HomeMy WebLinkAboutReview Checklist �._
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TOWN OF YARMOUTH ���;���C. `',� �y1�' ����
• SEWAGE PLAN REV�W CHECKLIST �
' Location: A.M._ � Lot -�� � Zone of Contribution: In� Out_ Acreage ,���� �
Commercial: Residential:
Street: �� /
Village: //�'v Floor Plan: C/ � #Bedrooms: --�
Owner: ��l�l��/I � /G �`C`�/ .� Installer: -'�
Address: Phone: �'7'� - �G �--� �
Phone:
Builder: Engineer: � �
Address: Phone: -
Phone:
N/A YES NO
1.Required# of co ies received
2.Date of soils exam and ercolation test not older than 2 years
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. Se tic tank minimum 10 ft from founda.tion, deck Var.: �--�''"
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �r
9.Leachin minimum 100 ft from wetlands Var.:
� 10.Leaching minimum 150 ft from drinkin welU25 ft irrigation well Var.:
� 11.Tank/lea.ching minimum 10 ft from roperty line Var.: �.�
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum hi oundwater Var.: �- --^
14.Leachin set 4-5 ft above adj.water or bottom of test hole Var.:
15. System 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", 1/4" eferred �-�`
18. S stem meets breakout requirements PVC liner: Wall: �
19. Specified tee sizes are ro er, ba.$le on outlet tee
20. Sewa e is under 10,000 d for parcel
21.No bage 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 grade, um chamber cover to grade �'
; 25.Ins ection ort on pla.stic chambers/leach field
26.Electrical ermit for um chamber/S axate meter for du lexes --
27.Pump system-2" line,weep hole,check valve,tee in dbo�pum size -�
28. Septic tank/ ump chamber to be factory wat roofed c��
29.Vent rovided if leachin below 3 feet,under driveway/ arking /
30. Buoyancy calculations for tank/ ump chamber
31.En ' eer to ins ect and c ' soils: wall: commerciaL•
32.Engineer/Registered Sanitarian and Land Surveyor sta.m s/signature
33.H-201oading is subject to vehicular trai�ic, groundwater _-/�
34. Title V A lication and ermit fee,installer signature `�.
35.Foundation footing min.2 feet above ad'usted ound water for new house ��'
36.Deed Restriction r uired maa�. #bedrooms: max. flow: d
37.Check area lots for oundwater/Label groundwater in Assessor's Ma
Plan reviewed by: _ � 6/03/03