HomeMy WebLinkAboutReview Checklist �
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TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
I Location: A.M.� Lot `�� Zone of Contribution: In Out`--�Acreage
Commercial: Residential: �l,.�-
Street:
Village: Floor Plan: � #Bedrooms: �
Owner: /��'� Insta.11er: 6�����-1 ����
Address: Phone:
Phone:
Builder: Engineer: �
Address: Phone: ZJ'_.
Phone: , -�!�,�'{-E' �7 %�.0 -
�.
/A YES NO
l.Re uired#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 high 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.: L/
S.Leachin 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.: --r�
11.Tank/leachin minnnum 10 ft from ro line Var.:
12. S stem meets all other setback r irements Var.:
13.Uses ad'ustment for maximum hi groundwater Var.:
14.Leaching 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 re uirements-min. 1/8", '/a" eferred �.�-
18. System meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes are pro er, gas baffle on outlet tee
20. Sewage is under 10,000 d for arcel
• 21.No garba e dis osal ��--'
22. S stem ade uatel sized for its intended use �--
23.Minunum 6"stone or com acted below tank and dbox �y__=
' 24.Manhole covers within 6"of ade, um chamber cover to ade
25.Ins tion ort on plastic chambers/leach field `_�..:
26. Electrica.l ermit for um cha.mber/S arate meter for du lexes .�----
27.P s stem-2" line,wee hole,check valve,tee in dbox, ump size
28. S tic ta.nk/ ump chamber to be factory wat roofed
29.Vent rovided if leachin below 3 feet,under driveway/parkin �-'
30.Buoyancy calculaxions for tank/ ump chamber _
31.En ' eer to ins ect and cert' soils: wall: commerciaL•
32.Engineer/Registered Sanitarian and Land Surveyor stam s/si ture
33.H-201oadin is subject to vehicular tr�c, oundwater
34.Title V A lication and ermit fee,installer si ture
35.Foundation footing min. 2 feet above adjusted ground water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow: d .
37. Check area.lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ti' �,���