HomeMy WebLinkAboutReview Checklist �-�z r.6
TOWN OF YARMOUTH «
SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M.�_ Lot Z� � Zone of Contribution: In Out A reage •
Commercial: Residential:
Street: �/
� Village: - Floor Plan: l� #Bedrooms:�_
Owner: ' ' Installer: /�/�7�'
Address: Phone: �� ���L- �
Phone:
Builder: Engineer: /`� �
Address: Phone: '" 7 7S= 9'7 Da
Phone: -���r� l ���
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N/A YES NO
1.Required#of co ies received
2. Date of soils eacam 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: Vaz.:
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.: v-�
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinking welU25 ft irri ation well Var.:
11.Tank/leachin minunum 10 ft from rop line Var.: �;f
12. S stem meets all other setback r uirements Var.: '�--�'"
13.Uses adjustment 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 suita.ble �
17. S stem meets slo e r uirements-min. 1/8", '/4" eferred
18. S stem meets breakout re uirements PVC liner: Wall: �-
19. S ecified tee sizes are ro er, gas baffle on outlet tee Z f
20.Sewa e is under 10,000 gpd for a.rcel � -
21.No arba e dis osal �
22.S stem ad uatel sized for its intended use �_
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of ade, um cha.mber cover to grade �
25.Ins ection port on la.stic chambers/leach field
26.Electrical ermit for um chaxnber/S arate meter for du lexes
27.Pum stem-2" line,wee hole,check valve,tee in dbox, ump size`
28. S tic tank/ um chamber to be factory wat roofed �_
29.Vent rovided if leachin below 3 feet,under driveway/ arkin ��
30.Buo ancy calculations for tank/pu chamber �_
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Registered Sanitarian and Land Surveyor stam s/si ture
33. H-20 loading is subject to vehicular ha�c,. oundwater
34.Title V A lication and ermit fee, installer si ture �_,
35.Foundation footin 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 groundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �,•, \i ����
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