HomeMy WebLinkAboutReview Checklist _ �a:r :;�.� ,
�
TOWN
OF
YARM
OU
TH
SEWAGE PLAN REVIEW CHECKLIST A
i
Location: A.M.�_ Lot� Zone of Contribution: In Out creage ,, , ,.
�� Commercial: Residential:�
Street: _ f
Village: Floor Plan: #Bedrooms: �_ `
Owner: � Installer: ;
Address: Phone: - -
Phone: � .
V � /
Builder: Engineer: r
Address: Phone: � �
Phone: �" ,�t7 �' � �Ff /G��� �Tr'/�
t 'k:�/�v� '
N/A YE NO
l.Required# of copies received '
2.Date of soils e�.m and ercolation test not older than 2 years �� i
3.4-5 ft of naturall occurrin ervious material,above water table
4.Founda.tion 2 ft above hi oint of road H.P.: Fnd: Var.: v-' i
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.: L�'
9.Leachin minimum 100 ft from wetlands Var.: `�--
10.Leaching minimum 150 ft from drinkin welU25 ft irrigation well Var.: '
11.Tank/leachin minunum 10 ft from roperty line Var.: ;
12.S stem meets all other setback r uirements Var.: �
13.Uses adjustment for maximum hi oundwater Var.: �./
14.Leachin set 4-5 ft above adj.water or botto est 1 1.��
15. System not in top or subsoil(A,B horizons) r 5'removal
16.Pro osed contours are suitable '
17. S stem meets slo e re uirements-min. 1!8", '/4" eferred L.�
18. System meets breakout re uirements PVC liner: Wall: a,�-�
19. S ec�ed tee sizes are roper, gas ba.ffle on outlet tee '�---�
20. Sewa e is under 10,000 d for arcel ' '�
21.No garbage dis osal ,
22. S stem ade uately sized for its intended use �
23.Minimum 6"stone or compacted below tank and dbox �"'
24.Manhole covers within 6"of ade, ump chamber cover to ade
25.Ins �tion port on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes -
27.Pump system-2" line,weep hole,check valve,tee in dbox, ump size �-�
28. Se tic tank/pum chamber to be factory wat roofed
29.Vent rovided if leaching below 3 feet,under driveway/parking ��
30.Buoyancy calculations for tank/ um chamber
31.En ' eer to ins ect and cert soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature ,
33.H-20 loadin is subject to vehicular traffic, groundwater
34.Title V A plication and ermit fee, insta.11er si ature
35.Foundation footing min.2 feet above adjusted ound water for new house 'L..�'
36.Deed Restriction r uired max. #bedrooms: max. flow: d �--�'
37.Check area lots for groundwater/Label oundwater in Assessor's Map
Plan reviewed by: �_ 6/03/03
i