HomeMy WebLinkAboutReview Checklist �6 � �'% �
, TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
• Location: A.M. �� Lot� Zone of Contribution: In Out`-��Acreage
Commercial: Residential:�----'
Street:
Village: Floor Plan: L/ #Bedrooms:�
Owner: �l Insta.11er: G�s '
Address: Phone: '
Phone:
Builder: Engineer: l� �����'� ;
Address: Phone: � � ^' :
Phone: r�"��-2�-�'/� "�'-C�. �•
�
N/A YES NO
1.R uired#of copies received
2.Date of soils exam and ercolation test not older than 2 years �
3.4-5 ft of natural occurrin ervious material, above water table '
4.Founda.tion 2 ft above hi oint of road H.P.: Fnd: Var.: f
5.Water line 10 ft from s tic com onents Var.: �,/ j
6.Benchmark indicated and shown-NGVD if near wetlands :
7. Se tic tank minimum 10 ft from foundation, deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: C:.-/�
9.Leachin minimum 100 ft from wetlands Var.: '�
10.Leachin minimum 150 ft from drinkin welU25 ft irri ation well Var.: '
11.Tank/leachin minimum 10 ft from ro erty line Var.:
12. S stem meets all other setback r irements Var.:
13.Uses adjustment for maximum hi oundwater Var.: (:;�--�' t
14.Leachin set 4-5 ft above adj.water or bottom of test hole Va.r.: L---��' ;
1 S. 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 uirements-min. 1/8", '/4" referred ;
18. S stem meets breakout r uirements PVC liner: Wall: �.--' '
19. S ified tee sizes are ro er, as baffle on outlet tee '
i
20. Sewa e is under 10,000 d for arcel �
21.No arba e dis osal
- 22. S stem ade ua.tel sized for its intended use '
23.Mmimum 6"stone or compacted below tank and dbox ;
24.Manhole covers within 6"of de, um cha.mber cover to ade E
� 25.Ins ion ort on plastic chambers/leach field ':
26.Electrical ermit for um chamber/S arate meter for du lexes �---- i
27.Pum stem-2" line,wee hole,check valve,tee in dboar, um size ;
28. S tic tank/ um chamber to be factory wa roofed i
29.Vent rovided if leachin below 3 feet,under driveway/ arking F
30.Buoyanc ca.lculations for tank/ ump chamber '
31.En ' eer to ins ect and cerf soils: wall: commercial: .
32.En ' eer/Re 'stered Sanitaria.n and Land Surve ar stam s/signature �/' j
33.H-201oadin is sub'ect to vehicular traffc, oundwater .,�-� �
34.Title V A lication and ermit fee,installer si ture I
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 a.rea lots for oundwater/Label oundwater in Assessor's Ma �
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Plan reviewed by: s�io3