HomeMy WebLinkAboutReview Checklist � �-���-%G
TOWN OF YARMOUTH
; * SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. ��Q Lot__1� Zone of Contribution: In Out./Acrea.ge
' Commercial: Residential: °"`�'�!n
Street: �
Village: Floor Plan: #Bedrooms:
Owner: �i (/l1 Insta ller: � '�
Address: Phone: ' � �
Phone: �: ./L'�,���_
� � /� /,,
Builder: Engineer: !G/ lGu`OS- �S
Address: Phone: - -
Phone: ����iLl �iLc�i � �i
� .� / ,, � ��, ��� ��
N/A O
1.Required#of co ies received
2.Date of soils exam and percolation test not older than 2 ears
3.4-5 ft of natural occurrin ervious material, above water table ��
4.Foundation 2 ft above high int 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.: L�-
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: � � _.
9. Leachin minimum 100 ft from wetlands Var.: _
10. Leachin minimum 150 ft from drinkin we1U25 ft irri ation well Var.: ✓ �
11. Tank/leachin minimum 10 ft from pro erty line Var.: L�''
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 ad'.water or bottom ar.: • ��
15. S stem not in to or subsoil(A,B horizons) r 5'remova
16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/4" ref d
18. System meets breakout r uirements P liner: Wall:
19. S ecified tee sizes are ro er, as baffle on outlet tee �..�
20. Sewage is under 10,000 d for arcel �/
• 21.No garba e 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 grade,pum chamber cover to grade
25.Ins ection ort on la.stic chambers/leach field t�..��
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum system-2" li.ne,weep hole,check valve,tee in dbo� um size ��
28. S tic tank/ um chamber to be facto wat roofed
29.Vent provided if leachin below 3 feet,under driveway/ arking
; 30.Buoyancy calculations for tank/ ump chamber "
� 31.En ' eer to ins ect and cert" soils: wall: commercial: `-� -
32.En ' eer/Re 'stered Sanitarian and Land Surveyor stam s/si ture
33.H-201oading is subject to vehicular traffic, oundwater
34.Title V A lication and ermit fee, installer signature '>`
35.Foundation footing min. 2 feet above ad'usted ground water for new house �---�-
36.Deed Restriction r uired m�. #bedrooms: max. flow: d s�
37.Check area lots for groundwater/Label oundwater in Assessor's Ma
i
Plan reviewed by: K� 6/03/03
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