IM Inspection Worksheet_27-07-2023_15-21-28INSPECTION WORKSHEET (SEP-026835-2023)
SEP-0417-2023Case Number:Case Module:Permit Management
07/27/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:383 Corinth Rd
Queensbury, NY 12804
308.16-2-15
Company Name NameContact Type
Applicant RITA MINER
Contractor Sanitary Sewer Service
Engineer Center Project Services
Granted Permission RITA MINER
Primary Owner RITA MINER
Checklist Item CommentsPassed
Building Inspector Notes True for 20x25 absorption bed
Soil Type: Sand True
ETU Maintenance Contract provided True
Size of Stone True #2
Waterline separation distance True
Building to Tank True existing
[Provide extension collar if Yes]True at outlet / less than 12"
Tank to Distribution Box True SDR 35 / 4"
Opening Sealed:True
End Cap True lines are looped
Absorbtion Fields: Total Length True 4 lines at 20 ft / looped at 5 ft apart=95 ft
Septic system field above flood plain True
Foundation to Tank True existing 1000 gallon is 15 ft
Engineer Report and As-Built True as built provided by installer
Sump pump not connected to septic system False
Location of system on property True
Inlet & Outlet manholes 12"+ below grade False
Type of Water: Municipal / Well Water True municipal
Locations / Separations True
Depth of Trenches True depth of bed 12"-16"
Length of Each Trench True absorption bed 4 lines at 20 ft / looped at 15=95 ft
System Use Status True
Conforms as per Plot Plan True
Distribution box to Field / Pit True SDR 35 solid to sewer and drain perforated / 4"
Foundation to Absorption True 23 ft
InletOutlet Pipes & Baffles True
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