HomeMy WebLinkAboutReview Checklist F,.�=.� �� TOWN OF YARMOUTH �
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�����'� SEWAGE PLA�1 REVIEW CAECKLIST
T Location: A.M.�_ Lot� Zone of Contribution: In Out� Acreage
� � Commercial: Residential:�
Street:
Village: � C!�!i' Floor Plan: � #Bedrooms: �_
Owner: � �/{�I��/I�S Installer:
Address: Phon�: �
Phone:
Builder: Engineer: �
Address: Phone: -
Phone: ' ---� r - �
N/A YES NO
1.Required#of co ies received
2.Date of soils e�cam and ercolation test not older than 2 ears �/
3.4-5 ft of na.tural occurrin ervious material,above water table
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.: ✓
5. Water line 10 ft from s tic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.:
8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ��
9.I,eachin minimum 100 ft from wetlands Var.:
10.Leachin minimum 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 uirements Var.; ✓
13.Uses ad'ustment for maacimum hi oundwater 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
16.Pro osed.contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/a" efeTrEd �--�
18. S stem meets breakout r irements PVC liner: Wall:
19. S ec�ed tee sizes are ro , as baffle on outlet tee �/�
20. Sewa e is under 10,000 d for arcel
21.No ba e dis osal
9 22. S stem ad uatel sized for its intended use t�
- 23.Minimum 6"stone or com acted below tank and dbox
- 24.Manhole covers within 6"of ade, um chamber cover to ade �/
25.Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum s stem-2" line,wee hole,check valve,tee in dboar, um size •
28. S tic tank/ um .chamber to be facto wat roofed -�
29.Vent rovided if leachin below 3 feet,under drivewa / arking
30.Buoyancy calculations for tank/ um ehamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Registered Sanitarian and Land Surve or stam s/si ture
33.H-201oading is subject to vehicular traffic, oundwater
34. Title V A lication and ermit fee, installer si ture
35.Foundation footing 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 Assessor's Ma
Plan reviewed by: � 6/03/03