HomeMy WebLinkAboutReview Checklist I
TOWN OF YARMOUTH
' SEWAGE PLAN REVIEW CHECKLIST .
• Location: A.M.� Lot �/Z-- Zone of Contribution: In_ Out�Acreage • ;
, Commercia • Residential:� , ;
Street: l �
` Willage: `cy� Floor Plan: ooms: = � ' "
� �� � � � �
Owner: /o i��G�6���'dG� Installer: � ,
Address: Phone:
Phone:
Builder: Engineer: ��
Address: Phone: � L�
Phone: - �� S
N/A NO
1.R uired#of co ies received
2. Date of soils exam and olation test not older than 2 ears (�
3.4-5 ft of natural occurrin ervious material,above water table l.�
4.Foundation 2 ft above hi 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.: ��
8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �i
9. Le,achin minimum 100 ft from wetlands Var.: �/
10. I,eachin minimum 150 ft from drinkin welU25 ft irri tion well Var.: �
11. Tank/leachin minimum 10 ft from ro line Var.: ;�
12. S stem meets all other setback uirements Var.: `�
13. Uses ad'ustment for maacimum hi oundwater Var.:
14.Leachin set 4-5 ft above ad". water or bottom of test hole Var.: �/
15.S stem not in to or subsoil(A,B horizons)or 5' removal v
16.Pr ed contours are suitable ��'
17. S stem meets sl irements-min. 1/8", '/a" ferred �/'
18. S stem meets breakout r uirements PVC liner: Wall: L f
19. S ified tee sizes are ro , baf�le on outlet tee
� 20. Sewa e is under 10,000 for arcel L� ,
21.No ba e dis osal
22. S stem ad uatel sized for its intended use
• 23. Minimum 6"stone or com cted below tank and dbox �� �
� 24. Manhote covers within 6"of e, um chamber cover to de �_�' '
25. Ins tion on lastic chambers/leach field
26. Electrical it for um chamber/S ate m�e,r for du lexes
27.Pu stem-2" line,wee hole,check valve,tee in dboac, um size `� ,
28. S tic tank/ um chamber to be facto wat roofed �
29. Vent rovided if leachin below 3 fee�t„ under drivewa / kin
f
30. Buo anc calculations for tank/ um chamber
E
31. En ' eer to ins ect and certi soils: wall: commercial: -
32. En 'ncer/Re 'stered Sanitarian and Land Surve or stam s/si ture ' �
33. H-20 loadin is sub'ect to vehicular traffic, oundwater f ;
34. Title V A lication and ermit fee, installer si ture '
35. Foundation footin min. 2 fe�t above ad"usted ound water for new house
36. Deed Restriction r uired max. #bedrooms: max, flow:
37. Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: � NO3/03 �
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