HomeMy WebLinkAboutReview Checklist �-�9-�5
TOWN OF YARMOUTH
' SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot �2S � Zone of Contribution: In Out�-+�Acreage�
/ ; Commercial: Residential.
Street: ��I � / '
Village: � Floor Plan: (/ #Bedrooms:�/"
Owner: Insta.11er: �✓ z �
Address: . Phone: '" � S
Phone:
Builder: Engineer:
Address: Phone: -
Phone:
��l�l � ��'� / �
N/A YES NO
1.R uired#of co ies received
2.Date of soils exam and ercolation test not older than 2 ears
3.45 ft of na.turall occurrin ervious material, above water ta.ble t.��
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 indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from founda.tion, deck Var.: +
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.: .r--- '
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
1 l.Tank/leaching minimum 10 ft from ro line Var.:
12. S stem meets all other setback r uirements Var.: (��
13.Uses ad' stment for maximum hi groundwater Var.:
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.: '
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 �� !
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes are ro er,gas ba.ffle on outlet tee �/ i
20. Sewage is under 10,000 d for arcel ��
21.No ba. e dis osal
� 22. S stem ad 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 cha.mber cover to ade L�
25.Ins tion ort on la.stic chambers/leach field �� '
26.Electrical ermit for um chasnber/S arate 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 waterproofed
29.Vent rovided if leachin below 3 feet,under drivewa / azkin '
30.Buoyanc calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surveyor stam s/si ture
33.H-20 loadin is sub'ect to vehicular 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: d � :
37.Check area lots for oundwater/Label oundwater in Assessor's Ma ,
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Plan reviewed by: wo3�o3 �
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