HomeMy WebLinkAboutReview Checklist TOWN OF YARt%IOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Lot 9-30/ Zone of Contribution: In Out Acreage
L Commercial: Residential:Street: / Su�4T �P}� ----
Village: S. y. Floor Plan: #Bedrooms: 3
Owners (.5- (t/c-. 0,oc a+6I InstaIler: > (,-
Address: /5 ;c,K•f+,,,,,,sr I Phone: z
Phone: S?Z�- 7 sac, /- 3 5)- �v/
Builder: Engineer: c /
Address: g �n>/`1 y��� ��CIIV
Phone: Phone: c - <-/i - s-jl7
N/A YES NO
1. Required#of copies received
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 t`
7. Septic tank minimum 10 ft from foundation, deck' Var.: '`
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 we11/25 ft irrigation well Var.:
11. Tank/leaching minimum 10 ft from property line Var.: 1'
12. System meets all other setback requirements Var.:
13. Uses adjustment for maximum high groundwater Var.:
I I
14. Leaching set 4-5 ft above adj. water or bottom of test hole Var.: ✓�
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", %"preferred
18. System meets breakout requirements
19. Specified tee sizes are proper, gas baffle on outlet tee PVC liner: (./ Wall:
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 I '
24. Manhole covers within 6"of grade, pump chamber cover to grade
25. Inspection port on plastic chambers/leach field
26. Electrical permit for pump chamber/Se arate meter for du lexes
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/parkin
30. Buoyancy calculations forlank/pump chamber
31. Engineer to inspect and certif
y soils: wall: 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
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: It 7 /.23 -- - -
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