HomeMy WebLinkAboutReview Checklist �-i6--�S
TOWN OF YARMOUTH
� , SEWAGE PLAN REVIEW CFIECKLIST
Location: A.M. ��7 Z- Lot_�� Zone of Contribution: In Out� Acreage��
. /n Commerc' •�_ R idential•
Street: lJ" 6��� ��✓ ���r��
Village: Floor rl : � �Eedrooms: �� '
Owner: � Installer: ��' ��5�� = �j
Address: Phone: - � -- � ,z�
Phone:
Builder: Engineer: /�Z(i
Address: Phone: - 6
Phone:
--.��1�'--� l. �-e-�`l"�..�� �i
N/A YES NO
1.R uired#of co ies received v
2.Date of soils exam and ercolation test not older than 2 years `�
3.4-5 ft of natural occurrin ervious material,above water table �,��
4.Foundation 2 ft above high int of roa.d 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.: L/
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: � _
9.Leachin minimum 100 ft from wetlands Var.: �-
10.Leaching minimum 150 ft from drinkin welU25 ft irri ation well Var.: /-
11.Tank/leachin minimum 10 ft from ro erty line Var.: ✓/ ,
12. S stem meets all other setback r irements Var.:
13.Uses ad'ustment for maximum high oundwater Var.: .
14.Leaching set 4-5 ft above adj.water or bottom of test hole Vaz.:
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", '/a" eferred '
18. System meets breakout r uirements PVC liner: Wall: L,-
19.S ecified tee sizes are ro , gas baffle on outlet tee i
20. Sewa e is under 10,000 d for arcel �/` j
� � 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 e, um chamber cover to e
25.Ins ion ort on lastic chambers/leach field �,/
26.Electrical ermit for chamber/S arate meter for du lexes
27.Pum stem-2" line,wee hole,check valve,tee in dbo� um size
28. S tic tank/ um chamber to be factory wat roofed
29.Vent rovided if leachin below 3 feet,under drivewa / arkin
30.Buo anc calculations for tank/ um chamber '
31.E ' eer to ins ect and c ' soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surve or stam s/si ture J� t
33.H-201oadin 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: .�� '
37.Check area lots for groundwater/Label groundwater in Assessor's Ma
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Plan reviewed by: �o3ro3 �
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