SEP-003733-2020 07232020INSPECTION WORKSHEET (SEP-003733-2020)
Case Number:SEP-0402-2020Case Module:Permit Management
Inspection Date:07/23/2020Inspection Status:Partial Pass
Inspector:Charles DyerInspection Type:Septic
Job Address:3 Knolls Rd North Parcel Number:253.3-1-24
Queensbury, NY 12804
Contact TypeCompany NameName
ApplicantKathryn McGrath
ContractorMatt Baker Excavation
EngineerRucinski-Hall Architecture
Granted PermissionMatt Baker Excavation
Primary OwnerKathryn McGrath
DANIEL MCGRATH
Checklist ItemPassedComments
Building Inspector NotesTrueSite check to verify that a pump chamber would not be installed
due to system not meeting pitch and to verify that raised bed will be
@ 24" above mottling.
System installed as per specs, provide architect asbuilt report
Size of StoneTrue#2
Waterline separation distanceTrue
Building to TankTrueExisting tank next to crawl area foundation
[Provide extension collar if Yes]False
Tank to Distribution BoxTrue38 ft 4" SCHD 40
Opening Sealed:True
Soil Type: ClayTrue
End CapTrueLines are looped
Absorbtion Fields: Total LengthTrueRaised bed system with 3 20 ft length of 4" sewer and drain
perforated looped
Septic system field above flood plainTrue
Foundation to TankTrueExisting tank at crawl area
Engineer Report and As-BuiltFalseEngineer onsite, to provide asbuilt
Location of system on propertyTrueLeft of pool fencing
Manholes 12 or less below gradeFalse
Type of Water: Municipal / Well WaterTrueWell
Locations / SeparationsTrue
Well separation distanceTrue100+ ft
Separation of PitsFalse
Length of Each TrenchTrueRaised bed, each line 3@ 20 ft looped
System Use StatusTrueSystem installed as per specs
Conforms as per Plot PlanTrue
Distribution box to Field / PitTrueAt field 4" sewer and drain perforated
Foundation to AbsorptionTrue38 ft
InletOutlet Pipes & BafflesTrueOutlet
Soil Type: LoamTrue
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