HomeMy WebLinkAboutReview Checklist � � �/ ���
TOWN OF YARMOUTH
" SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. ��. Lot ^ � Zone of Contribution: In Out �Acre,age
� l Commercial: Residential: �'
Street: �L� /��
Village: -� Floor Plan: � #Bedrooms: d-��
Owner: Insta.11er:
Address: Phone: � -
Phone:
:�
Builder: Engineer: "'
Address: Phone: �� ��
Phone: _ �' �;���j
N/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 hi 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.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.: •
10.Lea.chin minimum 150 ft from drinkin welU25 ft irrigation well Var.:
11.Tank/leachin minimum 10 ft from ro erty line Var.:
12.S stem meets all other setback r uirements Var.: ,
13.Uses adjustment for maximum high groundwater Var.: - -
14.Leachin set 4-5 ft above ad'.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" eferred
18. S stem meets brea.kout r uirements PVC liner: Wall:
19. S ecified tee sizes are pro er, gas baffle on outlet tee '
20. Sewa e is under 10,000 gpd for arcel _� ';
9 21.No ba. 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 chamber cover to e �---'"'
25.Ins ection ort on lastic chambers/leach field i�-'
26.Electrica.l ermit for um cha.mber/S arate meter for du lexes � '
27.Pum s stem-2" li.ne,wee hole,check valve,tee in dbox, um size
28. S tic tank/ um cha.mber to be factory wa roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arkin ;
30.Buo anc calcula.tions for tank/ ump chamber '
31.En ' eer to ins ect and cert' soils: wall: commercial: I
32.En ' eer/Re 'stered Sanitarian and Land Surv or stam s/si ture ;
33.H-201oadin is sub'ect to vehiculax traffic, groundwater '
34.Title V A lication and ermit fee,installer si ture
35.Founda.tion footing min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: maar. flow: d
37.Check area lots for oundwater/Label oundwater in Assessor's Map
Plan reviewed by: �! wo3ios �
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