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HomeMy WebLinkAboutReview Checklist �-�b � S- TOWN OF YARMOLI'I'H SEWAGE PLAN REVIEW CHECKLIST Location: A.M.�_ Lar lpo Zone of Contriburion: In Out �Acreage Commercial: ResidentiaL• � � s�: /z � z Village: - �'/ Floor Plan: � #Bedrooms: owner: 7/iaCc.tA /�,y�h' insmtler: l�- v'�v ' . Address-T- Phone: � �¢�L - O ��la Phone: Buildea: Engineet: � S ��ey / Address: Phone: 0 - ' ,S- Z Phone: � G�,� t `.e�2`('/'/, a�t �j ' �./ - ,�. >�4 V N/A YES NO 1.R ' ed#of ies received 2. Date of soiLs exam and ercolation test not older than 2 ears �/ 3.45 ft of occurrin ervious material,above wat�table �� 4.Foundation 2 ft above hi int of road H�.: Fnd: Var.: �� 5. Water line 10 ft from s tic com onents Var.: 6.Benchmark indicated and shown-NGVD if near wexlands ! 7. S tic tank minimum 10 ft from foundation,deck Var.: 8• Leaohin minimum 20 ft fiill, 15 ft erawl, 10 ft slab Vav: �� 9.Leachin minimnm 100 ft&om wetlands Vaz.: 10.Leachin min;mum I50 ft from drinkin well/25 ft ' ' 'on well Vaz.: � 11.Tank/leachin minimum 10 ft from r erry line Var.: Z 12. S stem meets all otha setback ' ements Vaz.: ' 13.Uses ad' stme�for maximum lu groundwater Vaz.: �/ I 14.Leachin set 45 ft above ad'.water or bottom of test hole Vaz.: � 15. S stem not in to or subsoil(A,B horizons or 5'removal 16.Pr ed co�ours aze suitable 17. S stem meets slo e r frements-min. 1/8", '/d' ef�red � i18. System meets breakout irements PVC liner: Wall: � 19. S ified tee sizes are r ba9le on ouflet tee ; 20. Sewa e is under 10,000 d for azcel � 21.No e dis osal `�, � � 22. S ad uatel sized for its intended use '. 23.Minimum 6"stone or com acted below tank and dbox `r�. ; 24.Manhole covers within 6"of ade, chamber coyer to grade � 25• ion on lastic chambess/]each field I 26.Electrical ermit for um chamber/S arate meter for du lexes 27•P stem-2"line,w hole,check valve,tee in dbox, size 28. S "c tank/ chamb�to be facto wa roofed � i 29.Vern rovided if leachin below 3 feet,und�drivewa / azking 30. Buo c calculations for tank/ chamba � 31. En ' eer to ins ect and o - soils: wall: commeroial; 32.E ' eer/Re ' ed Sanitarian and Land Surv or s/sigoature 33.H-201oadin is sub'ect to velucular traffic, undwater 34. Title V A lication and ermit fee, installer si e 35.Foundation footin min.2 feet above ad'usted ound water for new house 36.Deed Restriction r ired max, #bedrooms: max, flow: a -- 37.Check area lots for oundwat�/L,abel groundwatea in Assessor's Ma Plan reviewed by: � vo3ro3