HomeMy WebLinkAboutReview Checklist � �'OWN QF YARMOUI`H ` �
SEWAGE PLA1V REVIEW CHECKLIST
� Location: A.M.� Lot�� Zone of Contribution: In Out� Acreage
, Commercial: Residential:�
st�e�t: //�' /3 C�� �G�
Village: t./ . /_�Pb• Floor Plan: (� #Bedrooms:_�
--r c "
�o.�a�: /�'n,��uo C�wzo in��i�: ��2c � o�
Address: Phone: �' ��
Phone:
Builder: Engineer: l�Q��9�Q1/l �/��/
Address: Phone: � - 07
Phone:
N/A YES NO
I.R u'v'ed#of co ies received
2. Date of soils e�and ercolation test not older than 2 years
3. 4-5 ft of natural occurrin ervious material,above water table
4.Foundation 2 ft above hi int of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s tic com onents Vaz.: ✓
6. Benchmark indicaIed and shown-NGVD if near wetlands ✓�
7. S tic tank minimum 10 ft from foundation, deck Vaz.: ✓
8. I.eaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9. Leachin minimum 100 ft from wetlands Vaz.: c�
10. L,eaching minimum 150 ft from drinkin welU25 ft irrigation well Var.: ✓
1 L Tank/leaching minimum 10 ft from r line Var.: `�
12. S stem meets all other setback r ' ements Vaz.:
13.Uses ad'ustment for maximum high oundwater Var.: ✓
14.Leachin set 4-5 ft above ad�.water or botto Vaz.:
15. System not in to or subsoil(A,B horizons) 5'remov 1
16.Pro ed co�rtows are suitable ✓
17. S stem meets sl e uirements-min. 1/8", Y<" referred
18. S stem meets breakout r uirements PVC liner: � Wall:
19. S ec�ed tee sizes are o , s baf�le on outlet tee
20. Sewa e is under 10,000 for azcel
21.No ba e dis osal
• 22.S stem ad uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox
= 24.Manhole covers within 6"of e, um chamber cover to ade
25. Ins tion ort on lastic chambers/leach field
26. Electrical ermit for um chamber/S ate meter for du lexes
27.P stem-2" line,wee hole,check valve,tee in dbo�c, um size
28. Septic tank/ um cttamber to be factory wat roofed
29.Vent rovided if leachin below 3 feet, under drivewa / arkin
30.Buo anc calculations for tank/ u cliamber •
31.E ' eer to ins ect and cerf soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surve or stam s/si ture
33. H-201oading is subject to vehicular traffic, oundwater
34.Title V A lication and ermit fee, installer si ature
35.Foundation footin min. 2 feet above adjusted ground water for new house
36. Deed Restriction r uued maac. #bedrooms: max. flow: d
37. Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: \ i�r}`� broaim