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IM Inspection Worksheet_18-10-2023_13-18-51.pdf Case Number: SEP-0448-2023 Case Module: Permit Management Inspection Date: 09/27/2023 Inspection Status: Partial Pass Inspector: Mark Smith Inspection Type: Septic Job Address: 53 Birch Rd Parcel Number: 289.13-1-31 Lake George, NY 12845 Contact Type Company Name Name Applicant Daphne Sanborn Contractor IBS Septic Engineer Hutchins Engineering Granted Permission Daphne Sanborn Primary Owner Daphne Sanborn Checklist Item Passed Comments Building Inspector Notes False 9/27/23 Partial approval for septic alterations. -replacement of septic tank only approved. a 1000 gallon septic tank was installed to service the garage apartment only. provide certified as built drawing from design engineer Building to Tank False 10, [Provide extension collar if Yes] True Opening Sealed: True Foundation to Tank False 4"sch 40 Location of system on property False side yard Inlet&Outlet manholes 12"+ below grade True System Use Status False approved InletOutlet Pipes&Baffles True October 18,2023 Page 1 of 1