HomeMy WebLinkAboutReview Checklist �
�� �
` TOWN OF Y�lRMOUTH � ���p,��
. SEWAGE PLAN REVIEW CHECKLIST ����
J Location: A.M.�_ Lot�_ Zone of Contribution: In�Out_ Acreage l���S�
Commercial: Residential: �
Street: � L
Village: Floor Plan: #�O°�� `�
���.: � Installer: _
Address: Phone: ��' 7�
Phone:
Builder: Engineer: �iY1°G1 ��
Address: Phone: - -..Z Z -
Phone: ���,�i� � �� �
N/A YES N
1.R uired#of ies received
2.Date of soils exam and olation test not older tlian 2 ears �_
3.4-5 ft of natural occurrin ervious material,above water tahle
4.Faundation 2 ft above hi int of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com necrts V�'•� `--�
6.Benchmark indicated and shown-NGVD if near wetlands
?.S tic tank minimum 10 ft from foundation, deck Vaz.: �
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: t/'
9.Leachin minimum 100 ft from wetlands V�'•= ���
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.: ��
1 l.TanWleachin minimum 10 ft from r line Var.: ��
12.S stem meets all other setback irements Vai'•:
13.Use,s ad'ustment for maximum hi oundwater Var.:
14.Ix,achin s�4-5 ft above ad'.water or bottom of test hole Var.:
15.S stem nat in t or subsoil A,B horizons)ar 5' remov�l L�
16.Pro ed cotrtours are suitable �f
17. S stem meets slo e r uirements-min. 1/8", '/4" eferted �/
18.S stem meets breakout r irements PVC liner: Wall:
19.S �ed tee sizes aze ro , l�le on outlet tee ,
20. Sewa e is under 10,000 for arcel �l f
21.No e dis osal
22.S stem ad uatel sized for its intended use ��
23.Minimum 6"stone or cam acted below tank and dbox ;
, 24.Manhole covers within 6"of e, um chamber cover to ade
25.Ins ion rt on lastic chambers/leach field '
26.Electrical ermit for um chasnl�/S ate mezer for du lexes L--- ;
2�,pu stetn_2"line,w hole,check valve,tee in dbox, um size �-- '
i
28.S tic tank/ um chamber to be facto wa roofed �-� '
29.Veirt rovided if leachin below 3 feet,unde,r drivewa / arkin `-- �
30.Buo anc calculations for tank/ u chamber �`
31.En ' eer to ins ect and cert soils: wall: commercial: L.�'
32.En 'ne�/Re ' ered Sanitarian and Land Sun' or slsi ture
33.H-20 loadin is sub'ect to vehicular traf�ic, oundwater `�'�
34.Title V A lication and ermit fee,installe,r si ture _
35.Foundation fo�in min.2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max•flow: ----
37.Check area lots for oundwater/Label oundwater in Assessoi''s Ma
I NO3/03
Plan reviewetl by:
�