HomeMy WebLinkAboutReview Checklist ���-�� ��� �
TOWN OF YARMOUTH /�;� � �
SEWAGE PLAN REVIEW CHECKLIST �y3 o�b.�sr1 I
, Location: A.M.� Lot�7�_ Zone of Contribution: In✓ Out Acrea.ge� i'�tiy�S
Commercial: Residential:��
s��: � 3 v� ;
Village: � Floor Plan: � #Bedrooms: 7i
Owner: �/d S��.�1� ��1�' �� �taller: ` r �
Address: Phone: ;
Phone: �
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Builder: Engineer: �' �
Address: Phone: r
Phone: -2�� - � ��
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N/A S O �
l.R ired#of co ies received
2.Date of soils exam and ercolation test not older than 2 years
3.45 ft of natural occurrin ervious ma.terial,above water ta.bie �
4.Foundation 2 ft above hi int of road H.P.: Fnd: Var.: '
5.Water line 10 ft from s tic com onents Var.: i
6.Benchmark indicated and shown-NGVD if near wetlands . '
7. S tic tank minimum 10 ft from foundaxion, deck Var.: l-�' ;
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �� `
9.Leachin minimum 1UO ft from wetlands Var.: �
10.Leaching minimum 150 ft from drinkin welU25 ft irri tion well Var.: ,
1 l.Ta.nk/leachin minimum l0 ft from ro line Var.:
12. S stem meets all other setback r uirements Var.: Li '
13.Uses adjustment for maximum hi groundwater Var.: � �
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.: �
15.S stem not in to or subsoil A,B horizons)or 5'removal j
16.Pro osed contours are suita.ble � �..� ' !
17. S stem meets slo e r uirements-min. 1/8", '/a" eferred • ,
18. S stem meets breakout r uirements PVC liner: Wall: ',
19:Specified tee sizes aze ro �, gas baffle on outlet tee � ,
20. Sewa e is under 10,000 d for arcel
�
21.No ba e dis osal • �
' 22.S stem ad ua.tel sized for its intended use �--�
23.Minimum 6"stone or com acted below tank and dbox
24.ManhQle covers within 6"of ade, um chamber cover to de
25.Ins ection ort on lastic chambers/leach field •
26.Electrica.l ermit for um cha.mber/S arate meter for du lexes �
27.P stem-2" line,w hole,check valve,tee in dbo� um size
28.S tic tank/ chamber to be factory wat roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buo ancy calculations for tanWpump chamber
31.E ' eer to ins ect and cert' soils: wall: commercial: -
32.E ' eer/Re ' tered Sanitarian and Land Surveyor stam s/si ture
33.H-201oadin is subject to vehicular traffic,groundwater �/ ":
34.Title V A lication 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: . flow: �--
37.Check area lots for oundwater/Label oundwater in Assessor's M
Plan reviewed by: �i� ���03 '