HomeMy WebLinkAboutReview Checklist �� S'/�� TOWN OF YARMOUTH ' ,
SEWAGE PLAN REV�W CHECKLIST
* Location: A.M.� Lot � Zone of Contribution: In Out� Acreage
Commercial: Residential:�_
� Street: '
Village: ��li Floor Plan: , /"" #Bedrooms: -�
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Owner: ��//�t� Installer: �GYC/ �--s���
Address: Phone:
Phone:
Builder: Engineer: �
Address: Phone: - -
Phone:
N/A YES NO
1.R uired#of c ies received �.�
2.Date of soils exam and ercolation test not older than 2 years �.�
3.4-5 ft of naturall occurrin ervious material,above water ta.ble
C_�
4.Founda.tion 2 ft above hi int 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.:
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
1 l.Tank/lea.ching minimum 10 ft from ro erry line Vaz.:
12.S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum hi 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 suita.ble
17. S stem meets slo e r irements-min. 1/8", '/4" efezred
18. S stem meets breakout r irements PVC liner: Wall:
` 19. S ecified tee sizes are ro er,gas baffle on outlet tee ��
20. Sewa e is under 10,000 d for arcel L�
, 21.No ba e dis osal ��l
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 e, um chamber cover to ade
25.Ins ion ort on lastic chambers/leach field
26. Electrical ermit for um cha.mber/S arate 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 factory wa roofed �-
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buoyanc calculations for tank/ um chamber
31. En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Re 'stered Sanitarian and Land Surveyor s/signalure
33.H-201oading is subject to vehicular traffic, oundwater
34.Title V A lication and ermit fee,installer si hue '
35.Foundation footin min. 2 feet above ad'usted ound water for new house ���
36.Deed Restriction r uired m�. #bedrooms: max. flow: d �
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
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Plan reviewed by: �° �o3ios �
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