HomeMy WebLinkAboutReview Checklist ,,,.. ..,�-�� � � TOWN OF YARMOUTH
�T Q SEWAGE PLAN REVIEW CHECKLIST
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Location: A.M. GZ U Lot �d Zone of Contribution: In Out�Acreage
; Commercial: Residential:�
Street: 2
Village: F1oor Plan: (_� #Bedrooms:�
Owner: _�/�) Insta.11er: Ul �.- r
Address: Phon�: �7 7� ��
Phone:
Builder: Engineer:
Address: Phone:
Phone: _ �� '
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N/A NO
1.R uired#of co ies received
2. Date of sails e�cam and ercolation test not older than 2 ye,ars �'
3. 4-5 ft of naturall occurrin ervious material, above water table
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 foundation,deck Var.: ,
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 ad'.water or bo of test hoT . ar.: L^-�' '.
15. S stem not in to or subsoil(A,B horizon or 5'removal r
16.Pro osed 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: ' all:
19.S ec�ed tee sizes are ro er, as ba.ffle on outlet tee ,
20.Sewa e is under 10,000 for arcel '
21.No arba e dis osal �--- '
' 22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox �.�
: 24.Manhole covers within 6"of ade, um chamber cover to ade ;,/
25.Ins ion ort on lastic chambers/leach field L/
26.Electrical ermit for um chamber/S arate meter for du lexes �--� ,
27.Pum system-2" line,wee hole,check valve,tee in dbo�pum size `J'
28. S tic tank/ um chamber to be factory wat roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buoyancy calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commerciaL•
32.En ' eer/Registered Sanitarian and Land Surve or stam s/si ture
33.H-201oadin is sub'ect to vehicular tr�c, groundwater
34.Title V A lication and ermit fee,installer si ature �
35.Foundation footing 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: �osio3