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HomeMy WebLinkAboutReview Checklist TOWN OF YARI<IOUTH SEWAGE PLAN REVIEW CHECKLIST Location: A.M. Lot CS, Zone of Contribution: In_ Out_ Acreage Commercial: Residential: Street: 5'... za,�.a� �� /`____ Village:t,�). ;;,-,.,,,,,,... // Bedrooms: 2-j Floor Plan: Owner: fl/c y �/E'p't.e` , a('2?f Installer: .�, '' /e -/; Address: � �' �'`- SS 41,-4 it a 1 y am= Phone: 5`z - 77 5-7-9'S f" Phone: US. 36 y- �03. Builder: n• Engineer: Al c_‘6,fi-J Se A,2 Address: Phone: .,�; Phone: 1. Required#of copies received N.'A YES I NO 2. Date of soils exam and percolation test not older than 2 years 3. 4-5 ft of naturally occurring pervious material, above water table 4. Foundation 2 ft above high point of road H.P.: Fnd: Var.: ' ..- 5. Water line 10 ft from septic components Var.: I - 6. Benchmark indicated and shown-NGVD if near wetlands ( 6.--- 7. Septic tank minimum 10 ft from foundation, deck Var.: 8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: 9. Leaching minimum 100 ft from wetlands Var.: I 10. Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: 11. Tank/leaching minimum 10 ft from property line Var.: 12. System meets all other setback requirements Var.: \` 13. Uses adjustment for maximum high groundwater Var.: 14. Leaching set 4-5 ft above adj. water or bottom of test hole Var.: i✓ 15. System not in top or subsoil (A,B horizons)or 5' removal 16. Proposed contours are suitable L./ 17. System meets slope requirements-min. 1/8", 'A"preferred /7✓ 18. System meets breakout requirements PVC liner: Wall: 19. Specified tee sizes are proper, gas baffle on outlet tee 20. Sewage is under 10,000 gpd for parcel / 21. No garbage disposal 22. System adequately sized for its intended use Z 23. Minimum 6"stone or compacted below tank and dbox • I 1 24. Manhole covers within 6"of grade, pump chamber cover to grade I / 25. Inspection port on plastic chambers/leach field J V 26. Electrical permit for pump chamber/Separate meter for duplexes 27.Pumpsystem-2" `� Yline,weep hole,check valve, tee in dbox, pump size ✓' - 28. Septic tank/pump chamber to be factory waterproofed 29. Vent provided if leaching below 3 feet,under driveway/parking I 30. Buoyancy calculations for'tank/pump chamber • k' inspect and certifyV 31. Engineer to , soils: ilwall: commercial: I ,/ 32. Engineer/Registered Sanitarian and Land Surveyor stamps/signature 33.H-20 loading is subject to vehicular traffic,groundwater 34.Title V Application and permit fee, installer signature E.,/ 35.Foundation footing min_ 2 feet above adjusted ground water for new house ;ice 36. Deed Restriction required max. #bedrooms: max. flow: 37. Check area lots for groundwater/Label oundwater in Assessor's Ma gpd Plan reviewed b}: -- _,2G:)3 L