HomeMy WebLinkAboutReview Checklist° �= z � -r� �
= TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST
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. Location: A.M. �-�, Lot_� Zone of Contribution: In Out Acreage
Commercial: Residential: �-----'�'
Street: � �� �� -,�.. _..�
Village: Floor Plan:� � #Bedrooms:�
Owner: /�-l!S'� Insta.11er: ____.___....� ����/!
Address: Phone: �=� '-'7/ ��'l
Phone:
Builder: Engineer: �li 0`
Address: � � Phone: ' -- � �� r- r,,�� ,�
Phone: i--�- � �7,�z,L -�tZ'/.����i a ���t�C..
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N/A S NO
1.Re uired#of co ies received .....-/
2.Date of soils exam and ercolation test not older than 2 ea.rs
3.4-5 ft of naturall occurrin ervious material, above water ta.ble .
4.Foundation 2 ft above hi point 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.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �
9.Leaching minimum 100 ft from wetlands Var.: '
10.Leaching minimum 150 ft from drinkin welU25 ft irri ation well Var.:
11.Tank/leaching minimum 10 ft from property line Var.: .t„�''
12. S stem meets all other setback r uirements Var.: �....�
13.Uses ad'ushnent for maximum high 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 sed contours are suitable �,,,./'
17. S stem meets slo e r uirements-min. 1/8", '/4" referred
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes are pro er, as baffle on outlet tee
, 20. Sewage is under 10,000 gpd for arcel
21.No garba e dis osal
22. S stem ad uatel sized for its intended use y,_,_�
' 23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of ade, um chamber cover to ade
25.Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum system-2" line,weep 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.Buoyancy calculations for tank/pump cha.mber
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surveyor stam s/si ature `„�
33.H-201oading is subject to vehicular traffic, oundwater
34.Title V A lication and permit fee, installer si ture
35.Foundation footin min.2 feet above adjusted ound water for new house �.,/
36.Deed Restriction r uired max. #bedrooms: maa�. flow: d �...-
37.Check area lots for oundwater/Label groundwater in Assessor's Ma
Plan reviewed by: �o3io3