Signed Inspection Worksheet (03-08-2018) IIII IIIIIIIIIIIIIIIIII IIII IIII IIIIIIIIII III IIIIIII I IIII IIIIIIIIIIIII IIIIIIIIII IIIIII IIIIII III IIII IIII IIIIIII IIIIIII IIII II III�I
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: RC-000718-2017 Case Module: Permit
Inspection Date: 03/08/2018 Inspection Status: Partial Pass
Inspector: John O'Brien Inspection Type: Septic
Job Address: 74 JOHN CLENDON RD Parcel Number: 295.15-2-7
Queensbury, NY 12804
Contact Type Company Name Name
Contractor [FOOTHILLS BUILDERS, LLC]
Applicant [FOOTHILLS BUILDERS, LLC]
Primary Owner [FOOTHILLS BUILDERS, LLC]
Granted Permission [FOOTHILLS BUILDERS, LLC]
Checklist Item Passed Comments
Building Inspector Notes NO 3/7/18 Septic System Not Approved-Not completed. Received call
from engineer Tom Center to reinspect tomorrow morning. Scheduled
for 9:00- 11:00 am.
3/8/18 Septic System Partial Approval
Remaining Items:
-Submit Engineer?s Field Inspection Report&Septic As-Built
Soil Type: Sand YES
Type of Water: Municipal/Well Water YES Municipal
Waterline separation distance YES
Absorbtion Fields:Total Length YES 200?
Septic system field above flood plain YES
Length of Each Trench YES 5640?
Depth of Trenches YES 10 24?
Size of Stone YES #2
Building to Tank YES 4?sch40 p v c
Tank to Distribution Box YES 4?pvc
Distribution box to Field/Pit YES 4?pvc to 4?p v c perforated
Opening Sealed: YES
End Cap YES
Inil etOutlet Pipes&Baffles YES
Manholes 12 or less below grade YES
Locations/Separations YES
Foundation to Tank YES 10?
Foundation to Absorption YES 20?off edge of scapewell
Conforms as per Plot Plan NO
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Checklist Item Passed Comments
Engineer Report and As-Built NO 3/7/18 Septic System Not Approved-Not completed. Received call
from engineer Tom Center to reinspect tomorrow morning. Scheduled
for 9:00- 11:00 am.
3/8/18 Septic System Partial Approval
Remaining Items:
-Submit Engineer?s Field Inspection Report&Septic As-Built
Location of system on property YES Rear left side
System Use Status NO 3/7/18 Septic System Not Approved-Not completed. Received call
from engineer Tom Center to reinspect tomorrow morning. Scheduled
for 9:00- 11:00 am.
3/8/18 Septic System Partial Approval
Remaining Items:
-Submit Engineer?s Field Inspection Report&Septic As-Built
O'Brien,John(Inspector)
Mar 08,2018 Page(14)