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SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M. �� Lot-�� Zone of Contribution: In�Out Acreage � �/ /7�
� r�/ Commercial: Residential: -��.��
Street: / py� �f� �
Village: Floor Plan: � #Bedrooms.
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Owner: � Installer: � � � ��%
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Address: , Phone: � �
Phone:
Builder: Engineer: �
Address: Phone: - -'"
Phone: �^K r ���� �I �"�
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N/A YES NO
1.R uired#of copies received
2. Date of soils exam and ercolation test not older than 2 years �i
3.4-5 ft of na.turall occunin ervious ma.terial,above water table �_---
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Var.:
6.Benchmark indica.ted and shown-NGVD if near wetlands •�..-�-
7. S tic tank minimum 10 ft from foundation, d�k Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Vax.: -'' -
9.Leaching minimum 100 ft from wetlands Var.:
10.Leachin minimum 150 ft from drinking welU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from r line Var.:
12. S stem meets all other setback r uirements Va.r.:
13.Uses ad'ustment for maximum hi oundwater Var.:
� 14.Leaching set 4-5 ft above ad'.water or bottom of test hole Var.:
15. System not in to or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suitable �._---�
17. S stem meets slo e r uirements-min. 1/8", '/4" eferred
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes are roper, gas baffle on outlet tee cr--
20. Sewa e is under 10,000 for arcel v- '
- 21.No garba e dis osal �1
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, um chamber cover to ade
25.Ins ection ort on lastic chambers/leach field �
26.Electrical ermit for um chamber/S arate meter far du lexes
27.Pum system-2" line,wee hole,check valve,tee in dboar, um size
28. S tic tank/ um chamber to be factory wat roofed ��
29.Vent rovided if leaching below 3 feet,under driveway/ arkin
30.Buo ancy calculations for tank/ u cha.mber �
31.En ' eer to ins ect and cert' soils: wall: commercial: _�-�'
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32.En ' eer/Re 'stered Sanitarian and Land Surveyor stam s/si ature � � �• ;� � �
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33.H-201oading is sub'ect to vehicular traffic,groundwater V_
34.Title V A lication and ermit fee, installer si ture ��
35.Founda.tion footin min.2 feet above adjusted ound water for new house
36.Deed Restriction r uired ma7c. #bedrooms: max. flow: d i
37.Check area lots for oundwater/Label groundwater in Assessor's Map
Plan reviewed by: �0i'/ wosio3 '
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