HomeMy WebLinkAboutReview Checklist ��zz �� �
. TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
- Location: A.M. �� Lot� Zone of Contribution: In Out� Acreage
Commercial: ResidentiaL• �
Street: �� � �� ��� ��c�'�-����7
Village: Floor Plan: #KB�drooms:_�
Owner: ��LGfJ S r�., !'// > Insta.11er: �
Address: a� Phone:
Phone: �,?1 �7 J 7
Builder: Engineer: �1��// �
Address: Fhone: -`'7
Phone: �,� � ��,�> 4 � ����l
�y
N/A NO
1.R uired#of co ies received �
2.Date of soils e�m and ercolation test not older than 2 e�a.rs (/,'
3.4-5 ft of naxura �currin ervious material, above water table
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from septic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from founda.tion,deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ✓
9.Leaching minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from.drinking welU25 ft irri ation well Var.:
11.Tank/leaching minimum 10 ft from r erly line Var.:
12. S stem meets all other setback r ' ements Var.: •
13.Uses ad'ustment for maximum high oundwater Var.:
14.Leachin set 4-5 ft above ad'.water or botto f test hoi�Var.:
15.System not in to or subsoil(A,B horizons)o 'removal
16.Pro osed contours are suitable
17. S stem meets slo e r irements-min. 1/8", '/4" eferred �/
18. System meets breakout r irements PVC liner: Wall: v`
19. S ec�ed tee sizes are ro er, as baffle on outlet tee
j _ 20. Sewage is under 10,000 d for arcel ��
�' 21.No garba 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.Ins ection ort on la.stic chambers/leach field
26.Electrica.l ermit for um chamber/S arate meter for du lexes
27.Pum stem-2"line,weep hole,check valve,tee in dbox, um size
� 28. S tic tank/ um chamber to be factory wat roofed .
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
; 30.Buoyancy calculations for tank/ ump chamber �
31.En ' eer to ins ect and c ' soils: wall: commercial: '�-�
32.En ' eer/Registered Sanitarian and Land Surv or s/si ture �/
33.H-20 loadin is subject to vehicular tra.ffic, groundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundation footin min. 2 feet above ad'usted ground water for new house =--
36.Deed Restriction r ired max. #bedrooms: ma�c. flow: d
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: f�' �o3io3
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