HomeMy WebLinkAboutReview Checklist � �
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' SEWAGE PLAN REVIEW CHECKLIST _ �' ���'�7�
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. Location: A.M._�_ Lot� Zone of Contribution: In�O _ Acreag�`� ��1 �
Commercial: Residential: �..�
Street: � /�
Village: Floor Plan: `� #Bedrooms:�_
Owner: S Insta.11er:
Address: � Phone:
Phone:
..-,
Builder: Engineer:
Address: Phone: '- -
Phone: � � �
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N/A YES NO
1.Re uired#of copies received
2.Date of soils e�.m and ercolation test not older than 2 ears �/
3.4-5 ft of naturall occurrin ervious material,above water table Z.,.,--•'`
4.Founda.tion 2 ft above hi oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.: (;,,.�''
6.Benchmark indicated and shown-NGVD if near wetlands t,j�'
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft sla.b Var.: �/
9.Leaching minimum 100 ft from wetlands Var.: •----`�
10.Leachin minimum 150 ft from drinkin welU25 ft irrigation 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 oundwater Var.: - ,'
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.: s..--''
15. S stem not in to or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suitable L..-�''
17. S stem meets slo e r uirements-min. 1/8", 1/4" referred =�,,,r.---'
18. S stem meets breakout re uirements PVC liner: Wall:
19. S ecified tee sizes are pro er, gas ba$le on outlet tee �-�
20. Sewage is under 10,000 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 on plastic chambers/leach field '
26.Electrical ermit for um cha.mber/S arate meter for du lexes °�--�
27.Pump system-2" line,wee hole,check valve,tee in dbox,pum size �-
28. S tic tank/ ump chamber to be facto wa roofed �'
29.Vent rovided if leaching below 3 feet,under driveway/ arking .�,,,.
30.Buoyancy calcula.tions for tank/ u chamber �„�.-�
31.En ' eer to ins ect and c ' soils: wall: commercial: �--�''
32.Engineer/Re 'stered Sanitazian and Land Su.rve or s/si ture ,��' j
33.H-20 loading is subject to vehicular traffic, oundwater ;
34.Title V A lication and ermit fee,insta.11er si ature ;
35.Founda.tion footin min. 2 feet above ad'usted ound water for new house '
36.De,ed Restriction r uired max. #bedrooms: max.flow: d _�--- !
37.Check area lots for oundwater/Label groundwater in Assessor'.s Ma , �
Plan reviewed by: �,03,0� '