HomeMy WebLinkAboutReview Checklist ������� TOWN OF YARMOUTH
. SEWAGE PLAN REV�W CHECKLIST
Location: A.M.__�� Lot �� Zone of Contribution: In Out Acrea.ge
� Commercial: �esidential:�G
Street: � �� �
Village: Floor Plan: ✓ #Bedraoms: �
Owner: _� �'/1�1 Installer:
Address: Phone: - �7
Phone:
i
Builder: Engineer: l �
Address: Phone: -�
Phone: ��.5
�-' ��`/'� �
N/A YES NO
1.Re uired#of co ies received
2.Date of soils exam and ercolation test not older than 2 ears
3.4-5 ft of naturall occurrin ervious material, above water ta.ble
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic components Var.: - v„i�
6.Benchmark indicated and shown-NGVD if neax wetlands `,/
7. S tic tank minimum 10 ft from founda.tion, deck Var.: �.��' ,
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: - --
9.Leachin minimum 100 ft from wetlands Var.:
10.Lea.ching minimum 150 ft from drinkin we1U25 ft irri tion well Var.:
11.Tank/leaching minimum 10 ft from property line Var.: �-�
12. S stem meets all other setback r uirements Var.: L--�'
13.Uses ad'ustment for maximum high groundwater Var.:
14.Lea.ching 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 osed contours are suitable �/-
17. S stem meets slo e r uirements-min. 1/8", '/a" eferted
18. System meets breakout r uirements PVC liner: Wall: ��
19. S ecified tee sizes are ro er, s baffle on outlet tee i___----
20. Sewa e is under 10,000 d for parcel :_..�
� 21.No bage dis osal
22. S stem ade uatel sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox
� 24.Manhole covers withi.n 6"of ade, ump chamber cover to ade
25.Inspection ort on lastic chambers/leach field ��'
26.Electrical ermit for um chamber/S arate meter for du lexes -
27.Pum s stem-2"line,wee hole,check valve,tee in dbox, um size l
28. S tic tank/ um chamber to be factory waterproofed /
29.Vent rovided if leachin below 3 feet, under driveway/ arkin
30.,Buoyancy calculations for tank/ ump chamber
31.En ' eer to ins ect and cert" soils: wa1L• commercial: /
32.En ' eer/Registered Sanitarian and Land Surve or stam s/si ture --��'
33.H-20 loadin is subject to vehiculax tr�c, oundwater _l
34.Title V A lication and ermit fee, installer signature �-�
35.Foundaxion footing min. 2 feet above ad'usted ground water for new house
36.Deed Restriction r uired max. #bedrooms: maac. flow: d -
37.Check area lots for groundwater/Label groundwater in Assessor'
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Plan reviewed by: �o�io3