IM Inspection Worksheet_24-07-2023_15-26-11INSPECTION WORKSHEET (SEP-026750-2023)
RC-0360-2022Case Number:Case Module:Permit Management
07/24/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:373 West Mountain Rd
Queensbury, NY 12804
308.9-1-11
Company Name NameContact Type
Applicant Mark Reichen
Contractor Fine Home Building
Granted Permission Jessalie Reichen
Primary Owner Jessalie Reichen
Mark Reichen
Checklist Item CommentsPassed
Building Inspector Notes True asbuilt provided by installer
Soil Type: Sand True
Size of Stone True #2
Waterline separation distance True
Building to Tank True 4" SCHD 40
[Provide extension collar if Yes]False
Tank to Distribution Box True SDR 35 4"
Opening Sealed:True
End Cap True lines are looped
Absorbtion Fields: Total Length True 20x40 absorbtion bed
Foundation to Tank True 12 ft
Engineer Report and As-Built True asbuilt provided by installer
Location of system on property True right side of garage looking at front of home
Inlet & Outlet manholes 12"+ below grade False
Type of Water: Municipal / Well Water True municpal
Locations / Separations True
Depth of Trenches True bed is 16"- 18"
Length of Each Trench True 4 lines at 35 ft looped at 5 ft = 155 ft
System Use Status True
Conforms as per Plot Plan False
Size of tank True 1500
Distribution box to Field / Pit True 4" SDR 35
Foundation to Absorption True 23 ft
InletOutlet Pipes & Baffles True
Soil Type: Loam True
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