IM Inspection Worksheet_08-09-2023_13-18-29INSPECTION WORKSHEET (SEP-027642-2023)
SEP-0785-2021Case Number:Case Module:Permit Management
09/08/2023 PassedInspection Status:Inspection Date:
SepticInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:317 Glen Lake Rd
Lake George, NY 12845
289.9-1-57
Company Name NameContact Type
Applicant Duane Averill
Contractor Gonzalez & Son Enterprises LLC
Engineer Hutchins Engineering
Granted Permission Duane Averill
Primary Owner Duane Averill
Checklist Item CommentsPassed
Building Inspector Notes False A property transfer is to take place for this system 4/11/22.
Property transfer took place after installation of bed system, permit
# 785-2021 dated 10/25/21
Soil Type: Sand True Absorption bed atop #2 stone
Size of Stone True #2
Roof gutters don't discharge over leach field True No
Waterline separation distance True
Building to Tank True Existing 4" SCHD 40
[Provide extension collar if Yes]True At inlet
Tank to Distribution Box True 4" sewer and drain
Opening Sealed:True
End Cap True Lines are looped @ 5'
Absorbtion Fields: Total Length True 12'x29' absorption bed
Septic system field above flood plain True
Foundation to Tank True Existing tank off of enclosed porch
Engineer Report and As-Built False Please provide engineer asbuilt report / received
Well Casing Length: 50ft +/-True
Location of system on property True Rear of home, off deck
Type of Water: Municipal / Well Water True Well
Locations / Separations True
Well separation distance True
Depth of Trenches True Depth of bed is roughly 20"
Length of Each Trench True Depth of bed is roughly 20"
System Use Status True
Conforms as per Plot Plan True Bed appears to be centered in yard, then from angle on waste
water plan
Size of tank True Existing 1,000 gallon
Distribution box to Field / Pit True 4"sewer and drain perforated
Foundation to Absorption True 20+ ft / see specs
InletOutlet Pipes & Baffles True
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