HomeMy WebLinkAboutReview Checklist ��� � ��r
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
� � Location: A.M.�� Lot � � Zone of Contribution: In Out� Acrea.ge
{ Commercial: Residential: �i-
' Street: 7i�- �
; Village: Floor Plan: #Bedrooms:�_
� Owner: � Installer: �
�j Address: , Phone: - � d'
Phone:
Builder: Engineer: ,�' � ��ei�/
Address: Phone: - � 0� �"
Phone: ,�� � y- �,�
�
N/A YES NO
1.Re uired#of copies received
2.Date of soils e�.m and colation test not older than 2 years �/
3. 4-5 ft of na.tura occurrin ervious material,above water ta.ble
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Var.: t,.,/
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation,deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetla.nds Var.: t�
10.Leachin minimum 150 ft from drinkin we1U25 ft irri tion well Var.:
11.Tank/leaching minimum 10 ft from ro line Vaz.: �i'
12. S stem meets all other setback r uirements Var.: �/
13.Uses ad'ustment for maximum high 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
16.Pro sed contours are suitable L f
17. S stem meets slo e r uirements-min. 1/8", 1/4" eferred
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ec�ed tee sizes are ro er, baffle on outlet tee
20. Sewa e is under 10,000 d for arcel
21.No arba e dis osal
" 22. S tem ade ua.tel sized for its intended use
23.Minimum 6"stone or compacted 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 stem-2"line,wee hole,check valve,tee in dbox, um size �.�
28. S tic tank/ um chamber to be facto wa roofed
29.Vent rovided if leaching below 3 feet,under drivewa /parking -`/
30.Buoyanc ca.lculations for tank/ u chamber ��
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.En 'neer/Re ' ered Sanitarian and Land Surveyor sta.m s/si ature
33.H-20 loadin is subject to vehicular traffic, oundwater '
34.Title V A lication and ermit fee, installer si ture
35.Founda.tion footing min. 2 feet above ad'usted ound water for new house �
36.Deed Restriction r uired max. #bedrooms: max.flow: d
37.Check area lots for oundwater/Label oundwater in Assessor's 1VIa
Plan reviewed bY� � �,03�03