HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.__ 7� Lot� Zone of Contribution: In Out� Acreage
° Commercial: Residential:
Street: �� �
Village: �i Floor Plan: � #Bedrooms: Z-
Owner: Installer:
Address: Phone: -
Phone: �
' �Gl��� �..-�
Builder: Engineer: f/j �
Address: Phone: - - �
Phone: -� � �- ,(�,�
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N/ YE NO
1.R uired#of ies received
2. Date of soils e�cam and colation test not older than 2 ears
3.4-5 ft of na.tural 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 onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundati Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: L/
9. Leachin minimum 100 ft from wetlands Var.: e.-�
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
I 1.Tank/leachin minimum 10 ft from ro line Var.: �
12. S stem meets all other sexback r uirements Var.:
13. Uses ad'ustment for maximum hi oundwater Var.: c...--
14. Leachin set 4-5 ft above ad'.water or botto test o Var.:
15.S stem not in to or subsoil A,B horizons or 5' remova
16.Pro ed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/a" eferred
18.S stem meets breakout r uirements PVC liner: Wall: ��
19.S ified tee sizes are ro , baf�le on outlet tee
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20. Sewa e is under 10,000 for azcel �
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 chambe,r cover to ade
25.Ins ion rt on lastic chambers/leach field �..�
26. Electrical ermit for um chamberlS arate meter for du te�ces
27.Pum stem-2"line,wee hole,check valve,tee in dbo�c, um size
28.S tic tank/ um chamber to be facto wa roofed _/
29.Vent rovided if leachin below 3 feet, under drivewa / arkin /'
30. Buo anc calculations for tank/ um chamber
31. En 'neer to ins ect and certi soils: wall: commercial:
32.En 'neer/Re 'ste.red Sanitarian and Land Surv or stam s/si ture /
33. H-201oadin is sub'ect to vehicular traffic, oundwater �.-
34. Title V A tication and ermit fee, installer si ature �-
35.Foundation footin min. 2 feet above ad'usted ound water for new house ��"
36. Deed Restriction r uired max. #bedrooms: ma�c. flow:
37.Check azea lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ( ,�j� �o3�oa