HomeMy WebLinkAboutReview Checklist �_� Z� � / ,
TOWN OF YARMOLTTH /�r c�/ S%�'-�Y% �Sl�-
- SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. �ZZ Lot�� Zone of Contribution: In_ Out� Acreage
� � /Jy�.� Commercial: Residential:�
Street: ,�� ���c'�C_� �
Village:� Floor Plan: #Bedrooms:
/ �p� � ,�
Ownar:�/i tl� Installer: C� � .2�CLC 'iL/'�m7'� _
Address: �� Phone: SO � -r/' �
Phone:
Builder: Engineer: -�i G^
Address: Phone: -' - �Gr�.,��
Phone: ��+q�'� . ��CrG�j. - SC�:�r f 7 ✓/;y�'�GY�'1
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N/A YES NO
1.R uired#of co ies received
2.Date of soils exam and ercolation test not older than 2 ears
3.4-5 ft of nahuall occurrin ervious material,above water table
4.Foundation 2 ft above hi oint of road A.P.: Fnd: Vaz.:
5.Water line 10 ft from s fic com onents Vaz.:
6.Benchmark indicated and shown-NGVD if near wetlands
Z S tic tank minimum 10 ft from foundation, deck Vaz.: �
8.I,eachin minimum 20 ft fiill, 15 ft crawl, 10 ft slab Var.: ___! �
9.Leachin minimum 100 ft from wetlands Vaz.:
10.I,eaching minimum 150 ft from drinkin we1U25 ft irri tion well Vaz.:
11.Tank/leaching minimum 10 ft from rop line Vat.: ? �
12.S stem meets all other setback r uirements Vaz.:
13.Uses ad' stment for maximum hi oundwater Vaz.:
14.I,eachin set 4-5 ft abwe ad'. water or bottom of test hole Vaz.: e_/
15. System not in to or subsoil(A,B horizons)or 5'removal
16.Pro sed contours aze suitable i�/
17.S stem meets slo e r irements-min. 1/8", '/+" erred
18.S stem meets breakout r irements PVC liner: Wall:
19. S ified tee sizes aze ro er, as baffle on outlet tee
20. Sewa e is under 10,000 for azcel
21.No 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 tion ort on lastic chambers/leach field
26.Electrical ermit for um chamb�/S azate meter for du lexes
27.Pum stem-2" line,wee hole,check valve,tee in dbo�c, um size
28.S tic tank/ um chamber to be facto wat roofed
29.Vent ovided if leaching below 3 feet, under drivewa / azkin
30.Buoyancy calculations for tank/ u chamb�
31.En ' eer to ins ect and cert soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surv or stam s/si ture �
33.H-201oadin is sub'ect to vehicular traffic, oundwater �
34.Title V A lication and ermit fee, installer si ture
35.Foundation footin min. 2 feet above ad'usted ound water for new house /
36.Deed Restriction r ired ma�c. #bedrooms: max. flow:
37.Check azea lots for oundwatedL.abel groundwater in Assessor's Ma
Plan reviewed by: �' �'03�03