HomeMy WebLinkAboutReview Checklist t
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• TOWN OF YARMOUTH
j SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M. �O Lot� Zone af Contribution: In Out �P Acreage
CommerciaL• Residential:�_
Street: '-Q-`S �, � ^ /
� Village: y Floor Plan: �/ #Bedrooms: �
�
1 Owner:
; � Insta.11er: ��
�' Address: � � Phone:
Phone:
Builder: Engineer: lij�
Address: Phone: � -
Phone:
N/A YES NO
1.Required#of copies 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 ��
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Vaz.:
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.: L�-
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.:
11.Tank/leaching minimum 10 ft from ro erty line Var.: ✓/
12. S stem meets all other setback r uirements Var.: ��
13.Uses ad'ustment for maximum hi oundwater Var.: .
14.Leaching set 4-5 ft above ad'.water or bottom of test hole Vaz.:
15. S stem not in to or subsoil(A,B horizons)or 5'removal
16.Pro sed contours are suita.ble �-
17. S stem meets slo e r irements-min. 1/8", '/4" eferred L�,
18. S stem meets breakout r uirements PVC liner: Wall: ,�_�
19. S ecified tee sizes are ro er, as ba.ffle on outlet tee ���
' 20. Sewa e is under 10,000 d for arcel L_�
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, um chamber cover to ade
25.Inspection ort on la.stic chambers/leach field L�
26.Electrica.l ermit for um chamber/S arate meter for du lexes
27.Pum stem-2" line,w hole,check valve,tee in dbo� um size c�.�
28. S tic tank/ um chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buoyanc ca.lculations for tank/ u cha.mber
31.E ' eer to ins ect and cert' soils: wall: commerciaL• ��
32.En ' eer/Re 'stered Sanitarian and Land Surveyor stam s/signature �,�
33.H-201oadin is subject to vehicuIar traffic, oundwater �
34.Title V A lication and ermit fee, installer si ture
35.Foundation footin min. 2 feet above ad'usted ound water for new house �..--
36.Deed Restriction r uired max. #bedrooms: max. flow:
37.Check area lots for groundwater/Label oundwater in Assessor's Ma � -
Plan reviewed by: �osio3