HomeMy WebLinkAboutReview Checklist �-�y �-� � �
TOWN OF YARMOUTH
SEWAGE PLAN REV�W CHECKLIST ���� ��-- !��%' ����-�'
-- Location: A.M. ��iJ Lot �� Zone of Contribution: In Out ���eage �
---�� � Commercial: Residential: �--�
Street: �
Village: Floor Plan: #$edrooms: �
Owner: �G��/6'� !1 f� Installer: ��'�`L,Q�C. ���1�1
Address: Phone:
Phone: � �f�-`''/ - ��7: > �C�'�
,
Builder: Engineer:
Address: Phone: �
Phone: "-��i---� �, C�OL��;��
�
N/A YES NO
1.R uired#of co ies received
2.Date of soils exam and colation test not older than 2 years �..-
3.45 ft of naturall occurrin ervious material, above water ta.ble
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 foundation, de�k Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �..--
9.I,eachin minimum 100 ft from wetlands Var.:
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.: "
11.Tank/leaching minimum 10 ft from rop line Var.:
12.S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum high oundwater Var.:
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.: % �-�-'
15.System not in to or subsoil(A,B horizons)or 5'removal ��--
16.Pro osed contours are suita.ble
17.S stem meets slo e r irements-min. 1/8", '/a" referred �..--- ;
18. S stem meets breakout r uirements PVC liner: Wall: �
19. S ified tee sizes are ro er, gas baffle on outlet tee
20. Sewa e is under 10,000 for arcel '
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 chamber cover to ade �
25.Ins ion ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes � '
27.P s stem-2" line,w hole,check valve,tee in dbox, um size
28. S dc tank/ um chamber to be factory wat roofed �„/
29.Vent rovided if leaching below 3 feet, under drivewa / arkin ;
30.Buoyancy calculations for tanW um cha.mber �
31.En ' eer to ins ect and cert' soils: wall: commercial: L�''
32.En ' cer/Registered Sanitaria.n and Land Surve or slsi ture ;
33.H-20 loadin is sub'ect to vehicular traffic, oundwater '
34.Title V A lication and ermit fee, insta.11er si ature
35.Foundation footin min.2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms:��- max.flow: �,, d ��'
37.Check area lots for oundwaterlLabel oundwater ' Assessor's Ma
Plan reviewed by: 'L� wo3io3