SEP-002056-2020 01072020INSPECTION WORKSHEET (SEP-002056-2020)
SEP-0118-2019Permit Management
Case Number:Case Module:
01/07/2020Partial Pass
Inspection Date:Inspection Status:
Charles DyerSeptic
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
1/7/20 for verification for the installation of a Clarus fusion ZF 450
ETU with 750 gal pump station. Alarm/timer/floats all verified for
operation, also verified final electrical. Engineer to provide a "
asbuilt report. System is good for use.
ETU Maintenance Contract providedFalsePlease provide
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-BuiltFalsePlease provide engineer asbuilt, specs for BSF
Well Casing Lengt: 50ft +/-False
Location of system on propertyTrueRear of home
Manholes 12 or less below gradeFalse
Water softener not hooked to septic systemFalse
Type of Water: Municipal / Well WaterFalseLake
Locations / SeparationsFalse
Well separation distanceFalse
Depth of TrenchesFalse
Separation of PitsFalse
Length of Each TrenchFalseBSF bottomless sand filter/
System Use StatusFalse
Conforms as per Plot PlanFalse
Distribution box to Field / PitFalse
Foundation to AbsorptionFalse
July 02, 2020Page 1 of 2
INSPECTION WORKSHEET (SEP-002056-2020)
Checklist ItemPassedComments
InletOutlet Pipes & BafflesFalse
Soil Type: LoamFalse
July 02, 2020Page 2 of 2