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SEP-008083-2019 05062020INSPECTION WORKSHEET (SEP-008083-2019) SEP-0118-2019Permit Management Case Number:Case Module: 05/06/2020Partial Pass Inspection Date:Inspection Status: Dave HatinSeptic Inspector:Inspection Type: 227.13-2-10 Job Address:Parcel Number: 3 Fielding Pl Queensbury, NY 12804 Contact TypeCompany NameName ApplicantOnsite Engineering ContractorNick Daigle Construction Granted PermissionJoseph Monahan Primary OwnerJoseph Monahan Checklist ItemPassedComments Building Inspector NotesFalse Bed system installed but not inspected. Will send owner a notice violation 5/6/20. System to be inspected end of the week ETU Maintenance Contract providedFalse Size of StoneFalse Waterline separation distanceFalse Building to TankFalse [Provide extension collar if Yes]False Tank to Distribution BoxFalse Opening Sealed:False End CapFalse Absorbtion Fields: Total LengthFalse Foundation to TankFalse Engineer Report and As-BuiltFalse Well Casing Lengt: 50ft +/-False Location of system on propertyFalse Manholes 12 or less below gradeFalse Water softener not hooked to septic systemFalse Type of Water: Municipal / Well WaterFalse Locations / SeparationsFalse Well separation distanceFalse Depth of TrenchesFalse Separation of PitsFalse Length of Each TrenchFalse System Use StatusFalse Conforms as per Plot PlanFalse Distribution box to Field / PitFalse Foundation to AbsorptionFalse InletOutlet Pipes & BafflesFalse Soil Type: LoamFalse July 02, 2020Page 1 of 1