HomeMy WebLinkAboutReview Checlist TOWN OF YAR%IOUTH ,
SEW AGE4I,ANRUNWN CRYKKIAST
Location: A.M.
Lot Zone of Contribution: In_
Street: Out Acreage
Village: Commercial:
Residential:
Owner: Floor Plan:
Address: #Bedrooms:
Phone: Installer:
Phone:
Builder:
Address:
Phone: Engineer:
Phone:
1• Re•uired#of co.ies received 2. Date of soils exam and •ercolation test not older than
3. 4-5 ft of naturall occurrin: _S NO
4. Foundation 2 'ervious 2 ears _
ft above hi: material, above water table _�11111111
5. Water line 10 ft from se•tic co nt of road _
6. Benchmarkm•onents H.P.: Fnd: Var.: __
indicated and shown- Var.: �_
7. Se'tic tank minimum 10 NGVD if near wetlands
8. Leachin ft from foundation, deck _IMIIO__
_ minimum 20 ft full, 15 Var.: __
9. Leachin: minimum 100 ft crawl, 10 ft slab III
10. Leachin: ft from wetlands Var"11. Tank/leachinnimum150 ft fromn Var.:drin•ro. wellin5 ft iVa
12S minimum 10 ft from •ro.e ation well stem meets all other setback re. lme Var•13. Uses ad uirements Var.:14. Leachin ustment for maximum hi:h _roundwater Var.:set 4-5 ft above ad . Var.:S stem not in to. Water or boom of test hole 16. Pro•osed contoursoare suitablesoil ,B horizons or 5' removalVar17. S stem meets sl •e re.uirements-mi . > „ III
18. S stem meets breakout re. l/8 'referred 19. S.ecified tee sizes are •ro•er ements 20. Sewa:e is under 10000 ' as baffle on outlet teePVCfiner: Wall21. No _arba: -'d for •arceledisol22• S stem ade•uatel sized for its intended useMIIIIII
23. Minimum 6"stone or com'acted below
.24. Manhole covers within 6" tankh and dbox ___
25. Ins section sort on of= ade, •um• chamber cover to 26. Electrical •e lastic chambers/leach field Jade
rmit for •um. chamber/Se•crate III
27. Pum• s stem -2"lne,wee• meter for dux, 'um,28 Se•tic tan . • c hole,cheo valve, tee in dbox 29. Vent •rovided if leCh'pber to be facto Ovatr •roofedum size30. Buo anc _ below 3 feet, under drivewa /.arkin calculations for tank/•urr� chamber
31• En:ieer to ins•ect and certi
32. Engineer/Re_istered Sanitarian and soils: III
33.I1_20]oadin_ Land Sue wall commercial:is sub ect to vehicular traffic ofstain,s/w
34. Title VA••lication and • roundwaternature35. Foundon footin ermit fee, installer si 36. D min. 2 feet above ad natureeed Restriction re•uired usted round water for new 37. Check area lots for : max• #bedrooms: houseroundwater/I b ] roundwater in max. floes:Plan reviewed by: IIIIIIIMIIIIIIIIMIIIIII
Assessor s Ma 'd
6/03/03