HomeMy WebLinkAboutReview Checklist� �����/�
. TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
• Location: A.M.� Lot
� �7 Zone of Contribution: In Out�Acreage
CommerciaL• Residential�
str�: Z
Village: Floor Plan: #Bedrooms: �
Owner: �l- Installer: �
Address: Phone:
Phone: �
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Builder: Engineer:
Address: Phone: �' Z �
Phone:
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N/A YES NO
1.R uired#of c ies received
2.Date of soils e�,m and ercola.tion test not older than 2 ears �/
3.4-5 ft of naturall occurrin ervious material,above water ta.ble
4.Founda.tion 2 ft above hi oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.: c✓^
6.Benchmark indicated and shown-NGVD if near wetlands L j�
7. S tic tank minimum 10 ft from founda.don, 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$from drinkin welU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from ro line Var.:
12. S stem meets all other setback r uirements Var.: � ' r '� �
13.Uses ad'ustment for maximum hi oundwater Var.: -
14.Leaching set 4-5 ft above adj.water or bottom of test hole Vaz.:
15. System not in to or subsoil(A,B horizons)or 5'removal �/`
16.Pro osed contours are suitable �/
17. S stem meets slo e r irements-min. 1/8", '/a" eferred t/
18. S stem meets breakout r uirements 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
- 21.No ba. e dis osal ,;;,�.i
22. S stem ade ua.tel 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 chamber/S a.rate 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 factory wa roofed '
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buo ancy calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commerciaL• '
32.Engineer/Re 'stered Sanitarian and Land Surveyor stam s/si ture
33.H-201oa.din is sub'ect to vehicular traffic, groundwater
34.Title V A lication and ermit fee,installer si ture .�--'
35.Founda.tion footin min. 2 feet above ad'usted ound water for new house ,/''
36.Dced Restriction r uired max. #bedrooms: maac. flow: d '
37.Check area lots for groundwater/Label groundwater in Assessor's Ma
Plan reviewed by: �' �03�� - �