HomeMy WebLinkAboutReview Checklist � � � ��
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
, � Location: A.M.�_ Lot__''�� Zone of Contribution: In Out "` Acreage
CommerciaL• Residential: �
s��: z�- �
Village: Floor Plan: F_� #Bedrooms: '
Owner: J�''�G� I����� Installer: S
Address: Phone: � - � -- .� '� ;
Phone:
Builder: Engineer: ��LZ�'� ��f �
Address: Phone: 7 �- Z 7
Phone:
N/A YES NO
1.Required#of co ies received
2. Date of soils exam and ercolation test not older than 2 years �„/-
3.4-5 ft of natura occurrin ervious material,above water ta.ble �.�--�
4.Founda.tion 2 ft above high oint 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, deck Var.: �
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �____--
9.Leachin minimum 100 ft from wetlands Var.: `_____s
10.Leaching minimum 150 ft from drinkin welU25 ft irri ation well Var.:
1 l.Ta.nk/leaching minimum 10 ft from ro erry line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum hi oundwater Var.:
14.Leaching 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 suitable
17. S stem meets slo e r irements-min. 1/8", I/4" eferred �y--�
18. S stem meets breakout r uirements PVC liner: Wall: �,.,.-
19. S ecified tee sizes are ro er, gas baffle on outlet tee t-�--�' '
20. Sewa e is under 10,000 for arcel �----�'
� 21.No bage dis osal �___,
22. S stem ad uatel sized for its intended use ,,,"� ',
: 23.Minimum 6"stone or compacted below tank and dbox
24.Manhole covers within 6"of grade, um cha.mber cover to ade .,,��...
25.Ins ection ort on lastic chambers/leach field `�,� ',
26.Electrical ermit for um chamber/S arate meter for du lexes ,,.--�
27.Pum stem-2" line,wee hole,check valve,tee in dbox, um size '
28. S tic tank/ um chamber to be factory wa roofed �-' '
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buoyanc calculations for tank/ ump chamber
31.En ' cer to ins ect and cert' soils: wall: commerci : �
32.En ' eer/Registered Sanitarian and Land Surve or s/si ture (�
33.H-20 loading is sub'ect to vehicular t�ffc, groundwater
34.Title V A lica.tion 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: max.flow: d ;
37.Check area lots for oundwater/Label oundwater in Assessor's Ma i
Plan reviewed by: � I �03�03 �
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