HomeMy WebLinkAboutReview Checklist �`� �/ 7 ��� �
� TOWN OF YARMOUTH
- SEWAGE PLAN REV�W CHECKLIST ��,,L�", � '� _, , ��
. Location: A.M.�_ Lot �� Zone of Contribution: In �/Out Acreage �, �✓`'j�--
• Commercial: Residential: -�-��
Street: �
Village: , Floor Plan: � #Bedrooms:
� �� Owner: �J eY✓1 d't � r� � �?Z-G ller:
Address: Phone: - --
Phone:
7�-0� 6 9 - �
Builder: Engineer:
Address: Phone: � � '7 �
Phone:
N/A YES O
1.R uired#of co ies received
2.Date of soils e�m and colation test not older than 2 years �
3.4-5 ft of na.turall occurrin ervious material, above water ta.ble �.--�'
4.Foundation 2 ft above hi int of road H.P.: Fnd: Vat.:
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.:
9.Leachin minimum 100 ft from wetlands Var.: `��
10.Leaching minimum 150 ft from drinkin welU25 ft irri tion well Var.: �---�` "
11.Tank/leaching minimum 10 ft from ro erty line Var.:
12.S stem meets all other setback r uirements Var.: �.------�
13.Uses adjustment for maximum hi groundwater Var.: -
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Vaz.:
15. System not in to or subsoil(A,B horizons)or 5'removal y,_�-�
16.Pro sed contours are suitable .�_,,, ',
17. S stem meets slo e r irements-min. 1/8", '/a" eferred C._,_.-
18. System meets breakout r uirements PVC liner: Wall: '
19. Specified tee sizes are ro er, gas baffle on outlet tee L,_,,.,.� �
- 20. Sewa e is under 10,000 far a.rcel � _ �
- 21.No ba e dis osal �� ,'
22. S stem ad uatel sized for its intended use
23.Mmimum 6"stone or com acted below tank and dbox `;,,�.�
� 24.Manhole covers within 6"of ade, um chamber cover to ade
25.Ins ection ort on lastic chambers/leach field �„�,
26.Electrical ermit for um cha.mber/S arate meter for du lexes
27.P system-2"line,w hole,check valve,tee in dboat, um size t
28. S tic tank/ um chamber to be factory wat roofed ;
29.Vent rovided if leachin below 3 feet,under driveway/ arking C
30.Buo ancy calculations for tank/ ump chamber �-�^
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.En ' eer/Re 'stered Sanitarian and Land Surveyor stam s/si ture
33.H-20 loa.ding is sub'ect to vehicula.r traf�ic, oundwater '
34.Title V A lica.tion and ermit fee,installer si ture � '
35.Foundation footin min. 2 feet above ad'usted ound water for new house �---
36.Deed Restriction r ired max. #bedrooms: max. flow: d
37. Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ,� �o3io3
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