IM Inspection Worksheet_14-08-2023_10-03-23INSPECTION WORKSHEET (SEP-027208-2023)
SEP-0450-2023Case Number:Case Module:Permit Management
08/14/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Mark Smith
Job Address:Parcel Number:15 Seward St
Queensbury, NY 12804
302.18-2-13
Company Name NameContact Type
Applicant Linda Skellie
Contractor Emmanuel Maille
Engineer Center Project Services
Granted Permission Linda Skellie
Primary Owner Linda Skellie
Checklist Item CommentsPassed
Building Inspector Notes True 8/9/23 partial approval of septic system.
- provide as built drawing from design engineer.
- a new 1000 gallon septic system with a 20' x 25' absorption bed
was installed.
8/14/23 final inspection for septic system approved.
- as built received
Soil Type: Sand True
Size of Stone True # 2
Roof gutters don't discharge over leach field True
Waterline separation distance True
Building to Tank True 4" sch 40
[Provide extension collar if Yes]True
Tank to Distribution Box True 4"sdr 35
Opening Sealed:True
End Cap True ends are looped
Absorbtion Fields: Total Length True 20' x25' absortion bed with 4 latterals with looped ends
Septic system field above flood plain True
Foundation to Tank True 20'
Engineer Report and As-Built True submit as built drawing
8/14/23 received.
Sump pump not connected to septic system True
Location of system on property False back yard
Inlet & Outlet manholes 12"+ below grade True
Type of Water: Municipal / Well Water True municipal water supply
Locations / Separations True
Depth of Trenches True 24"/30"
System Use Status True system approved for use
Conforms as per Plot Plan True
Size of tank True 1000 gallon septic tank
August 14, 2023 Page 1 of 2
INSPECTION WORKSHEET (SEP-027208-2023)
Checklist Item CommentsPassed
Distribution box to Field / Pit True 4" sdr 35 perforated
Foundation to Absorption True 23'
InletOutlet Pipes & Baffles True
August 14, 2023 Page 2 of 2