HomeMy WebLinkAboutReview Checklist �-z� -i `�
TOWN OF YARIl�[OUT�
� SEWAGE PLAN REVIEW CHECKLIST ,
; Location: A.M.� Lot �� Zone of Contribution: In Out �eage ';
P Commercial: Residential: c�-�
Street: �
Village: ,, Floor Plan: #Bedrooms: �.._
o��: ✓��-C��;� �t%C����G ��li�: ��
Address: Phone: � 7�'� 2
Phone: � :-�� <<,
Builder: Engineer:
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Address: Phone: -
Phone: _-- /�+ ' 1� � :
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/A YES NO
1.R uired#of c ies received
2.Date of soils exam and colation test not older than 2 ears �.-- i
3.4-5 ft of na.turall 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.: �--�' '
6.Benchmark indicated and shown-NGVD if near wetlands I
7. S tic tank minimum 10 ft from foundation, deck Var.: r,�,.�-''
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.: �
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from ro erry line Var.: �-�-� I
12. S stem meets all other setback r uirements Var.: f'
13.Uses ad'ustment for maximum hi oundwater Var.: l./" f
14.Leachin set 4-5 ft above ad'.water or bottom of o� Var.: f--� �
15.System not in to or subsoil(A,B horizons)or remov ;
16.Pro osed contours are suitable t,�� �'
17.S stem meets slo e r irements-min. 1/8", '/4" eferred ,, ��
18. S stem meets breakout r uirements PVC liner: �� Wall:
19. S ecified tee sizes are ro er, gas bai�le on outlet tee �,.-�" ;
20. Sewa e is under 10,000 for arcel �„�- �
� 21.No ba e dis osal �..--- �
22. S stem ad uatel sized far its intended use
: 23.Minimum 6"stone or com acted below tank and dbox ��
24.Manhole covers within 6"of e, um chamber cover to ade
25.Ins ection ort on lastic chambers/leach field �.--''
26.Electrical ermit for um cha.mber/S ate meter for du lexes L„�---� �
27.P s stem-2" line,w hole,check valve,tee in dbox, um size v^ �
28. S tic tank/pum chamber to be facto wa roofed �
29.Vent rovided if leachin below 3 feet,under drivewa / arkin
30.Buoyancy calculations for tank/ ump chamber �
31.En ' eer to ins ect and cert' soils: wall: commercia.l: -
32.En ' eer/Registered Sanitarian and Land Surveyor s s/si ttue
33.H-201oadin is sub'ect to vehicular traffic, groundwater �� �
34.Title V A lication and ermit fee, insta.11er si ture �
35.Foundation footin min.2 feet above ad'usted ound water for new house
36.Deed Restriction r ired max. #bedrooms: max.flow: d --�"'-
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
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Plan reviewed by: 1 �o3ro3 �
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