HomeMy WebLinkAboutReview Checklist G- �'�� `Z�"�' .�
TOWN OF YARMOLTTH
' SEWAGE PLAN REV�W CHECKLIST ��� � ����`����
Location: A.M. g� Lot �Z Zone of Con�ibution: In`P Out Acreage � � Z
� Commercial: Residential:�
s��c: � �GGc9l�'i7�`P �-�
Village: /,�'y. Floor Plan: r/ #Bedrooms:�_
r /
Owner: �G�Gl� ( ��/2Cl�/ Installer: „�� �`
Address: Phone:-� 5C��3Z - OS'�
Phone:
Builder: Engincer: 2 �(pj� /�t6tf'
Address: Phone: �i('"��T'�-
Phone: � -f1°-�' �C G� � '7a g�l�� �I� y, C��IIC"�'-''��
N/A YES NO
l.R uired#of ies received
2.Date of soils exam and ercolation test not older than 2 years
3.4-5 ft of natura occurrin ervious matedial,above water table
4.Foundation 2 ft above]ri oim of road H.P.: Fnd: Vaz.:
5.Water line 10 ft from s 'c com onents Var.:
6.Benchmark indicated and shown-NGVD if near w�lands
7. S tic tank minimum 10 ft from foundation, deck Vaz.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9.Leaching minimum 100 ft from wetlands Var.: .
10.Leachin minimum 150 ft from drinkin well/25 ft ' ' tion well Var.: --�
11.Tank/leaching minimum 10 ft&om r erty line Vaz: �,%
12. S stem m�ts all other setback r ' ements Vaz.:
13.Uses ad'ustment far maximum hi oundwater Vaz.:
14.Leachin set 4-5 ft above ad':water ar bottom of test hole Vaz.:
I5. System not in to or subsoil(A,B horizons) or 5'removal ��
16.Pro osed co�ours aze suitable
17. S stem meets slo e irements-min. 1/8", '/a" eferred �1
18. System meets breakout r irements PVC liner: Wall:
19. S ecified tee sizes are ro , gas baffie on outlet tee
20. Se e is under 10,000 d fot arcel
21.No ba e dis osal
' 22. S m ad uatel sized for its intended use ��
23.Minimum 6"stone or com acted below tank and dbmt
24.Manhole covers within 6"of e, um chamb�cover to ade
25. 'on ort on lastic ckiambers/leach field �/
26.Electrical ermit for um chamber/S arate met�for du lexes
27. stem-2"line,w hole,check valve,tee in dbox, size
28. S 'c tank/ um chamba to be factory wa roofed
29.Vem rovided if leactring below 3 feet,under drivewa / azking
30.Buoyancy calculations for tank/ um chamber
31.En ' eer to ins ect and soils: wall: comm�cial:
32.En ' eer/Re ' �ed Sanitarian and Land Surv or stam s/si ture
33.H-201oadin is subject to veluculaz traffic, oundwater
34.Title V lication and ermit fee, insffiller si e
35.Foundation footing min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow:
37.Check azea lots for oundwater/Label oundwat�in Assessor's Ma
Plan reviewed by: ��� �,m,