HomeMy WebLinkAboutReview Checklist TOWN OF YAR�VIOUTH
= SE�VAGE PLAN REVIEW CHECKLIST
Location: A.M. ZZ-- Lot�� Zone of Contribution: In Out� Acreage
• c� } CommerciaL• Resideirtial:�
Street: 6
Village: Floor Bedrooms: �
Installer: ��������
owner: ..�d Gt f9 /�0/�Gl �Tr�
Address: Phon�:
Phone:
Builder: Engineer: �
Address: � � Fhone: � ' ;��, E
Phone: ,� �.�� /P � � �
N/A NO
l.R uired#of co ies received �
2.Date of soils e�cam and ercolation test not older than 2 ears `-� ��i
3.4-5 ft of naxurall occurrin ervious material,above water ta.ble '
4.Foundation 2 ft above hi int of road H.P.:� Fnd: Var.: '
5.Water line 10 ft from s tiacom 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.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from ro line Var.: �
12. S stem meets all other setback r irements Var.:
i
13.Uses ad'ustment for maximum hi oundwater Var.: �/ I
14.Leachin set 4-5 ft above ad".water or botto test e ar.: '
i
15. S stem not in to or subsoil(A,B horizons r 5'removal �
16.Pro sed.contours are suitable ��
17. S stem meets slo e r uirements-min. 1!8", 1/a" eferred •✓
18. S stem meets breakout r uirements PVC liner: ' all: ;
19. S ified tee sizes are ro er, baffle an outlet tee L-�
20. Sewa e is under 10,000 fdr arcel
21.No ba. e dis osal `�
l2. S stem ad uatel sized for its intended use L�
23.Minimum 6"stone or com acted below tank and dbox L/� '
i
�4.Manhole covers within 6"of ade, um chamber cover to ade '
25. Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes L-�'
27.P s stem-2"line,w hole,check valve,tee in dbo� um size ��
28. S tic tank/ um chamber to be facto wa roofed `-�""�
29.Vent rovided if leachin below 3 feet,under drivewa / arkin
30.Buoyanc calculations for ta.nk/ ump chamber ✓�
31.En ' eer to ins ect and cert' soils: wall: commerciaL•
32.En ' eer/Re 'stered Sanitarian and Land Surve or sta s/si ture
33.H-201oadin is sub'ect to vehicular traffic, oundwater � ;
34.Title V A lication and ermit fee,installer si re
35.Foundation footin min.2 feet above ad'usted ound water for new house �� ,'
36.De�Restriction r uired max. #bedrooms: ma.�c. flow: d
37.Check area lots for groundwater/Label oundwater in Assessor's Ma '
Plan reviewed by: //�" �osio3