HomeMy WebLinkAboutReview Checklist TOWN OF YAR1 1OUTH
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SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. -
Loti'tj� 0(;'t Zone of Contribution: In Out_ Acreage 40
Commercial: Residential: v Street: .j e) 1 . -f,,, ( r� --
Village: Floor Plan:
#Bedrooms: j
Owner. o '
i r / /� 4�t�j Installer: �' //
v � r,1�1 C'C*n�t ti(j
Address: SL' ,�,z;'/ z 1,,,';,,2 Phone: 3
Phone: pc }c-3 _ / L '�, S )��
Builder:
Address: Engineer: /9 ( (A jt /ic
Phone: Phone: ;- _--s 7-2 i- )0,
1. Required#of copies received N.A7 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 J - - -
4. Foundation 2 ft above high point of road H.P.: Fnd: Var.: ---
5. Water line 10 ft from septic components Var.: -
6. Benchmark indicated and shown-NGVD if near wetlands
7. Septic sank minimum 10 ft from foundation, deck Var.: t/
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: I
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.: ` i
13. Uses adjustment for maximum high groundwater Var.:
14. Leaching set 4-5 ft above adj. water or bottom of test hole Var.: 11/4/ I
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 PVC liner: Wall: I .V
19. Specified tee sizes are proper, gas baffle on outlet teeV:
20. Sewage is under 10,000 gpd for parcel
21.No garbage disposal
22. System adequately sized for its intended use
23:Minimum 6"stone or compacted below tank and dbox
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24. Manhole covers within 6"of grade, pump chamber cover to grade '/
25.Inspection port on plastic chambers/leach field 1,./
1 26. Electrical permit for pump chamber/Separate meter for duplexes ',,
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
y/ 1
31.Engineer to inspect and certify :/ soils: ,A all: commercial:
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 f
35. Foundation footing min. 2 feet above adjusted ground water for new house
36. Deed Restriction required max. #bedrooms: max. flow:
37. Check area lots for groundwater/Label groundwater in Assessor's Map gpd
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Plan reviewed by: ' J' 1': v1)