HomeMy WebLinkAboutReview Checklist . � ��� ��� TOWN OF YARMOVI'H
SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M.� Lot �a Zone of Contnbution: In_ Out� Acreage
7 7 L. Xf��L// w f�✓G Commercial: Residential:��
Street: o�tD � / �
Village: Floor Plan: ✓ #Bedrooms:
o.��: i��l�ev £ �vu� C(I� �cau�: G� s ./.�,/,[¢�r�i`
Address: Phone: �� -Zi/(_ '
Phone: ' � �
��� G���(.��f� �L jvl"�,'�' �.f
��" i
Builder: Engineer: AiG�p /LE2�li/GtO
Address: Phone: S`I`iF � L��
Phone: _ �,�7X ¢ l-�rzl�7, cfzC�
� �% �/u� ''�T
N/A YES NO
1.R ' ed#of ies received t/
2. Date of soils exam and ercolation test not older than 2 ears v
3. 4-5 ft of na occurrin ervious mate�rial, above wata table
4.Foundation 2 ft above lv i�of road H_P.: Fnd: Var.:
5.Water line 10 ft from s 'c com onents Vaz.:
6.Benchmazk indicated and shown-NGVD if near wetlands -
7. S tic tank minimum 10 ft from foundation, deck Var.: •;/
$.I,eao]�in minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Vaz.: _�
10.Leachin minimum 150 ft from drinkin welU25 ft' ' 'on well Var.: -�
11.Tank/leachin minimum 10 ft from r line Vaz.:
12. S stem meets all otha setback r � ements Var.:
13.Uses adjustment for maximum hi oundwater Vaz.:
14.I,eachin set 45 ft above ad'.wat�or test hole� .:
I5. S stem not in to or subsoil(A,B horizo or 5'r�ov
16.Pr sed contours are suitable
17. S stem meets sl e r ' emenu-min. 1/8", '/." efetted �
18. System mcets breakout r ' ements PVC lines: - Wall:
19. S ecified tee sizes are ro ea, baffle on outlex tee
20. Sewa e is under 10,000 far arcel
21.No ba e dis osal
� 22. S stem ad uatel sized for its i�ended use
23.Minimum 6"stone or com acted below tank and dbox
: 24.Manhole covers within 6"of chamber covea to e
25. 'on on lastic chambers/leach field
26.Electrical ermit for um chamba/S arate meter for du lexes
27.P stem-2"line,w hole,check valve,tee in dbo�c, um size �,�
28. S 'c tank/ chamber to be f�ctory wa roofed �
29.Vent rovided if leachin below 3 feet,undea drivewa / arkin .�
30. Bu c calcularions for tank/ ump chamb� -
31.E ' eer to ins ect and c ' soils: wall: commercial:
32. ' eer/Registered Sanitarian and Land Surv s/si e
33.H-201oadin is sub'ect to vehicular traffic, ommdwater
34. Title V lication and e.rmit fee, installea si ture ��
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction ired max. #bedrooms: max.'flow:
37. Check area lots for oundwates/Label oundwater in Assessor's Ma
Plan reviewed by: I C�� �m3