HomeMy WebLinkAboutReview Checklist ,�_ �-�� ----,
TOWN OF YARMOUTH �,C
� • SEWAGE PLAN REVIEW CHECKLIST � �
' Location: A.M.�� Lot �� Zone of Contribution: In Out Acreage��
� Commercial: Residential.
Street:
Village: � Floor Plan: #Bedrooms: �
Owner: �� Installer: �/fl�'/
Address: Phone: �
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Phone: .� 1�(� -�"e .� �/.�� i.�t> >
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Builder: Engineer: �
Address: Phone: - -
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N/A YES NO
1.R uired#of co ies received
2.Date of soils exam and ercolation test not older than 2 years z.--"
3.4-5 ft of natura occurrin ervious material, above water table
4.Foundation 2 ft above hi int of road H.P.: Fnd: Var.: �� '
5.Water line 10 ft from s tic com onents Var.: L-.
6.Benchmark indica.ted and shown-NGVD if near wetlands �
7.S tic tank minimum 10 ft from founda.tion,deck Var.: ;
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: � �..i '
9.Leachin minimum 100 ft from wetlands Var.: �
10.Leachin minimum 150 ft from drinkin welU25 ft ' ' tion well Var.:
11.Tank/leachin minimum 10 ft from ro erty line Var.:
12.S stem meets all other setback r irements Var.:
13.Uses ad'ustment for maximum hi oundwater Var.: �'
14.Leachin set 4-5 ft above adj.water or bottom e f hole
15. System not in to or subsoil(A,B horizons) 5'removal
16.Pro osed contours are suita.ble
17. S stem meets slo e r irements-min. 1/8", '/4" eferred
18. System meets breakout r irements PVC liner: Wall: ��
19.S ecified tee sizes are ro ,gas baffle on outlet tee ,./
20. Sewa e is under 10,000 for arcel ��
' 21.No arba e dis osal '
22. S stem ad uatel sized for its intended use �.i '
, 23.Minimum 6"stone or com acted below tank and dbox ��
24.Manhole covers withi.n 6"of ade, um cha.mber cover to de �--
25.Ins ection ort on lastic chambers/leach field c`�
26.Eleetrica.l 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/ um chamber to be facto wa roofed /
29.Vent rovided if leaching below 3 feet,under drivewa / arkin
30.Buo ancy calculations for tank/pum chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surve or stam s/si ture j
33.H-20 loadin is sub'ect to vehicutar traffic, oundwater �� ;
34.Title V A lication and ermit fee,insta.11er si ture _
35.Foundaxion footin min. 2 feet above ad"usted ound water for new house
36.Deed Restriction r uired ma�c. #bedrooms: max. flow: �
37.Check axea.lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ��"5tr; wosio�