HomeMy WebLinkAboutReview Checklist � � Z��/� TOWN OF YARMOUTH
} SEWAGE PLAN REVIEW CHECKLIST
� �
Location: A.M.�� Lot�_ Zone of Contribution: In Out�crea�e /
� Commercial: Residential:
Street:
Village: Floor Plan: � � #Bedrooms:_�
� Owner: Installer: f�' v��
Address: Phone: � --
Phone: c._:e, ��
/ �,
Builder: Engineer: !'( �
Address: Phone: "- �""
Phone: �j ,?tr7c � j--{c'Gt' �' �
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N/A YES O
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 components Var.: -
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �.--�
9.Leaching minimum 100 ft from wetlands Var.: f--�
10.Leaching minimum 150 ft from drnilcin we1U25 ft irri ation well Var.:
1 l. Tank/leaching minimum 10 ft from ro erty line Var.: _�
� 12. S stem meets all other setback r uirements Var.: �,��
j 13.Uses ad'ustment for maximum hi oundwater Var.: S '
� 14. Leachin set 4-5 ft above adj. water or bottom of test hole Var.:
i 15. S stem not in to or subsoil(A,B horizons)or 5'removal �----�
16.Pro osed contours are suitable `�,�
17. S stem meets slo e r uirements-min. 1/8", '/4" referred �.�
18. S stem meets breakout r uirements PVC liner: Wall: �--
19. S ecified tee sizes are roper, gas baffle on outlet tee
20. Sewage is under 10,000 d for parcel �,_.,.
21.No garbage 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 ade, um chamber cover to grade �-__...
25.Ins ection ort on lastic chambers/leach field ��
26. Electrical ermit for um chamber/S arate meter for du lexes ---'
27.Pum system-2" line,wee hole,check valve,tee in dbox,pum size �'g
28. S tic tank/ um chamber to be factory wat roofed
29.Vent provided if leachin below 3 feet,under driveway/ arking
30. Buoyancy calcula.tions for tank/pump 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-201oading is subject to vehicular traffic, oundwater �
34.Title V A lication and ermit fee, installer si ature
35.Foundation footing min. 2 feet above adjusted ound water for new house �--�'""
36.Deed Restriction r uired max. #bedrooms: max. flow: d �/"��
37. Check area lots for groundwater/Label groundwater in Assessor's Ma
� Plan reviewed by: /[�=� s�o3�os