HomeMy WebLinkAboutReview Checklist �-� -r 7
' TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot Zone of Contribution: In Out c%age v
� /���� Commercial: Residential:
Street: (
Village: _ Floor Plan: #Bedrooms:
Owner: i G�f.�''l� Insta.11er: /� 1`��� �[ �v/
Address: � Phone: �
Phone:
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Builder: Engine,er: i�
Address: Phone: - - ��
Phone: "- � '`� r � -�' � �°l" �
lll � - /� �� � -'r-' 'Gdl���'� '�.
N/A YE NO '
l.Required#of co ies received '
2.Date of soils exa.m and percolation test not older than 2 ears '
3.4-5 ft of naturall occurrin ervious material,above water table �--�''r
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, deck Var.: �I
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Vax.: !, • " �
9.Leaching minimum 100 ft from wetlands Var.: �
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well V .: . � "
11.Tank/leachin minimum 10 ft from ro line Var.: �---'�"
12. S stem meets all other setback r uirements Var.: � '
13.Uses ad'ustment for maximum hi oundwater Var.:
14.Leachin set 4-5 ft above adj.water or bottom i
15. System not in to or subsoil(A,B horizons or 5' �� �
i
16.Pro osed contours are suitable '
17. S stem meets slo e r uirements-min. 1/8", '/a" eferred �
18. S stem meets breakout r uirements PVC liner: �s all: `""-'�
19. S e�ified tee sizes are ro er, as baffle on outlet tee �-�'
i
_ 20. Sewage is under 10,000 d for a.rcel L-----~ '�
21.No garba e dis osal � f
22. S stem ad uatel sized for its intended use �-- i
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 ection ort on lastic chambers/leach field �
26.Electrical ermit for um chamber/S arate meter for du lexes . i
27.Pum stem-2" line,w hole,check valve,tee in dbo� um size � - ;
28. S tic ta.nk/ um chamber to be factory wat roofed �.---� �
29.Vent rovided if leaching below 3 feet,under drivewa / arkin '
30.Buo ancy calculations for tank/ um chamber
3 l.En ' eer to ins ect and cert" soils: wall: commercial: �---�'
32.En ' eer/Re ' tered Sanitarian and Land Surveyor sta.m s/si ture } t
33.H-201oading is sub'ect to vehicular traffic, groundwater f
34.Title V A licaxion and ermit fee,insta.11er si ture "' i
35.Foundation footing 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
Plan reviewed by: �1�� �o3ro3