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Signed Inspection Report (Wed Jan 20, 2021 at 1039 AM)INSPECTION WORKSHEET (SEP-007732-2021) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:SEP-0011-2021 Case Module:Permit Inspection Date:Wed Jan 20, 2021 Inspection Status:Passed Inspector:O'Brien, John Inspection Type:Septic Job Address:Parcel Number:32 ARBUTUS DR Queensbury, NY, 12804 302.17-2-8 Contact Type Company Name Name Septic Contractor IBS Septic Applicant IBS Septic Primary Owner Bean, Clarence Granted Permission Bean, Clarence Checklist Item Status Building Inspector Notes Passed 1/20/21 Septic System Approved Type of Water: Municipal / Well Water Passed Municipal Absorbtion Fields: Total Length Passed 180' Length of Each Trench Passed 3@60' Depth of Trenches Passed 36"-40" System Use Status Passed Jan 20, 2021 Page (1) INSPECTION WORKSHEET (SEP-007732-2021) Checklist Item Status 1/20/21 Septic System Approved Size of Stone Passed #2 Building to Tank Passed Existing Tank to Distribution Box Passed 4" sdr35 pvc Distribution box to Field / Pit Passed 4" sdr35 pvc to 4" sdr35 pvc perforated to looped 4" sdr35 pvc to charcoal vent. Opening Sealed:Passed End looped and charcoal vented End Cap Passed Ends looped and charcoal vented [Provide extension collar if Yes]Passed Extensions added at inlet and outlet of tank. Foundation to Tank Passed 38' Foundation to Absorption Passed 50' Conforms as per Plot Plan Passed Received As-Built Engineer Report and As-Built Passed Received As-Built Jan 20, 2021 Page (2) INSPECTION WORKSHEET (SEP-007732-2021) Checklist Item Status Location of system on property Passed Rear right side. Jan 20, 2021 Page (3) O'Brien, John