HomeMy WebLinkAboutReview Checklist �O�TI�
� TOWN OF YARMOUTH � � ���
� SEWAGE PLAN REVIEW CHECKLIST �.�=�'��
; ` Location: A.M. � �7 Lot l� Zone of Contribution: In�Out_ Acreage��S ���'�
Commercial: Residential:�_
I Street: '� �� �� � � �
j Village: � ��/,,/ Floor Plan:_ ��" #Bedrooms: �
� -�-_~
� Owner: �///' �t�'��(�/� � Instailer:
' Address: Phone: - � --
Phone:
Builder: Engineer: �
Address: Phone: � --z
Phone: �-� � � �
�� .
N/A YES NO
_ I:R uired#of co ies received _ _ . __ ._ _ _
2. Date of soils exam and colation test not older than 2 ears
3. 4-5 ft of natural occurrin ervious material, above water table �'
4.Foundation 2 ft above hi int of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com nents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Vaz.:
8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ���
9.Leachin minimum 100 ft from wetlands Var.: `�-
10. Leachin minimum 150 ft from drinkin we1U25 ft irri tion well Var.:
11. Tank/leachin minimum 10 ft from ro line Var.: -
12. S stem meets all other setback r irements Var.: ��.
13. Uses ad'ustment for maximum 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' rernoval ��
16.Pr sed contours are suitable ��.
17. S stem meets slo e r irements-min. 1/8", '/," eferred v'
18. S stem meets breakout r uirements PVC liner: Wall: ��
19. S ified tee sizes are ro , bai�le on outlet tee �.
`20. Sewa e is under 10,00Q for azcel ��
- 21.No ba e dis osal ��
22. S stem ad uatel sized for its intended use ��
23. Minimum 6"stone or com cte�below tank and dbox ��
' 24.Manhole cov�s within 6"of de, um chamber cove,r to de �.�-
25. Ins tion on lastic chambers/leach field `�
26. Electrical ermit for um chamber/S meter for du lexes �
27.Pum stem-2" line,w hole,check valve,tee in dbox, size �--
28. S tic tank/ um chamber to be fact wa roofed
29. Vent ravide�if leachin below 3 feet, under drivewa / in
30. Buo ar►c calculations for tank/ um chamber
31. En ' eer to ins ect and certi soils: wall: commercial:
32.En 'neer/Re 'stered Sanitarian and Land Surv or stam slsi ahue �1
33. H-20 loadin is sub'ect to vehicular traffic, undwater -
34. Title V A tication and eimit fce, install�si ture �'
35. Foundation footin min. 2 feet above ad'usted ound water for new house �
36. Deed Restriction uireci max. #bedrooms: max. flow:
37.Check area lots for oundwate,r/Labet oundwater in Assessor's Ma
Plan reviewed by: � �✓03,03