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SEP-003483-2019 06112019INSPECTION WORKSHEET (SEP-003483-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:SEP-0372-2019Case Module:Permit Inspection Date:Tue Jun 11, 2019Inspection Status:Passed Inspector:John O'BrienInspection Type:Septic Job Address:11 VERMONT AVEParcel Number:309.9-3-56.1 Queensbury, NY 12804 Contact TypeCompany NameName ApplicantNudi, Joseph Granted PermissionTODAYS MODERN MOBILE HOME Primary OwnerTODAYS MODERN MOBILE HOME Checklist ItemPassedComments Building Inspector NotesYES6/11/19 Septic System Approved Type of Water: Municipal / Well WaterYESMunicipal Absorbtion Fields: Total LengthYES180' Length of Each TrenchYES3@60' Depth of TrenchesYES24"-30" Size of StoneYES#2 Building to TankYESExisting 4" sch40 pvc Tank to Distribution BoxYES4" sch40 pvc Jun 11, 2019Page (1) INSPECTION WORKSHEET (SEP-003483-2019) Checklist ItemPassedComments Distribution box to Field / PitYES4" pvc to 4" pvc perforated Locations / SeparationsYESRear yard Foundation to TankYESExisting Foundation to AbsorptionYES23' System Use StatusYES6/11/19 Septic System Approved O'Brien, John (Inspector) Jun 11, 2019Page (2)