HomeMy WebLinkAboutReview Checklist ��-�-��-
TOWN OF YARMOUTH
- SEWAGE PLAN REV�W CHECKLIST
Location: A.M. �?7� Lot -�-3 Zone of Contribution: In Out� Acreage
' Commercial: Residential: �
! Street: �
Village: Floor Plan: � #Bedrooms: �
j Owner: ���� Insta ller: � �
; Address: ^� Phone: -- -
�
� Phone:
Builder: Engineer:
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Address: Phone:
Phone: - � t,
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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 naxurall occurrin ervious ma.terial, 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 indica.ted 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.Leachin minimum 100 ft from wetlands Var.: -r- •
10.Leaching minimum 150 ft from drinkin welU25 ft irri ation well Var.: --�"
11.Tanklleaching minimum 10 ft from ro line Var.: `.�
12. S stem meets all other setback r uirements Var.: ��
13.Uses ad'ustment for maximum hi groundwater Var.: .
14.Leachin set 4-5 ft above ad'.water or bottom est o e ar.: �_�
� 15. System not in to or subsoil(A,B horizons)0 5'remova
16.Pro sed contours are suitable
� 17. S stem meets slo e r uirements-min. 1/8", 1/4" eferred �..--
� 18. System meets breakout r uirements PVC liner: Wall: �-.-�
19. S ified tee sizes are ro er, 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.Manhole covers within 6"of ade, um cha.mber cover to ade
! 25.Ins ection port on la.stic chambers/leach field
' 26.Electrical ermit for um cha.mber/S arate meter for du lexes �--
27.Pum system-2" line,wee hole,check valve,tee in dbox, um size
28. S tic tank/pum chamber to be factory wa roofed
29.Vent rovided if lea.chin below 3 feet,under drivewa / arking
30.Buoyancy calculations for tank/ u chamber
31.En ' eer to ins ect and cert soils: wall: commercial:
32.En ' eer/Re ' tered Sanitaria.n and Land Surveyor stam s/signature -
33.H-201oading is sub'ect to vehicular traffic, oundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundation footin min. 2 feet above adjusted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow: d
37.Check axea lots for oundwater/Label oundwa.ter in Assessor's Ma �/�
Plan reviewed by: wo3io3