HomeMy WebLinkAboutReview Checklist 7�� 7 �/ S�
TOWN OF YARMOUTH -
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. ��- Lot_�4 � Zone of Contribution: In Out '?"Acrea.ge
Commercial: Residential: �
Street: �� �� .Z
Village: � ' Floor Plan:�% #Bedrooms:
Owner: �G � C/ Insta.11er: �
Address: Phone: `
Phone:
Builder: Engineer:
Address: Phone: - - �'
'' Phone: � �� � �
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N/A YES NO
1.Required#of co ies received
2.Date of soils exam and ercolation test not older than 2 ears
3.4-5 ft of natura occurrin ervious materia.l, above water table
4.Founda.tion 2 ft above high oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Var.: �f
6.Benchmark indica.ted and shown-NGVD if near wetlands �.�
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leachin mini.mum 20 ft full, 15 ft cra.wl, 10 ft slab Var.: i.�
9.Leachin minunum 100 ft from wetlands Var.:
10.Lea.chin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11.Tank/lea.chin minimum 10 ft from ro line Var.: -
12. S stem meets all other setback r uirements Var.: �-�'
13.Uses adjustment for maximum high oundwater Var.:
14.Le�achin set 4-5 ft above ad'.water or bottom o st hole Var.:
15. System not in to or subsoil(A,B horizons) removal
16.Pro sed contours are suita.ble
17. S stem meets slo e re irements-min. 1/8", '/4" eferred
18. S stem meets breakout re irements PVC liner: Wall: -
19. S ecified tee sizes are ro , gas ba..fFlle on outlet tee
20. Sewa e is under 10,000 d for arcel �� -
21.No ba e dis osal
j 22.S stem ad uatel sized for its intended use
� 23.Minimum 6"stone or com acted below tank and dbox �-� �
; 24.Manhole covers within 6"of ade, um cha.mber cover to e �-�
25. Ins ection ort on lastic chambers/leach field �/
�' 26. Ele�trical ermit for um cha.mber/S ate meter for du lexes
27.Pum stem-2" line,wee hole,check valve,tee in dbo� um size
� 28. S tic tank/ um chamber to be facto wat roofed �/�
� 29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buoyancy calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commercial: -
i 32.En 'neer/Registered Sanitarian and Land Surveyor stam s/si ture
33.H-20 loadin is sub'ect to vehicular tr�c, groundwater
� 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
� 36.Deed Restriction r uired max. #bedrooms: max.flow: d
' 37.Check area.lots for oundwater/Label oundwater in Assessor's Ma
� Plan reviewed by: �o3io3
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; 38 SOUTH STREET DRAINAGE 07.27.2015 �
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