HomeMy WebLinkAboutReview Checklist � --�--��
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
• Zone of Contribution: In Out `� Acreage
Location: A.M.�_ Lot Z�� . _ _
; %���'�% Commercial: Residential: ��
Street: � G /
Village: Floor Plan: ✓ #Bedrooms:
-s"�.,�/��,' .�i�' j c6� '.; � Jr
Owner: �/I �� Insta.11er:
Address: Phone: � �
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Phone: _ �r� � ���������. `s'}�'�� ;
Builder: Engineer: �
Address: Phone: 4 '-" '�
Phone: .�-C� �� '��� -7� .���'�, �, �f�..
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N/A 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. S tic tank minimum 10 ft from foundation, deck Var.: �---�
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: �
10.Leaching minimum 150 ft from drinking we1U25 ft irri tion well Var.:
1 l.Tank/leaching minimum 10 ft from ro e line Var.: �`
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum high oundwater Var.:
14.Leachin set 4-5 ft above adj.water or bottom o s o ; Var.:
15. System not in to or subsoil(A,B horizons)0 5'rem
16.Pro osed contours are suitable �'
17. S stem meets slo e r uirements-min. 1/8", '/a" referred
18. System meets breakout r irements PVC liner: all:
19. S ecified tee sizes are ro er, s baffle on outlet tee (./'J�
20. Sewa e is under 10,000 gpd for arcel
21.No arbage 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 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,weep hole,check valve,tee in dbox,pum size �--�'
28.S tic tank/ ump chamber to be facto waterproofed �---
29.Vent rovided if leaching below 3 feet,under driveway/ arkin ✓
30.Buo anc calculations for tank/ u chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Registered Sanitaria.n and Land Surve or sta.m s/si ture '
33.H-201oadin is subject to vehicular trai�c, groundwater
34.Title V A lication and ermit fee, insta.11er si ture
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 oundwater/Label groundwater in Assessor's M `
Plan reviewed by: � '� 6/03/03