SEP-008038-2019 12102019INSPECTION WORKSHEET (SEP-008038-2019)
SEP-0118-2019Permit Management
Case Number:Case Module:
12/10/2019Failed
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. Tank not installed yet will
inspect in the spring camp is not in use. Letter sent to owner
about status of the system installation and inspection.
ETU Maintenance Contract providedFalse
Size of StoneFalse
Waterline separation distanceFalseEd
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