Signed Inspection Report (Thu May 12, 2022 at 1149 AM)INSPECTION WORKSHEET (SEP-018223-2022)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:SEP-0239-2022 Case Module:Permit
Inspection Date:Thu May 12, 2022 Inspection Status:Passed
Inspector:Smith, Mark Inspection Type:Septic
Job Address:Parcel Number:12 JUNE DR
Queensbury, NY, 12804
302.5-1-24
Contact Type Company Name Name
Granted Permission Sanitary Sewer Service
Applicant PELLINO, JON
Primary Owner PELLINO, JON
Contractor Sanitary Sewer Service
Checklist Item Status
Permit Card Visible From Road Passed
Building Inspector Notes Passed
5/12/22 septic system approved
Roof gutters don't discharge over leach field Passed
Soil Type: Sand Passed
Type of Water: Municipal / Well Water Passed
Municipal water
Waterline separation distance Passed
May 12, 2022 Page (1)
INSPECTION WORKSHEET (SEP-018223-2022)
Checklist Item Status
Absorbtion Fields: Total Length Passed
35 x 15 absorption bed of pipe and stone
Septic system field above flood plain Passed
Sump pump not connected to septic system Passed
Length of Each Trench Passed
35 x 15 absorption bed of pipe and stone
Depth of Trenches Passed
20/24"
System Use Status Passed
System approved for use
Size of Stone Passed
#2
Building to Tank Passed
Existing
Tank to Distribution Box Passed
4" sanitary lines
Distribution box to Field / Pit Passed
4" sanitary lines perforated
Opening Sealed:Passed
May 12, 2022 Page (2)
INSPECTION WORKSHEET (SEP-018223-2022)
Checklist Item Status
End Cap Passed
Ends are looped
InletOutlet Pipes & Baffles Passed
Manholes 12 or less below grade Passed
Not required
Locations / Separations Passed
Foundation to Tank Passed
10'
Foundation to Absorption Passed
21'
Size of tank Passed
1000 gallon septic tank
Conforms as per Plot Plan Passed
Engineer Report and As-Built Passed
Location of system on property Passed
Front yard
May 12, 2022 Page (3)
Smith, Mark