HomeMy WebLinkAboutReview Checklisti �
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TOWN OF YARMOUTH � /'��
� SEWAGE PLAN REVIEW CHECKLIST ���'X� �
Location: A.M. �='t' Lot� Zone of Contribution: In�Out_ Acreage�����
' Commercial: Residential:
Street: �
�
Village: �' Floor Plan: 1� #Bedrooms:
Owner: ���,C ��v��,�( Installer: ?
,
Address: Phone:
Phone:
Builder: Engineer:
Address: Phone: " ��?='
Phone:
N/A YES NO
1.R uired#of co ies received
2.Date of soils e�.m and colation test not older than 2 ears �.�--
3.4-5 ft of na.turall occurrin ervious material,above water ta.ble �
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 mini.mum 10 ft from foundation, deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �✓''
9.Leaching minimum 100 ft from wetlands Var.: `�'
10.Leachin minimum 150 ft from drinking welU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from ro erty line Var.:
12.S stem meets all other setback r uirements Var.: `.i-
13.Uses ad'ustment for maximum hi groundwater Var.:
14.Leachin set 4-5 ft above adj.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", '/a" eferred
18. System meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes are roper, gas baffle on outlet tee �-�
20. Sewage is under 10,000 d for arcel
21.No ba. e dis osal L./
_ 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 tion ort on plastic chambers/leach field l:�-�
26.Electrica.l ermit for um cha.mber/S arate meter for du lexes �--''�-
27.Pum system-2" line,wee hole,check valve,tee in dbo� um size
28. S tic tank/ um chamber to be facto wat roofed
29.Vent rovided if leachin below 3 feet,under drivewa / arkin
30.Buoyancy calculations for tank/pump chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Re 'stered Sanitarian and Land Surve or s/si ture
33.H-201oadin is sub'ect to vehicular traffic, groundwater
34.Title V A lication and ermit fee, insta.11er si ture �
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uir� max. #bedrooms: ma�c. flow: d
37.Check area lots for groundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ti' s,o3�o3
