IM Inspection Worksheet_18-09-2023_11-55-22INSPECTION WORKSHEET (SEP-027639-2023)
SEP-0746-2022Case Number:Case Module:Permit Management
09/15/2023 Partial PassInspection Status:Inspection Date:
SepticInspection Type:Inspector:Mark Smith
Job Address:Parcel Number:22 Ward Ln
Queensbury, NY 12804
240.6-1-6
Company Name NameContact Type
Applicant David Barlow
Engineer Hutchins Engineering
Granted Permission David Barlow
Primary Owner David Barlow
Checklist Item CommentsPassed
Building Inspector Notes False 4/27/23 partial approval for septic system
- placement of two 1500 gallon poly holding tank approved, ok to
back fill.
Call for recheck when remaining components of septic system
are installed.
5/26/23 partial approval for septic system
- connection of 2" forced main at holding tank verified
- connection of the two holding tanks with 4" SDR 35 verified.
Ok to back fill holding tanks.
Items remaining
- verify pump tank and alarms are operational.
- verify alarms and water shut off solenoid are operational at
holding tank.
-provide as built drawing from design engineer at completion of
installation of septic system.
- provide proof of final electrical inspection ( at completion of
project)
9/15/23 Septic System Partial Approval of Holding Tank System
Components Only!
- alarms and shut off solenoid verified.
- alarms at grinder pump verified.
- proof of final electric verified.
Items remaining - Submit certified as-built drawing from design
engineer
Final Electrical True Commonwealth
Waterline separation distance True
Building to Tank True 2" Pump line from grinder pump in residence to holding #1
Tank to Distribution Box True 4" SCH40 PVC from holding tank #1 to holding tank #2
Opening Sealed:True
90% alarm level activates True
Foundation to Tank True
September 18, 2023 Page 1 of 2
INSPECTION WORKSHEET (SEP-027639-2023)
Checklist Item CommentsPassed
Engineer Report and As-Built False 9/15/23 Septic System Partial Approval of Holding Tank System
Components Only!
- alarms and shut off solenoid verified.
- alarms at grinder pump verified.
- proof of final electric verified.
Items remaining - Submit certified as-built drawing from design
engineer
Water shut off activates at 90% full True
Location of system on property False 9/15/23 Septic System Partial Approval of Holding Tank System
Components Only!
- alarms and shut off solenoid verified.
- alarms at grinder pump verified.
- proof of final electric verified.
Items remaining - Submit certified as-built drawing from design
engineer
Type of Water: Municipal / Well Water True Lake water supply
System Use Status False 9/15/23 Septic System Partial Approval of Holding Tank System
Components Only!
- alarms and shut off solenoid verified.
- alarms at grinder pump verified.
- proof of final electric verified.
Items remaining - Submit certified as-built drawing from design
engineer
Conforms as per Plot Plan False 9/15/23 Septic System Partial Approval of Holding Tank System
Components Only!
- alarms and shut off solenoid verified.
- alarms at grinder pump verified.
- proof of final electric verified.
Items remaining - Submit certified as-built drawing from design
engineer
Size of tank True 2 1500 gallon holding tanks
InletOutlet Pipes & Baffles True
50% alarm level activates True
September 18, 2023 Page 2 of 2