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HomeMy WebLinkAboutReview Checklist ' � � � � '�� TOWN OF YARiVtOiTTH � , SEWAGE PI.AN RE'VIEW CHECKLIST , Location: A.M. f.�� Lat_��. Zone of Contribution: Tn_ Oui! Acr�ge ' - ' Commercial: ResidentiaL• �c+ Street:_�_ ��J�/�r�__�<? / T Village:_______��� �-- F1oor Plan: ✓ #Bedrooms: 7i�' Owner:___�1/JIJ25? �c%z�=� Instalier: "7 Address: l Phone; � Phone: Builder: Engineer: L/O.G1'fl/l A�-2!/ Address: Phone:�^"' ?�.�„9,,,.1-�' _.... - � Phone: � p/Cr'G�i !lCs� rG�o,L� l2�,�1/��/� / j � N(A YES C? 1.Re uired#of ca ies received 2. Date of soils e�and ercolation test not older than 2 ears 3.45 ft of natural accurcin ervious material,above watet tabla cs'" 4.Fqundation 2 ft above hi aint of road H.P.: Fnd: Vaz.: 5.Wat�line 10 ft from tic com nents Var.: 6.Benchmazk indicated and shown-NGVD if near wetlands 7. Se tic tank minimum 10 ft from foundation, deck Var.: : 8.Leachin minirnum 20 ft fill, t5 ft crawl, 10 ft slab Vaz.: ' 9.I,eaching minirnum 100 ft frorn wetlands Var.: ---� 10. Leachin minimum 150 ft from dtinkin welU25 ft irri rion well Vaz.: � 1 t.Tankliraching ivinimum 14 R from ro line Var.: :L•-�" ' 12. S stem meets all other setback r uirements Vaz.: i13.LTses adjustment for maxunum hi aundwater Vaz.: ; 14.Leaching set 4-5 ff above adj. water or bottom of test hole Var.: 15. S stem not in to or subsoil A,B horizons)or 5' removal ' 16:Pro sed cantours are suitab2e ' 17.S stem meets slo e r uirements-min. 1!8", '/<" eferred 18. S stem meets breakout requiremeats PVC Iiner: Wali: r✓' 14. S �ed tee sizes are , gas baiile on outiet tee 20. Sewa e is under 10,000 for arcel " 21.No ba e dis osal +��� 22. S stem ade uatel sized for ifis mtended use 23.Minimum 6"stone ar com aated below tank aud dbox 24.Maal�ole covers within 6"of ade, ump chamb�cover to grade 25.Inspection on lastic chambers/leach field 2G.Elecitricat`ermi��or` um _ctiam�er/S� azata mefer for iIu"lexes -___ __ _ _ __. _ 27.Pu stem-2"line,wee hola,check valve,tee in dbox, um size 28.Septic tank( um chamber to be facto wat roofed 29.Vent rovided if leaclrin below 3 feek, under driveway/ arkin 36.Buayancy calculations for tanklpump cbamb� 31.En ' eer to ins ect and cert sails: wall: cammercial: 32.Enginec.r/Re 'stered Sanitariaa and Land Surv or stam s/si ture 33.H-24 loading is sub'e,ct to vehicnlar traffrc, oundwater -� 34.Title V A lication and ermit fee, installer si ature � 35.Foundation foakin min. 2 feet above adjusted ound water for new house 36.Daed Restrictian r uired rr�c. #bedrooms: ma7c.flow: 37.Check azea lots for oundwater/L.abel oundwater in Assessor's Ma Plan reviewed by: _�`...J s�aw3