HomeMy WebLinkAboutReview Checklist � �/ r/ /
TOWN OF YARMOUTH
� � SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot� Zone of Contribution: In Out�reage
� �� � � /J � Commercial: Resi ential: t-�
Street: !7 �-�'���"-���!�'�✓
Village: Floor Plan: ' #Bedrooms:
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o��: � �S�il�: ��
Address: Phone: ' ? ''
Phone:
Builder: Engineer:
Address: Phone: �' -
Phone: .-,�,'/%_� l � '�'� � S ':
N/A YES NO
1.Re uired#of co ies received
2.Date of soils exam and ercolation test not older than 2 ears
3.4-5 ft of naturall occurrin ervious material, above water table
4.Foundation 2 ft above hi 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 founda.tion, deck Var.:
8.Leaching 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 irrigation well Var.: '
1 l.Tank/lea.chin 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.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.: s _
15. S stem 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 uirements-min. 1/8", 1/4" referred �._.-�
18. S stem meets breakout r uirements PVC liner: Wall: �_,,.� '
19. S ecified tee sizes are ro er, gas baffle on outlet tee
20. Sewa e is under 10,000 for arcel '
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• `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, ump cha.mber cover to ade
25.Ins ection ort on lastic chambers/leach field C.�-�
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum system-2" line,wee hole,check valve,tee in dbox, um size ,�---�
28.S tic tank/ um chamber to be facto wat roofed _----�'
29.Vent rovided if leaching below 3 feet,under drivewa / arking '
30.Buoyancy calculations for tank/pu chamber :
31.En ' eer to ins ect and c ' soils: wall: commerciaL•
32.Engineer/Registered Sanitarian and Land Surveyar stam s/si ture �--�""
33.H-20 loadin is subject 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 ired max. #bedrooms: max. flow: d
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ��� ��
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