IM Inspection Worksheet_29-08-2023_14-05-27INSPECTION WORKSHEET (SEP-027458-2023)
SEP-0453-2023Case Number:Case Module:Permit Management
ScheduledInspection Status:Inspection Date:
SepticInspection Type:Inspector:Mark Smith
Job Address:Parcel Number:281 Cleverdale Rd
Queensbury, NY 12804
226.16-1-34
Company Name NameContact Type
Applicant William Morris
Contractor IBS Septic
Engineer Hutchins Engineering
Granted Permission EVELYN MORRIS
Primary Owner EVELYN MORRIS
Checklist Item CommentsPassed
Building Inspector Notes False 8/25/23 partail approval for septic system.
- placement of 1250 gallon septic tank and 1000 gallon pump tank
verified.
- placement of12' x35' raised absorption bed verified.
- alarm float verified.
placement of 2" forced main verified.
items remaining
-proof of final electrical inspection.
-the float switch for the pump tank was not operating at time of
inspection.
-I will need to verify set backs to the raised absortion feild after
back fill is placed.
Soil Type: Sand True
Size of Stone True #2
Final Electrical False
Roof gutters don't discharge over leach field False
Waterline separation distance True
Building to Tank True 4" sch 40
90% alarm level activates False
End Cap True clean outs at the end of each lateral
Absorbtion Fields: Total Length True 12' x35' absortion bed
Septic system field above flood plain True
Foundation to Tank False
Engineer Report and As-Built False provide as built drawing
Location of system on property False side yard
Type of Water: Municipal / Well Water True well waterr
Locations / Separations True
Well separation distance True
Depth of Trenches True raised bed system
Length of Each Trench True 12' x 35' bed system
System Use Status False system not completed at this time
Conforms as per Plot Plan True
August 29, 2023 Page 1 of 2
INSPECTION WORKSHEET (SEP-027458-2023)
Checklist Item CommentsPassed
Size of tank False 1250 septiuc tank with a 1000 gallon pump tank
Distribution box to Field / Pit True 2" sch 40
Foundation to Absorption False
August 29, 2023 Page 2 of 2