HomeMy WebLinkAboutReview Checklist �- � ��� Towiv oF Ya�ou� �v���' �Z'
� SEWAGE PLAN REVIEW CHECKLIST �,�j�X� � ��,e�,�,�,y�
. Location: A.M. � Lot /� Zone of Contribution: In� Out_ Acreage O� �-'�/l�,yps
Commercial: Residential:�
s,��: ( �c�r.�� � �
Village: �6� Floor Plan: �� #Bedrooms:
Owner: �2�//I �///UJ Installer: 11u y�
Address: Phone:��r 776 - �fC�
Phone:
Builder: Engineer:
Address: Phone: �
Phone: ! )� � t,�
N/A YES O
1.Re uired#of c ies received
2. Date of soils e�cam and percolarion test not older than 2 years
3. 4-5 ft of naturall occurrin ervious material, above water table �'
4.Foundation 2 8 above hi oint of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from septic com onents Vaz.:
6.Bencl�mark indicated and shown-NGVD if near wetlands
7. Se tic tank minimum 10 ft from foundation, deck Vaz.:
8.Leachin minimum 20 ft full, I S ft crawl, 10 ft slab Vaz.:
9. Leaching minimum 100 ft from wetlands Vaz.: ✓
10. Leaching minimum 150 ft from drinking welU25 ft irri rion well Vaz.: ..-��
11. Tank/leaching minimum 10 ft from ro erry line Vaz.: ✓
12. S stem meets all other setback r uirements Vaz.:
13. Uses ad'ustment for maximum hi oundwater Vaz.:
14. Leaching set 4-5 it above adj.water or bottom of test hole Var.:
15. System not in to or subsoil(A,B horizons)or Y removal �-�
16.Pro osed contours are suitable ✓
17. S stem meets slo e r uirements-min. 1/8", '/a" referred
18. System meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes aze proper, gas baftle on outlet tee �/
20. Sewage is under 10,000 d for arcel
21.No ba e dis osal
22. S stem ad uatel sized for its intended use
: 23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of grade, um chamber cover to ade
25. Ins ection ort on lastic chambers/leach field
26.Elect�icat-erimt fo"i uin chamlier/S"`arate meter for du Taxes ` `
27.Pum s stem-2" line,weep hole,check valve,tee in dboac, um size /
28. Se tic tank/ um chamber to be factory wat roofed
29.Vent rovided if leaching below 3 feet,under drivewa / azkin
30. Buoyanc calculations for tank/ ump chamber
31. E ' eer to ins ect and cert soils: wall: commercial:
32.En ' eer/Re ' tered Sanitarian and Land Surv or stam s/si ture
33.H-201oadin is sub�ect to vehicular traffic, oundwater / .
34.Title V A plication and ermit fee, installer si ture
35.Foundation footing min. 2 feet above adjusted ound water for new house /
36.Deed Restricrion r uired ma�c. #bedrooms: max. flow: d
37. Check area lots for groundwater/Label groundwater in Assessor's Ma
Plan reviewed by: �� voaioa