HomeMy WebLinkAboutReview Checklist �. �,-�-,-�
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST '
Location: A.M. �� Lot � Zone of Contribution: In Out /�- Acreage
Commercial: Residernial:_ ��'' �
str�: �S " �
Villa.ge: �y � Floor Plan: � #Bedrooms:
Owner: �G�C'�Gt2 7 Insta.11er: �
Address: Phone:
Phone: � � ?y;�, ,��'�fr' l
� /lt'��i' 7�c ���� % `� '� ! >C��1
Builder: Engineer: � ��
Address: Phone: ' -�' � --
Phone: ` -- G�"�'Z���Ci' ���'
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N/A YES NO
1.Re uired#of co ies received
2.Date of soils exa.m and ercolation test not older than 2 ears
3.4-5 ft of natura occurrin ervious material,above waxer ta.ble ��'
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.: c�f
5. Water line 10 ft from s tic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S 'c tank minimum 10 ft from founda.tion, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Vat.:
9.Leaching minimum 100 ft from wetlands Var.:
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from ro erry line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for ma�m_um hi oundwater Var.:
14.Leaching set 4-5 ft above ad'.water or bottom e Var.:
15. System not in to or subsoil(A,B horizons) r 5'remova �'
16.Pro osed contours are suitable ✓'
17. S stem meets slo e r irements-min. 1/8", 1/4" eferred
18. System meets breakout r uirements PVC liner: G? ' Wall:
19. Specified tee sizes aze roper, ba.ffle on outlet tee
20. Sewa e is under 10,000 for azcel
21.No garba.ge dis osal _,
22. S stem ade ua.tel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of grade, ump chamber cover to grade
25.Inspection ort on lastic chambers/leach field
26.Electrica.l ermit for um chamber/S arate meter for du lexes
27. system-2"line,wee hole,check lve,tee in dbox, ump size
28. S tic tank/ um chamber to be fa.ctory t roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buoyancy calculations for tank/ ump hamber
31.E ' eer to ins ect and c ' soils: wallv commercial:
32.En ' eer/Registered Sanitarian and Land Surveyor stam s/signature
33.H-201oadin is sub'ect to vehicular traffc, 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.De,ed Restriction r uired max. #bedrooms: max. flow: d
37.Check area.lots for oundwater/Label oundwater in Assessor's Ma.
Plan reviewed by: � sro3io3
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