HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
' SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M.�_ Lot� Zone of Contribution: In Out�Acreage
Commercial: Residential: �-
Street: �' � /
Village: Floor Plan: �/ #Bedrooms:�
Ownc�:___���y �d� Installer:
Address: Phone: � -- 2 -�f'
Phone:
Builder: Engineer: S' C��iv
Address: Phone: -
Phone: ` �� � ��� �/,�.,
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N/A YES NO
1.R uired#of co ies received
2. Date of soils exam and olation test not older than 2 ears L�
3.4-5 ft of natural occurrin ervious material,above water table
4.Foundation 2 ft above hi int of road H.P.: Fnd: Var.: t_.-�-�
5. Water line 10 ft from s tic com onents Var.:
6.Benchma.rk 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 we,tlands Var.:
10.L,eachin minimum 150 ft from drinkin welU25 ft irri tion well Var.: �,�
1 l.Tank/leachin minimum 10 ft from ro line Var.:
12. S stem meets all other setback r uirements Var.: �/
13.Uses ad'ustment for maximum hi oundwater Var.: Lf
14. Leachin set 4-5 ft above ad'.water or bottom of test hole Vaz.: �`
15.S stem not in to or subsoil A,B horizons)or 5'removal �„�'
16.Pro ed contours are suitable �
17. S stem meets sl e r uirements-min. 1/8", '/a" eferred
18. S stem meets breakout r irements PVC liner: Wall: z/
19. S ified tee sizes are ro , baffle on outlet tee
20. Sewa e is under 10,000 for arcel
� 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 de, um chamber cover to de L/
25. Ins tion rt on lastic chambers/leach field L.i
26. Electrical ermit for um chamba/S arate meter for du lexes .
27. Pum s stem-2" line,wee hole,check valve,tee in dbox, um size ;.�
28. S ic tank/ um chambe,r to be fact wat roofed
29. Vent rovided if leachin below 3 feet,under drivewa / kin
30. Buo anc calculations for tank/ u chamber ��.--
31. En 'ne�to ins and certi soils: wall: commercial:
32.En 'neer/Re 'stered Sanitarian and Land Surve �stam s/si ture ��
33. H-20 loadin is sub'ect to vehicular traffic, oundwat� ��,---
34. Title V A lication and ermit fee, installer si ture L/
35. Foundation footin min.Z feet above ad'ust� ound wate.r for new house ��
36. Deed Restriction r uired max. #bedrooms: maac. flow:
37. Check azea lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: � NO3/03