INSPECTION WORKSHEET 04192024
INSPECTION WORKSHEET
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number: 2024-0094 Case Module: Permit
Inspection Date: April 19, 2024 Inspection Status: Reinspect
Inspector: Mark Smith Inspection Type: Septic
Job Address: 2460 Ridge Rd
Lake George,NY 12845 Parcel Number: 240.6-1-33
Contact Type Company Name Name
Contractor N/A Rick McGuire
Owner N/A DONALD R PELTIER
Engineer Rucinski Hall Architecture
Checklist Item
Status
Building Inspector notes
4/17/24 partial approval for septic system. a 25’ x10’ bed in a mound
absorption system with existing 1000 gallon septic tank and a new 1000
gallon pump tank.
items remaining
- verified alarms and float switches are operational
- provide proof of final electrical inspection
- submit as built drawing from design engineer
- verify flow to D box
4/19/24 partial approval for septic system
- final electrical inspection verified
- operation of pump and alarm witnesses
Provide as built drawing for final approval.
PASS
Roof gutters don't discharge over leach
field
PASS
Soil type: sand
PASS
Type of water: municipal or well water
well water supply
PASS
Waterline separation distance
PASS
Well casing length 50 ft. more or less
PASS
Total length of absorption fields
25’ x 10’ bed in a mound with 2 laterals, ends are looped.
PASS
Septic system field above field plain
PASS
Length of each trench
25’ x10’ bed
PASS
Depth of trenches
12” 14”
PASS
System use status
system not completed
FAIL
Distance from building to tank
Distance from tank to d-box
Distance from d-box to field or pit
Opening sealed
PASS
End cap
looped ends
PASSN/O
Inlet outlet pipes and baffles, provide
extension collar if yes
PASS
Locations and separations
PASS
Distance from foundation to tank
Distance from foundation to absorption
field
Stone size
# 2
N/O
Size of tank
existing 1000 gallon septic tank with a new 1000 gallon pump tank
N/O
50 percent alarm level activates
PASS
Final electrical
PASS
Conforms as per plot plan
PASS
Engineer report and as-built
provide as built drawing.
FAIL
Location of system on property
tanks at side yard, mound in back yard
PASS
Well separation distance
PASS
Mark Smith
Code Enforcement Officer