IM Inspection Worksheet_26-07-2023_11-03-46INSPECTION WORKSHEET (PTI-026766-2023)
PT-0456-2023Case Number:Case Module:Permit Management
07/26/2023 PassedInspection Status:Inspection Date:
Property Transfer InspectionsInspection Type:Inspector:John O'Brien
Job Address:Parcel Number:31 Jay Rd East
Lake George, NY 12845
289.10-1-4.1
Company Name NameContact Type
Applicant Matthew Sicard
Septic Contractor Sanitary Sewer Service
Checklist Item CommentsPassed
Building Inspector Notes True Property Transfer Inspection Approved
Capacity in gallons True
Concrete tank True
Temperature (Fahrenheit)True 72 Degrees
Apparent structural damage True
Septic inlet cover ext - Req 12"+ below grade True 12" or less
Visible scum layer True
Septic tank (include # of tanks)True
Number of tank compartments True 1
Plumbing fixtures tested & confirmed True
Septic tank for bdrms/whrlpl/grndr w/in 250 gal True
Tank cover True
System appears to have functioned adequately True
System passes all function testing True
Septic outlet cover ext - Req 12"+ below grade True 12" or less
Depth below grade to top of tank True 12" or less
Inlet baffle True
As-built provided is accurate True
Test each fixture flow to septic tank True
Liquid level AT/ABOVE/BELOW (one) discharge invert True At
Outlet baffle True
Weather True
Main tank cleanout size and location True
Seepage Pits: Number True 1 - 8' x 10' drywell
Leaking water fixtures True
Water tight tank True
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