HomeMy WebLinkAboutReview Checklist �z�--,�- ��� .�
SEWAG PLANOREVIEWC I�ECKLIST ��Gl�('j����l�� � �``{��'"'���5
: �
Location: A.M.� Lot� Zone of Contribution: In�ut_ Acreage � '���
� / Commercial: Residential:__��-'!
Street: tf
Village: vf� Floor Plan: #Bedrooms: ,�i ���
o��: ,��G PGi �?�-�L�'r ��li�: .�'
��`�
Address-y Phone: -' - ;
Phone:
Builder: Engineer: �
Address: Phone: � -
. Phone: ., � �, - � ,�r�1�- �� l�?
N/A YES NO
' 1.Required#of co ies received '
2.Date of soils exam and ercolation test not older than 2 years �-
3.4-5 ft of naturall occurrin ervious material,above water table
4.Founda.tion 2 ft above high oint of road H.P.: Fnd: Var.: _�-
5.Water line 10 ft from septic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �-- '
9.Leachin minimum 100 ft from wetlands Var.: .----- '
10.Lea.ching minimum 150 ft from drinkin we1U25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from ro erty line Var.: ',
12. S stem meets all other setback r uirements Var.: ��
13.Uses adjustment for maximum hi groundwater Var.: �
14.Leachin set 4-5 ft above adj.water or bottom of test hole Var.: �/ '
15. System not in to or subsoil(A,B horizons)or 5'removal
16.Pro sed 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: Wa1L• L_-- ;
19. Spec�ed tee sizes are roper, gas baffle on outlet tee
20. Sewa e is under 10,000 gpd for arcel
21.No garba e disposal �-�
_ 22. S stem ad ua.tel sized for its intended use �
23.Minimum 6"stone or compacted below tank and dbox
24.Manhole covers within 6"of ade, ump cha.mber cover to grade l_�''
' 25.Inspection ort on plastic chambers/leach field
26.Electrica.l ermit for um chamber/S arate meter for du lexes ---
27.Pump system-2" line,wee hole,check valve,tee in dbox, um size !-
28. S tic tank/ um chamber to be factory wat roofed
29.Vent provided if leaching below 3 feet,under driveway/ arkin �
30.Buoyancy calculations for tank/ um chamber
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surveyor stamps/si ture c....--�-
33.H-20 loading is sub'ect to vehicular traffic, groundwater �----- �
34.Title V A lication and ermit fee, installer si ature
35.Foundation footin min.2 feet above adjusted ound water for new house
36.Deed Restriction r uired max. #bedrooms: ma�c. flow: 7�- d
37.Check area lots for oundwater/Label oundwater in Assessor's Map
Plan reviewed by: ((�,'� s�o3�os