HomeMy WebLinkAboutReview Checklist &� � � �S� TOWNOFYARMOUTH /����
SEWAGE PLAN REVIEW CHECKLIST �� � ��zr��t2'���
Location: A.M. l Lot �� Zone of Comribution: In� Out_ Acreage�7��
/� / /� / Commercial: Residential:
Street: �� U, GGl �t�/�/ �
Village: � / - /�// Floor Ptan: #Bedrooms:�
Owner:� /�)�i//�/ �//l/L�/(� Installer: �
Address: � Phone:
Phone:
Builder: Engineer: �
Address: Phone: - 7 -
Phone: �- il7/�'C% � . �lCC'(� ?. (./Jc.��/.���5
- �' ' 2E� /� liYr>�
N/A YES NO
1.R ired#of co ies received
2.Date of soils exam and colarion test not older than 2 ears
3.4-5 ft of natura occurrin ious material, above water table L�
4.Foundation 2 ft above hi int of road H.P.: Fnd: Vaz.:
5.Wate�r 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 Var.:
8. I,eachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: U
9.I.eachin minimum 100 ft from wetiands Vaz.: - � �,�-
10.Leaohin m;n;mum 150 ft from drinkin we1U25 ft irri 6on well Var.:
11.Tank/leachin minunwn 10 ft from r line Vaz.:
12. S stem meets all other setback irements Vaz.:
13.Uses ad'ustment for maximum hi oundwater Vaz.:
14.Leachin s�4-5 it above ad'.water or bottom e Vaz.:
15. S stem not in to or subsoil(A,B horizons or 5'removal: `
16.Pro sed co�ours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/a" erred
18. S stem meets breakout ' ements PVC liner: Wall:
19. S ified tee sizes aze r , baffie on outlet tee t/
20. Sewa e is under 10,000 for arcel L_i
21.No e dis osal
22. S stem ad uatel sized for its intended use . '
23. Minimum 6"stone or com ed below tank and dbox
24.Manhole covers within 6"of e, um chamber cover to ade ;`/ .
25.Ins tion on lastic chambers/leach field
26. Electrical amit for chamba/S arate meter fot d lexes
27.P -2" line,w hole,check valve,tee in dbo� um size
28. S ric tank/ chamber to be factory wa roofed
29. Vem rovided if leachin below 3 feet, under drivewa / arkin
30. Buo anc calculations for tank/ um chamber
31. En ' eer to ins ect and cert' soils: wall: commercial: ��
32.En ' eer/Re ' �ed Sanitazian and Land Surv or stam s/si ture
33.H-201oadin is sub'ect to velucular traffic, undwat�
34. Title V A licarion and �mit fee, installer si ture
35.Foundation footin min. 2 feet above ad' sted ound water for new house �'
36.Dead Restricrion r ired ma�c. #bedrooms: ma�c. flow:
37.Check area lots for oundwater/Iabel oundwat�in Assessor's Ma
Plan reviewed by: �l�f w�
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