HomeMy WebLinkAboutReview Checklist 7-�d i�
- TOWN OF YARMOUTH
SEWAGE PLAN REV�W CHECKLIST
' Location: A.M.1��_ Lot �-� Zone of Contribution: In Out ` Acreage
Commercial: Residential:�
Street: �-- � / �
Village: Floor Plan: �/ #Bedrooms:
Owner: {�����%��/ Insta.11er: `�
Address: Phone: `
Phone:
Builder: Engineer: �� !�
Address: Fhone: � � - �
Phone: -- ��� . /��U.-�� �� � f'Y���r��l'
N/A YES NO
1.R uired#of co ies received
2.Date of soils�am a.nd ercolation test not older than 2 ears ��/
3.4-5 ft of natura occumn ervious material,above water ta.ble '
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Vaz.: '
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetla.nds Var.: - '
10.Lea.chin minimum 150 ft from drinking 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 Var.: _
14.Leachin set 4-5 ft above ad'.water or botto test hole
15.System not in to or subsoil(A,B horizons) 5'removal ;
16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", 1/a" eferred �/' �
18. S stem meets breakout r uirements PVC liner: Wall: j
19. Specified tee sizes are roper, baf�le on outlet tee !
20. Sewa e is under 10,000 for arcei �
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 withi.n 6"of ade, um chamber cover to ade �
25.Ins ection ort on lastic chambers/leach field �
26.Electrica.l ermit for um chamber/S azate meter for du lexes :
27.P system-2" line,wee hole,check valve,tee in dbo� um size `
28. S tic tank/ um chamber to be facto wa roofed
29.Vent rovided if leaching below 3 feet,under driveway/ arkin ,
30.Buoyancy ca.lculations for tank/pum chamber ,
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En 'neer/Re 'stered Sanitarian and Land Surveyor stam s/si ture -
33.H-20 loadin is sub'ect to vehicular traffic, oundwater !
34.Title V A lica.tion 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: �o3ro3 �