IM Inspection Worksheet_25-08-2023_12-33-28INSPECTION WORKSHEET (SEP-027441-2023)
SEP-0128-2023Case Number:Case Module:Permit Management
08/25/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Mark Smith
Job Address:Parcel Number:377 Cleverdale Rd
Queensbury, NY 12804
226.12-1-56
Company Name NameContact Type
Applicant Kelly Boucher
Contractor IBS Septic
Engineer Hutchins Engineering
Granted Permission Christopher Boucher
Owner Jeanne Rollins
Primary Owner Christopher Boucher
Checklist Item CommentsPassed
Building Inspector Notes True 6/2/23 partial approval for septic system
- provide as built drawing from design engineer for final approval
System meets the conditions stated in the septic variance.
8/25/23 Septic System Final Inspection approved ok to issue
certificate of compliance.
-Received Certified septic as-built
Roof gutters don't discharge over leach field True
Waterline separation distance True
Building to Tank True 4" schedule 40
Tank to Distribution Box True 4" SDR 35
Opening Sealed:True
End Cap True
Absorbtion Fields: Total Length True 2 laterals at 40' each eljen mats
Septic system field above flood plain True
Foundation to Tank True - As per variance
Engineer Report and As-Built True Provide as built drawing from design engineer
8/25/23 Received certified as-built.
Location of system on property True Front yard
Type of Water: Municipal / Well Water True Lake water supply
Locations / Separations True
Depth of Trenches True 12/ 16"
Length of Each Trench True 2 laterals at 40' each, eljen mats
System Use Status True System approved for use
Conforms as per Plot Plan True
Size of tank True 1500 gallon septic tank
Distribution box to Field / Pit True 4" SDR 35 to eljen mats
Foundation to Absorption True - As per variance
InletOutlet Pipes & Baffles True Filter at outlet baffle
Soil Type: Loam True
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