HomeMy WebLinkAboutReview Checklist � 3� ' ' " TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
, Location: AM. �'D Lot /� Zone of Contribution: In_ Out�Acreage�"
� Commercial: Residential:
Street: 7 py ,�C/ �
Village:_�l� Floor Plan: #Bedrooms: �
Owner: �G/ C�Ja //.�� Installer:_��� �� /'
Address: Phone: 7 L�Z--��Z7
Phone:
Builder: Engineer: S7�/��� /J�oS
Address: Phone:-� � � �
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Phone: ,i1�L ` :-�' �' - �
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N/A YES NO
1.Required# of co ies received r
2. Date of soils e�and ercolation test not older than 2 years �'"
3.4-5 ft of naturall occurrin ervious material, above water table �_�
4.Foundation 2 ft above high oint of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s tic com onents Var.:
6. Bencl�mark indicated and shown-NGVD if near wetlands
7. Se tic tank minimum 10 ft from foundation, deck Vaz.:
8.Leaching minimum 20 ft fiill, 15 ft crawl, 10 ft slab Var.: ��, _ti��.� �� w: r��r��
9.Leaching minimum 100 ft from wetlands Var.:
10. Leachin minimum 150 ft from drinkin we]ll25 ft irri tion well Vaz.: �
11. Tank/leaching minnnum 10 ft from ro erty line Vaz.:
12. S stem meets all other setback r uirements Vaz.: ��
13. Uses adjustment for maxinmm hi oundwater Var.:
14. Leachin set 4-5 ft above ad'. water or bottom of test hole Vaz.:
15. System not in to or subsoil(A,B horizons) or 5' removal `�
16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/d' referred ��
18. S stem meets breakout requirements PVC ]iner: Wall:
19. Spec�ed tee sizes aze ro er, gas baftle on ouUet tee
20. Sewage is under 10,000 gpd for azcel
21.No arbage 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 ade, um chamber cover to grade `�
' 25. Ins ection port on lasUc chambers/leach field `�
26. Electrical ermit for um chamber/S azate meter for du lexes _�
27.Pum s stem-2" line,wee hole,check valve, tee in dbou,pum size �
28. S tic tank/ ump chamber to be factory wat roofed -
29.Vent rovided if leachin below 3 feet,under driveway/ arking /
30. Buo anc calculations for tank/ um chamber -
31.En � eer to ins ect and c soils: wall: commercial:
32.En 'neer/Re ' tered Sanitarian and Land Surveyor stam s/signature /
33. H-201oading is subject to vehicular traffic, oundwater /
34. Title V A lication and ermit fee, installer signature
35.Foundation footing min. 2 feet above adjusted gound water for new house
36.Deed Restriction r uired max. #bedrooms: max, flow: d -
37. Check azea lots for groundwater/Label groundwater in Assessor's Ma
Plan reviewed by: ���'.����. wo3ios