IM Inspection Worksheet_05-09-2023_14-42-23INSPECTION WORKSHEET (SEP-027571-2023)
SEP-0453-2023Case Number:Case Module:Permit Management
09/05/2023 PassedInspection 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 True 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 absorption field after
back fill is placed.
8/29/23 partial approval for septic system.
-provide as built drawing from design engineer.
9/5/23 septic system approved
-as buil;t drawing received.
Soil Type: Sand True
Size of Stone True #2
Final Electrical True
Roof gutters don't discharge over leach field True
Waterline separation distance True
Building to Tank True 4" sch 40
90% alarm level activates True
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 True 17'
Engineer Report and As-Built True provide as built drawing
9/5/23 received
Location of system on property True side yard
Type of Water: Municipal / Well Water True well waterr
Locations / Separations True
Well separation distance True
September 05, 2023 Page 1 of 2
INSPECTION WORKSHEET (SEP-027571-2023)
Checklist Item CommentsPassed
Depth of Trenches True raised bed system
Length of Each Trench True 12' x 35' bed system
System Use Status True system not completed at this time
8/29/23 system approved for use
Conforms as per Plot Plan True
Size of tank True 1250 septiuc tank with a 1000 gallon pump tank
Distribution box to Field / Pit True 2" sch 40
Foundation to Absorption True 57'
September 05, 2023 Page 2 of 2