HomeMy WebLinkAboutReview Checklist �J S �� TOWN OF YARMOiITH ���� ��
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SEWAGE PLAN REVIEW CHF.C'Ki,[ST ,/ft�, x � t �
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I,ocation: A.M.� L,ot �� ZoneofCornribution: In ( Out Acreage_,V_'_Z-��C�'
Cammercial: Residenkial:_�_
s��: 9� �,��i� �.� �
Village: t,i/- !/Y� FlaarPian: #Bedrooms:�j�_'�S(.�
tJwne,r:____1'��f/� i�L�� Instalt�: � ��%�( ���'� Y'�l��
Address: Phone:
Phone:
Builder: � Engineer: �h' `�`""`__�+" /,G/�/
Address: Phona: �Z���
Phone: '-�fC 7 f.c�rcG > �t �
Id1A YES NO
1.R uired#af ies received
2. Date of soils exam and olarion test not older than 2 eazs
3.4-5 8 of natura occ �ous material,abave wate.t table
4.Foundatioxi 2 ft above hi im of road H.P.: Fnd: Var.:
5. Water line 10 ft from s �c com onents Vaz.:
6.Be�bnuuk indicated and shown-NGVD if�ar wetlands 1../ i
7. S tic tank minimum 10 ft from fowdation, deck Vaz.: S-�
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%.I,eachin minimum 20 ft tull, 15 $crawl, IQ ft slsb Var.: I
4.Leachin minimum 14Q ft from wet}ands Var.: j
10.I,eachin minunum 150 ft from drir�kin welU25 ft irri tion well Vaz.:
]l.Tanidteachin minimum 10 ft from line Var.:
12.S skem mcets all other setback r uirements Vaz.:
13.Uses ad`usiment for max.imum hi undwater Var.: �-�
14.Leachin se.t d-5 ft above ad'.wates or bottam of test hale Var.: !
15. S stem nat in to or subsoil A,B horizons or 5'removal �
16.Pro osed cantows aze suitable �
17.S meets sl irements-min. 118", '1<" f�red �✓'
18. S stem meets breakaut r irements PVC liner: Wall: ✓
I9.S ified tee sizes are r , baffle on auHet tee l./ �
2Q.Se e is nnder lO,QOQ for ceJ t../'
21.Na ba e dis osai e../' �
22.S stem ad uatei sized for its urtended use
23.Minunum 6"stone ar com acted below tank and dbox
24.ManUole covers within 6"of e, utn chawber cover to ade �
25.Ins ion ou iasti¢chambersiirach field i
26.Electrical ermit for uru chamberlS ate meter fcrr du lexes
27.Pum stem-2"lina,w hole,check valve,tee in dboac, um size �'
28. 'c tank! eLambea to be oafed
29.Vent rovided if leachin below 3 feet,under drivewa / arkin
30.Bu aney calculations fat tank/ chamber �
31.En ' eer ta ins and c ' soiis: wall: camme.rciat:
32.En ' e�/Re ' e�ed Sanitarian and Land Surv or s/si ture
33.F3-2fl Ivadin is sub"ect ta vehicular tratfic, oundwater �
34.Title V A licarion and ermit fee,installer si ture
35.Foundarion footin min. 2 feet above ad'usted ound water for new house ��.i'
36.L}eed Restriction r uired mryac. #becirooms: max. flow:
37. Check area lots for oundwata/Label undwater in Assesspr's M
Plazt reviewed by: i ,t2'� sv�vs
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