HomeMy WebLinkAboutReview Checklist . ���� - � a-� �
�'��� � TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
. Location: A.M. �� Lot Zone of Contribution: In Out (/Acreage l�_� �
� Commercial: Residential:�
St['eet: Y�j �•�
Village: �Ul/ ' Floor Plan: �' #Bedrooms:_�
Owner: Installer: � �
Address: , Y .- O 3 Phone: � -�t' �.,L
Phone: �� � � -� L
. 5.�,��
Builder: /l�'41 ' l�� s?��ngineer:
Address: 01 �¢� Phone: G"a' � -"
Phone: s�-�P� - 70
N/A YES O
1.R uired#of capies received
2.Date of soils exam and colation test not older than 2 years
3.4-5 ft of naxura occurrin ervious material,above water table
4.Foundation 2 ft above hi oint 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 founda.tion, deck Var.:
8.Lea.chin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.I.eaching minunum 100$from wetlands Var.: � �
10.Leachin minimum 150 ft from drinkin we1U25 ft irri ation well Var.:
1 l.Tank/lea.ching minimum 10 ft from ro line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for ma�mum hi groundwater Var.: .
14.Leachin set 4-5 ft above adj.water or bottom of test hole Var.:
15.S stem not in to or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", 1/4" eferred
18. S stem meets breakout re irements PVC liner: Wall: L„_/
19. S ified tee sizes are ro er, gas baffle on outlet tee
20. Sewa e is under 10,000 d for arcel
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.Ins ection ort on la.stic chambers/leach field L/
26.Electrical ermit for um chamber/S arate meter for du lexes
27.P stem-2" line,wee hole,check valve,tee in dbo�c, 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 anc calculations for tank/pum chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Re 'stered Sanitarian and Land Surveyor s s/si ture ` i
33.H-20 loadin is subject to vehicular tr�c, groundwater '
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: d ,/
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: sro3ro3