HomeMy WebLinkAboutReview Checklist�
� -
� TOWN OF YARA�IOUTH ��� _�
' , SEWAGE PLAN REVIEW CHECKLIST ��y a /;��G��.��
, - • "/� �y �p �
� Location: A.M.� Lot �Z� Zone of Contribution: In LQOut Acreage � � ( � a7�'
� Commercial: Residential:�
' Street: G
Village: Floor Plan: #Bedrooms: 2.�--
I �" � /�� /�•
Owner: /7z.fC�l�.v1 ✓7���(�'(�I �- Installer: � .S ��-S
Address: Phone: (�Z...� Z "7
Phone:
Builder: Engineer:
Address: Phone: � �-
Phone: �- - �� S � �j��
---� � ,
N/A YES NO
1.R uired#of copies received
2.Date of soils exam and colation test not older than 2 years V�
3.4-5 ft of naturall occurrin ervious material,above water table
4.Foundation 2 ft above hi int of road H.P.:� Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.: L�l
6.Benchmark indicated and shown-NGVD if near wetlands ��
7. S tic tank minimum 10 ft from foundation, deck Var.:
. 8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.: �-�
10.Leaching minimum 150 ft from drinkin we1U25 ft irri tion well Var.:
'11.Tank/leaching minimum 10 ft from ro line Var.: �_.�
12. S stem meets all other setback r uirements Var.: ✓
13.Uses ad'ustment for maximum hi oundwater Var.:
14.Leachin 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 sed.contours are suitable
17. S stem mcets slo e r uirements-min. 1/8", '/4" referrEd
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ified tee sizes are ro er, gas baffle on outlet tee
20. Sewa e is under 10,000 d for arcel
"21.No arba 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 ade, um chamber cover to ade
25.Ins tion ort on lastic chambers/leach field ✓
26. Electrical ermit for um chamber/5 arate meter for du lexes
27.Pum s stem-2" line,wee hole,check valve,tee in dbo� um size
28. S tic tank/pum chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet, under drivewa / arking
30. Buo anc calculations for tank/ um chamber
31.En 'neer to ins ect and cert" soils: wall: commercial:
32.En 'neer/Registered Sanitarian and Land Surve or stamps/si ature
33.H-201oading 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 ad'usted ound water for new house �
36.Deed Restriction r uired max. #bedrooms: - ax. flow: - d
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: wosios '