Signed Inspection Report (Fri Apr 9, 2021 at 1211 PM)INSPECTION WORKSHEET (SEP-009483-2021)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:SEP-0190-2021 Case Module:Permit
Inspection Date:Fri Apr 9, 2021 Inspection Status:Passed
Inspector:Dyer, Charles Inspection Type:Septic
Job Address:Parcel Number:16 HILLCREST AVE
Queensbury, NY, 12804
301.12-3-6
Contact Type Company Name Name
Granted Permission Cook's Septic Service
Contractor Cook's Septic Service
Primary Owner Keays-Todd, Darah
Applicant Todd, Scott
Checklist Item Status
Permit Card Visible From Road Passed
Building Inspector Notes Passed
Stopped at address for measurements of new septic system
Roof gutters don't discharge over leach field Passed
No
Soil Type: Sand Passed
Type of Water: Municipal / Well Water Passed
Municipal
Waterline separation distance Passed
Apr 09, 2021 Page (1)
INSPECTION WORKSHEET (SEP-009483-2021)
Checklist Item Status
Absorbtion Fields: Total Length Passed
At time of stop, first line installed of 40 ft, infiltrator ARC24's
4/7/21 working on 2nd line, will call when ready for third line.
4/9/21 verified 4 lines "arc" 24 infiltrators 160 ft
Septic system field above flood plain Passed
Yes
Septic tanks & pump station anchored in flood zone Passed
No
Length of Each Trench Passed
40 ft
Depth of Trenches Passed
4+ ft, to have filter
System Use Status Passed
Size of Stone NA
Building to Tank Passed
Existing tank
Tank to Distribution Box Passed
4" SCHD 40
Distribution box to Field / Pit Passed
4" SCHD 40 to infiltrators
Opening Sealed:Passed
Apr 09, 2021 Page (2)
INSPECTION WORKSHEET (SEP-009483-2021)
Checklist Item Status
End Cap Passed
Looped with SDR 35 to charcoal vent
InletOutlet Pipes & Baffles Passed
Manholes 12 or less below grade Passed
[Provide extension collar if Yes]Passed
Locations / Separations Passed
Foundation to Tank Passed
Existing tank
Foundation to Absorption Passed
28 ft
Conforms as per Plot Plan Passed
Engineer Report and As-Built Passed
As built provided by installer
Location of system on property Passed
Right of pool
Apr 09, 2021 Page (3)
Dyer, Charles