HomeMy WebLinkAboutReview Checklist �
//� y'-/�'
TOWN OF YARMOUTH
' ' SEWAGE PLAN REV�W CHECKLIST � �
Location: A.M. �� Lot/� Zone of Contribution: In Out �Acrea e
. g
,p 6 j Commercial: Resid I: �
str�: /,6 4 �G� /�'� ,�� �/�J' ��
Villa.ge: C� //�!/ Floor Plan: #B ms: ' °,...
�� -�����=- �
o��: C�7�P�� �'�'l�� ��.il�: �
Address-� Phone: -
` Phone: '
! Builder: � Engineer: ,7/ �
� Address: Fhonew ��-� - -���� �
Phone: '
N/A YES NO
i
1.R uired#of co ies received
; 2.Date of soils exam and ercolation test not older than 2 yea.rs
3.4-5 ft of naxurall 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 cravvl, 10 ft slab Var.: ��
9.Leachin minimum 100 ft from wetlands Var.:
� 10.Lea.chin 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 maximum high oundwater Var.: ��,
14.Leachin set 4-5 ft above ad".water or bottom of test hole Var.: �
� 15. System 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", '/4" eferred
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ified tee sizes are ro er, as ba.ffle on outlet tee
20. Sewa e is under 10,000 d for axcel ��
21.No ba e dis osal �.�
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, ump 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 dbo� um size
;
28. S tic tank/ chamber to be facto wat roofed
� 29:Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buoyancy calculations for tank/pu chamber
31.En ' eer to ins ect and cert" soils: wall: commercial: i�
32.En ' eer/Re 'stered Sanitarian and Land Surve or stam s/si ature .`�
33.H-20 loa.din is subject to vehicular traffc, oundwater
34.Title V A lication and ermit fee, installer signature
35.Foundation footin min.2 feet above ad'usted ound water for new house
36. Deed Restricdon r ui�ed max. #bedrooms: max. flow: d
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ► /;V�J wo3ios