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Signed Inspection Report (Fri Apr 9, 2021 at 1137 AM)INSPECTION WORKSHEET (SEP-009470-2021) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:SEP-0704-2020 Case Module:Permit Inspection Date:Fri Apr 9, 2021 Inspection Status:Partial Pass Inspector:O'Brien, John Inspection Type:Septic Job Address:Parcel Number:18 WARD LN Queensbury, NY, 12804 240.6-1-7 Contact Type Company Name Name Granted Permission Barlow, David Primary Owner Barlow, David Engineer Hutchins Engineering Applicant Barlow, David Checklist Item Status Permit Card Visible From Road Passed Building Inspector Notes Failed 4/09/21 Septic System Partial Approval Remaining Items: - Final Electrical Inspection - Provide Final Report and certified as-built from engineer. - Stabilize soils on top of holding tanks. - Install water line 10' from holding tanks Soil Type: Sand Passed Soil Type: Loam Passed Apr 09, 2021 Page (1) INSPECTION WORKSHEET (SEP-009470-2021) Checklist Item Status Type of Water: Municipal / Well Water Passed Lake George Waterline separation distance Failed - Install water line 10' from holding tanks Septic system field above flood plain Passed System Use Status Failed 4/09/21 Septic System Partial Approval Remaining Items: - Final Electrical Inspection - Provide Final Report and certified as-built from engineer. - Stabilize soils on top of holding tanks. - Install water line 10' from holding tanks Building to Tank Passed 4' as per variance Opening Sealed:Passed InletOutlet Pipes & Baffles Passed Manholes 12 or less below grade Passed Locations / Separations Passed As per variance Foundation to Tank Passed 4' Conforms as per Plot Plan Passed Apr 09, 2021 Page (2) INSPECTION WORKSHEET (SEP-009470-2021) Checklist Item Status Engineer Report and As-Built Failed - Provide Final Report and certified as-built from engineer. Location of system on property Passed As per plan Apr 09, 2021 Page (3) O'Brien, John