HomeMy WebLinkAboutReview Checklist �`=�ir ��
- TOWN OF YARMOLITH
' SEWAGE PLAN REVIEW CHECKLIST
• Location: A.M.�z Lot ��� Zone of Contribution: In_ Out Y Acreage
Commercial: Reside�iaL ��
s�e�: �_,��.�u .�"-
Village: (�/ L,� Floor Plan: #Bedrooms:y'�
� �/y �
Owner:�,�Q�G1 �(�1��� Instauer:_�1�/Llf�`� _
Address: Phone: '- � -
Phone: ''
�
Builder: Engineer:
Address: Phone: -
Phone: _ ,�/�l/,�C.- � ��` �GG��
N/A YES NO
1.R uired#of ies received
2.Date of soils exam and ercolation test not older than 2 ears
3.4-5 ft of naturall occurrin ervious material, above water ffible L�
4.Foundation 2 ft above hi im of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s 'c com onents Vaz.: L�
6.Benchwark indicated and shown-NGVD if near wetlands
7. S ric tank minimum 10 ft from foundation, deck Vaz.:
8.I,eachin m;n;mum 20 ft ful1, 15 ft crawl, 10 ft slab Var.: �- ' '
9.Leachin minimum 100 ft from wetlands Vaz.:
10.Leachin minimum 150 ft from drinkin welU25 ft ' ' tion well Var.:
1 l. Tank/leachin minimum 10 ft from ro erty line Var.:
12. S stem meets all other setback r ' ements Var.:
13.Uses adjustment for maximum hi oundwater Vaz.:
14.I,eachin set 4-5 ft above adj.water or bottom of test hole Vaz.:
15.S stem not in to or subsoil(A,B horizons)or 5' removal
16.Pro sed contours aze suitable �
17. S stem meets sl e r irements-min. 1/8", Yd' eferred
18. S stem meets breakout uiremeats PVC liner: Wall: ��
19. S �ified tee sizes aze ro er, baffle on outlet tee �_�
20. Sewa e is under 10,000 for azcel
21.No garbage dis osal ,i
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 ade, ump chamber cover to ade
25.Ins ion ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S ate meter for du lexes
27.Pum stem-2" line,wee hole,check valve,tee in dbo� um size
28. S ric tanW um chamber to be factory wa roofed �
29.Vent rovided if leaclvn below 3 feet, under drivewa / arking �-
30. Buoyanc calculations for tank/ um chamber
31.En ' eer to ins ect and cert soils: wall: commercial:
32. En ' eu/Re ' tered Sanitarian and L,and Surv or stam s/si ture `i
33.H-201oadin is subject to vehicular traffic, groundwater �.
34. Title V A lication and ermit fee, installer si e
35.Foundation footin min. 2 feet above ad'usted gound water for new house
36. Deed Restricrion r uired ma�c, #bed�ooms; � flo�,�,, d
37.Check area lots for groundwater/Label oundwater in Assessor's Ma
�I
Plan reviewed by: ��