HomeMy WebLinkAboutReview Checklist /I'-lf /� TOWN OF YARMOUTH i���-C c�-�
SEWAGE PLAN REVIEW CHECKLIST �i2�,�, ���-��--�`
� Location: A.M.�_ Lot�3 Zone of Contribution: In ( Out_ Acreage � �� �
2 n Commercial: Residential: -~L�
Street: J c
Village: !�, Floor Plan: � #Bedrooms:�
Owner: ,`�, ��,0 �G��� Installer: , � �/ll' :
Address: Phone: � �-
Phone:
Builder: 1 Engin�r: - !� G�l�"i'
Address: Phone: '� � '- �
Phone: ��� . �
�
N/A YES NO
1.R uired#of c ies received
2.Date of soils exam and ercolation test not older than 2 ears �..-
3.4-5 ft of natura occurrin ervious material,above water table
4.Foundation 2$above hi int of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.: �-
6.Benchmark indicaxed and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation,deck Var.: L�
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.I.eachin minimum 100 ft from wetlands Var.: ,_-,
10.Leachin minunum 150 ft from drinkin welU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from ro line Var.: ��
12. S stem meets all other setback r irements Var.:
13.Uses adjustment for maximum hi oundwater Var.: ,
14.Leachin set 45 ft above ad'.water or bottom of test hole Var.:
15. S stem not in to or subsoil(A,B horizons)or 5'removal
16.Pro sed contours are suita.ble � ��� U '
17.S stem meets slo e r irements-min. 1/8", '/a" eferred �.�
18. S stem meets breakout r uirements PVC liner: �� all: '
19. S ecified tee sizes are ro �, baffle on outlet tee �
20. Sewa e is under 10,000 d for arcel
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 L�
24.Manhole covers within 6"of ade, um cha.mber cover to ade
" 25.Ins ection ort on lastic chambers/leach field �.�
26.Electrical ermit for um chamberJS arate meter for du lexes
27.P stem-2"line,w hole,check valve,tee in dbox, um size =--�'-
28. S tic tank/ um chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet,under drivewa / arkin
30.Buo ancy calcula.tions for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Re ' tered Sanitarian and Land Surv or stam s/si ture �,
33.H-20 loadin is sub'ect to vehicular traffic, oundwater ��i
34.Title V A lica.tion and ermit fee, installer si ture �-�
35.Foundation footin min.2 feet above ad'usted ound water for new house
3b.Deed Restriction r uired max. #bedrooms: ma�c.flow: d
37.Check area lots for oundwater/Label oundwater in Assessor's M
Plan reviewed by: f�� s�o3io3 ',