSHEET (SEP-002679-2019) Checklist ItemPassedComments Tank to Distribution BoxYESSdr35 Distribution box to Field / PitYESSdr35 perforated End CapYESEnds looped InletOutlet Pipes & BafflesYESExisting tank with inlet and out let baffles Foundation to TankYES12' Foundation to AbsorptionYES25' Location of system on propertyYESFront yard System Use StatusYESSystem approved Smith, Mark (Inspector) May 16, 2019Page (2)