HomeMy WebLinkAboutReview Checklist ��( '!�" i�.�s���_�
• TOWN OF YARMOUTH `--, /���%����
SEWAGE PLAN REV�W CHECKLIST .��`�C- �
' Location: A.M. �� Lot � Zone of Contribution: In„�Out_ Acreage �, .�v�- ��
Commercial: � Residential: ��"
� Street:
Village: � Floor Plan: ----"` #Bedrooms: �
.
Owner: /�-� v/ ,��°�/ Installer: �/ /��
Address: Phone: -
; Phone:
i
Builder: Engineer: �y- �
Address: Phone: --- 2
Phone: `. �j�d�- �' �,��j
N/A YES NO
1 l.Re uired#of co ies received
2.Date of soils e�cam and ercolation test not older than 2 years c„_/
3.4-5 ft of naturall occurrin ervious material, above water ta.ble i�.
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Var.: �i`
6.Benchmark indicated and shown-NGVD if near wetlands �-%
7. S tic tank minimum 10 ft from foundation, deck Var.:
8. Leachin mini.mum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
; 9.Leachin minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11.Tank/leachin 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.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: Lr
15. System 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", '/a" referred �...r--
18. System meets breakout requirements PVC liner: Wa1L• �-
19. Specified tee sizes are ro er, gas baffle on outlet tee ��/
20. Sewa e is under 10,000 gpd for arcel L��
� 21.No arba e dis osal �,
� 22. S stem ad uatel sized for its intended use i,�----'"�
23.Minimum 6"stone or com acted below tank and dbox ..�/
24.Manhole covers within 6"of ade, um chamber cover to ade
j 25.Inspection ort on lastic chambers/leach field �,_�
26. Electrical ermit for um chamber/S arate meter for du lexes •
27.Pum stem-2"line,wee hole,check valve,tee in dbox, um size
28. S tic tank/ um chamber to be factory wat roofed
29.Vent rovided if leachin below 3 feet,under drivewa /park�n
30. Buoyancy calculations for tank/pum chamber
31.E ' eer to ins ect and cert' soils: wall: commercial: „✓-
32.En ' eer/Re 'stered Sanitarian and Land Surve or staxn s/signature ..---
33.H-20 loading is sub'ect to vehicular trai-�ic, oundwater
34.Title V A lication and ermit fee, insta.11er si ture
35.Foundation footin min. 2 feet above adjusted ground water for new house ,.�-7
36.Deed Restriction r uired max. #bedrooms: rnax. flow: d
37.Check area.lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: � �03�03