HomeMy WebLinkAboutReview Checklist S-h, -r �
� TOWN OF YARMOLITH
SEWAGE PLAN REVIEW CHECKLIST
' Location: A.M. ZZ Lot�j9(� ZoneofContribution: In Out \Acreage
Commercial: Residential: �
Street: 3� i/�Q S' S' �.
Village: `,�/' [,� �/ Floor Plan: � #Bedrooms: --3
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I owner: �JU/o'Gl/� .�fCL/ instauer: ��.�-S ,� �i�
IAddress: ' Phone: � �
Phone:
Builder: / Engineer: y
Address: Phone: - �
Phone: Z _ �,C-_� S-� ,�`�. �
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' N/A S NO
l.R ired#of ies received
2. Date of soils esam and colation test not older than 2 ears
a.
3. 45 ft of natura occurrin crvious material, above water table ��
4.Foundation 2 ft above lu oint of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s tic com onents Var.: ;
6.Benchmark indicated and shown-NGVD if near w�lands
7. S tic tank minimum 10 ft from foundation, deck Vaz.: < �
8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: � "
9.I,eaclvn minunum 100 ft from wetlands Vu.:
10.Leachin minimum 150 ft from drinkin we1U25 ft irri tion well Var.:
11. Tank/leachin minimum 10 ft from ro line Var.:
12. S stem meets all other setback ' ements Var.:
13.Uses ad'ustment for maximum hi groundwater Vaz.:
14.I,eachin set 45 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 ed contours are suitable `/
17. S stem meets slo e irements-min. 1/8", '/<" eferred �_j
18. System meets breakout r irements PVC liner: Wall: ✓
19. S ified tee sizes are ro , s baffle on outlet tee ��
20. Sewa e is und� 10,000 for azcel
21.No e ' osal
22. S stem ad uaYel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of ade, um cliamber cover to ade 4�
25. ion ort on lastic chambets/leach field
26.Elechical ermit for um chamb�/S arate mexer for du le�ces
27.P stem-2" line,w hole,check valve,tee in dbox, size --�'
28. S 'c tank/ u chamber to be factory wa fed
29.Verrt rovided if leachin below 3 feet,under driveway/ azkin
30.Buoyanc calculations for tank/ chamber
31.En ' eer to ins ect and c ' soils: wall: wmmercial:
32.E ' eer/Registered Sanitarian and Land Surv or s/si ture
33. H-201oadin is sub'ect to vehicular traffic, oundwater
34.Title V A lication and ennit fee, insta.il�si ture �_�
35.Foundation footin min.2 fed above ad'usted ound wat�for new house
36.Deed Restriction r ired max. #bedrooms: mau. flow: �...-
37. Check azea lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �
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