HomeMy WebLinkAboutReview Checklist ��z� ��� �� �
: TOWN OF YARMOUTH •� � 1
SEWAGE PLAN REV�W CHECKLIST /��/1'�G.� � �'�:"-s-`-�'��,
� Location: A.M. c' 7 Lot �� Zone of Contribution: In_ Out_ Acreage,Z��,'����
Commercial: Residernial:
Street: 7� l;�fi'.pS'7`-' � �
Village: Floor Plan: #Bedrooms:�
Owner: Installer: � �
Address: Phone: �- � C3 S
Phone:
Builder: Engineer: ``��G� I�GU��
Address: Phone: 77 ""'
Phone: � �- f��✓/I'�C % � �G ����% �
N/A YES NO
1.Required#of copies received
2.Date of soils exam and ercolation test not older than 2 ears `�
3.4-5 ft of na.turall 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 indicated and shown-NGVD if near wetlands '
7. S tic tank minimum 10 ft from foundation,deck Var.: �,./
8.Leachin mini.mum 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/leachin minimum 10 ft from r line Var.:
12. S stem meets all other setback r uirements Var.: `�
13.Uses ad'ustment for maximum hi oundwater Vaz.:
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 sed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/4" eferred
18. S stem meets breakout r uirements PVC liner: Wall: �,�
19. Specified tee sizes are ro , gas baffle on outlet tee
� 20. Sewa e is under 10,000 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 lastic cha.mbers/leach field �_-.
26.Electrical ermit for um cha.mber/S arate meter for du lexes
27.P s stem-2"li.ne,wee hole,check valve,tee in dbox, um size
28. Septic ta.nk/ um chamber to be facto wat roofed
29.Vent rovided if leaching below 3 feet,under driveway/ arkin /
30.Buo anc calculations for tank/ um chamber �-�'�'
31.En ' eer to ins ect and cert' soils: wall: commercial: �
32.En ' eer/Registered Sanitaria.n and Land Surv or stam s/si ture
33.H-20 loadin is subject to vehicular tra�c, 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 uir� max. #bedrooms: max. flow: d �-
37.Check area lots for oundwater/Label oundwater in Assessor's Ma -----
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Plan reviewed by: � W03/03
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