HomeMy WebLinkAboutReview Checklist,
' �- /�-/�
' TOWN OF YARMOUTH
SEWAGE PLAN REY�W CHECKLIST
,
, Location: A.M.� Lot�'�_ Zone of Contribution: In Out N Acreage
��� ,^ � �O �� Commercial: Residential:�_
street: �Z �c-�r
; Viilage: �/�p��- Floor Plan: #Bedrooms:�
� Owner:_ J�[�� �Q�' ������/ifl� Insta.11er: � 01/l
Address: Phone: - --
Phone: �� � ���
/ �
Builder: Engineer: `
Address: Phone: - -
Phone: -� 'a�� ,� f��
� ' � ,S �. 2 S
/A YES NO
1.R ired#of copies received
2.Date of soils exam and ercolation test not older than 2 ears
3.4-5 ft of na.tura occurrin ervious ma.terial, above wa.ter ta.ble �./
4.Founda.tion 2 ft above hi oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Var.: ��
6.Benchmazk indica.ted and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.: L��
8.Lea.ching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: i 1
9.Leaching minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinking welU25 ft irrigation well ar.:
1 l. Tank/leachin minimum 10 ft from r erry line Var.: ��
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum hi groundwater Var.:
14.Leaching 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
17. S stem meets slo e r uirements-min. 1/8", 1/4" eferred �
18. S stem meets breakout re ' ements PVC liner: all:
19. S ecified tee sizes are ro er, gas baffle on outle,t tee
20. Sewa e is under 10,000 for axcel
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
' 2 ��
4.Manhole cov
ers within 6 of ade um cha.mber cover to ade
�
� 25. ection ort on lastic chambers/leach field
26.Electrical ermit for um cha.mber/S ara.te meter for du lexes
27.Pum stem-2"line,w hole,check valve,tee in dbox, um size
28. S tic tank/ um chamber to be facto wa roofed
29.Vent rovided if leachin below 3 feet,under drivewa / arkin
30.Buo ancy calculaxions for tank/ u cha.mber �
31.En ' eer to ins ect and c ' soils: wall: commercial: `,�
32.En ' eer/Re ' ered Sanitarian and Land Surv or s/si ture
33.H-201oadin is subject to vehicular tra�c, oundwater
34.Title V A lication and ermit fee, installer si ture
35.Founda.tion footin min. 2 feet above ad'usted ound water for new house �/'
36.Deed Restriction r ired max. #bedrooms: maac. flow: d
37.Check area lots for groundwater/Label oundwater in_Assessor's Ma
Plan reviewed by: - �