HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH '��' -� ��1�'LY�'I �,�
SE�VAGE PLAN REVIEW CHECKLIST ,�% �' 't� ��'�'�YZ�1�}'j )
Location: A.M.�_ �t� Zone of Contribution: In Out_ Acreage
: Commercial: Resi 'al:�
Street: �
Village: Floor Plan: #Bedrooms:�
° Owner: w Installer: /f�
Address: Phone:
Phone: --iZ �� �'��� �1���'�
Builder: Engineer:
Address: Phone: -
, Phone: __ �u���J , ��.`"�i ��-c'
._ � qYQ
N/ YES NO
� l.R uired#of ies received
2. Date of sails�am and colation test not older than 2 ears
3.4-5 ft of naturall occurrin �vious 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 onents v�'•� �--�'�
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 v�'•� "�'�
10.I,eachin minimum 150 ft from drinkin welU25 ft irri tion well Vax.: ��'
1 l. Tank/leachin minimum 10 ft from ro erty line Var.: �-�
12. S stem me,ets all other setback r uirements Var.: �
13.Uses ad'ustment for maximum hi oundwater Var.: � -✓ f
14.I,eachin set 4-5 ft above ad'.water or botto o tes Var.: �
15. S stem not in to or subsoil'(A,B horizons) r 5'remova �
16.Pro sed.contours are suitable !
17. S stem meets slo e r ire�ents-min. 1/8", '/4" eferr�d I
18. S stem meets breakout r uirements PVC liner: Wall: �
19.S ec�ed tee sizes are ro , gas baffle on outlet tee �� !
20. Sewage is under 10,000 for arcel �� �
' •21.No arba 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 ade
25.Ins tion rt on lastic chambers/leach field ��
26.Electrical ermit for chamber/S arate meter for du lexes ��
27.Pum system-2"line,wee hole,check valve,tee in dbo� u size •�
28. S tic tank/ um chamber to be factory wat roofed �-'��
29.Vent rovided if leachin below 3 feet,under drivewa / arkin w f
30.Buo ancy calculations for tank/ um chambec
� 31.En � eer to ins ect and cert' soils: wall: commercial:
✓
32.En 'neer/Re 'stered Sanitarian and Land Surve or stam s/signature ��
33.H-201oadin is sub'ect to vehicular traffic, groundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundation footing min.2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: 2-maar. flow: �L d
37.Check area lots for oundwater/Label oundwater in Assessor's Ma "�
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6/03/03
Plan reviewed by:� �� � � /J�i _% ^ '
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