IM Inspection Worksheet_16-08-2023_11-44-20INSPECTION WORKSHEET (SEP-027257-2023)
SEP-0443-2022Case Number:Case Module:Permit Management
ScheduledInspection Status:Inspection Date:
SepticInspection Type:Inspector:Mark Smith
Job Address:Parcel Number:9 Greenway North
Queensbury, NY 12804
302.5-1-57
Company Name NameContact Type
Applicant Morning Star Excavation & Septic
Contractor Morning Star Excavation & Septic
Granted Permission Morning Star Excavation & Septic
Primary Owner Jodee Danahay
Checklist Item CommentsPassed
Building Inspector Notes True 7/28/22 partial approval for septic system
- provide proof of final electrical inspection.
A new 1000 gallon poly septic tank with a 50 gallon pump tank
and an absorption field of 40' of eljen mats. Pumps and alarms
verified.
Soil Type: Sand True
Final Electrical False Provide proof of final electrical inspection
Roof gutters don't discharge over leach field True
Waterline separation distance True
Building to Tank True 4" schedule 40
[Provide extension collar if Yes]True
Tank to Distribution Box True 4" SDR 35
Opening Sealed:True
End Cap True
Absorbtion Fields: Total Length True 2 laterals at 20' each
Septic system field above flood plain True
Foundation to Tank True 10'
Engineer Report and As-Built True As built provided by installer
Water shut off activates at 90% full True
Location of system on property True 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 16/18"
Length of Each Trench True 2 laterals at 20' each
System Use Status True System approved for use
Conforms as per Plot Plan True
Size of tank True 1000 gallon septic tank
Distribution box to Field / Pit True 4" SDR 35 perforated
Foundation to Absorption True 22'
InletOutlet Pipes & Baffles True With filter at outlet side of septic tank
August 16, 2023 Page 1 of 2
INSPECTION WORKSHEET (SEP-027257-2023)
Checklist Item CommentsPassed
Permit Card Visible From Road True
August 16, 2023 Page 2 of 2