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SEP-003017-2019 05282019INSPECTION WORKSHEET (SEP-003017-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:SEP-0335-2019 Case Module:Permit Inspection Date:Tue May 28, 2019 Inspection Status:Passed Inspector:John O'Brien Inspection Type:Septic Job Address:Parcel Number:64 QUEEN MARY DR Queensbury, NY 12804 301.20-2-1 Contact Type Company Name Name Granted Permission IBS Septic Applicant IBS Septic Contractor IBS Septic Primary Owner Queen Victoria Grant Homeowners Assoc. Checklist Item Passed Comments Building Inspector Notes YES 5/24/19 Septic System Partial Approval -Replacement of 4" sanitary laterals for units 62 & 64 - Tie In to new 110' section of 6" sdr35 sanitary main. - New clean outs installed at end of 6" main and at tie in to existing location. ,- Clean outs installed at 4" Sanitary laterals at units. Ok to backfill will recheck on Tuesday with Chris Bell to Verify finished grading and receive as-built. 5/28/19 Septic System Approved - Final grading complete and received as-built septic Type of Water: Municipal / Well Water YES Municipal Building to Tank YES 4" sch40 Engineer Report and As-Built YES 5/28/19 Septic System Approved - Final grading complete and received as-built septic May 28, 2019 Page (1) INSPECTION WORKSHEET (SEP-003017-2019) Checklist Item Passed Comments Location of system on property YES Rear System Use Status YES 5/24/19 Septic System Partial Approval -Replacement of 4" sanitary laterals for units 62 & 64 - Tie In to new 110' section of 6" sdr35 sanitary main. - New clean outs installed at end of 6" main and at tie in to existing location. ,- Clean outs installed at 4" Sanitary laterals at units. Ok to backfill will recheck on Tuesday with Chris Bell to Verify finished grading and receive as-built. 5/28/19 Septic System Approved - Final grading complete and received as-built septic May 28, 2019 Page (2) O'Brien, John (Inspector)