HomeMy WebLinkAboutReview Checklist 4-tve,C5 V suv.,' 4 4ssessef @ 4
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(hl4trij _ S EWAGErJ PLAN REVIEW CHECKLIST
Location: i"' 1C i b � t
Lot Zone of Contribution: In Out Acreage
2 Street: 4/ill
Commercial: Residential: X
�J AVM
Village: Floor Plan: qe&
# Bedrooms: Le
Owner: Installer:
Address: Phone:
Phone:
Builder: Engineer:
Address: Phone:
Phone: •
�q ' % � -1Z- S� V) ' � 1 7-4 3 ,
N/A YES NO
1. Required # of copies received
2. Date of soils exam and percolation test not older than 2 years 1/
3. 4-5 ft of naturally occurring pervious material, above water table I
4. Foundation 2 ft above high point of road H.P.: Fnd: Var.: VI 1
5. Water line 10 ft from septic components Var.: I
6. Benchmark indicated and shown-NGVD if near wetlands ! ✓l j
eptic tank minimum 10 ft from foundation, deck Var.:
8.f'1( eaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �C I/II i '
. Leaching minimum 100 ft from wetlands Var.: 12 l S t i kw,ail
10. Leaching minimum 150 ft from drinking welV25 ft irrigation well
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.: V
14. Leaching set 4-5 ft above adj. water or bottom of test hole Var.: 1 �,
15. System not in top or subsoil(A,B horizons) or 5' removal
16. Proposed contours are suitable
17. System meets slope requirements- min. 1/8", 1/4" preferred
18. System meets breakout requirements /
q PVC liner: v Wall: 4
19. Specified tee sizes are proper, gas baffle on outlet tee j v
20. Sewage is under 10,000 gpd for parcel I 1
21. No garbage disposal
22. System adequately sized for its intended use
23. Minimum 6" stone or compacted below tank and dbox ✓ 1
24. Manhole covers within 6" of grade, pump chamber cover to grade i I
25. Inspection port on plastic chambers/leach field t i
26. Electrical permit for pump chamber/Separate meter for duplexes ✓ j
27. Pump system-2" line,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
. 30. Buoyancy calculations for tank/pump chamber v
31. Engineer to inspect and certify soils: wall: commercial: 1/'
✓ ,
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 ✓
35. Foundation footing min. 2 feet above adjusted ground water for new house 1/
36. Deed Restriction required max. #bedrooms: max. flow: gpd t/ /
37. Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by: i7/1//4- 6,03/0;