HomeMy WebLinkAboutReview Checklist - �-�-�'�-� � ���._G�
�` TOWN OF YARMOUTH �;��
SEWAGE PLAN REVIEW CHECKLIST /f�f:%�' + � `�
Location: A.M.� Lot�� Zone of Contribution: In " Out_ Acreage���2'���
� Commercial: Residentia.l:�„�
Street: /
Village: Floor Plan: ✓ #Bedrooms:_�
Owner: ,��� �'�1iI Insta ller: � � �
Address: � Phone: � �" �
PhOne: � " � � �C�r,.
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Builder: Engineer:
Address: Phone: �' --
Phone: � ��- �' �.f'�,i�� �z,,,��
N/A YES NO
1.R uired#of co ies received
2.Date of soils exam and ercolation test not older than 2 years
3.4-5 ft of naturall occumn ervious material,above water ta.ble `---"
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.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: - -
10.Leaching minimum 150 ft from drinkin welU25 ft irrigation well Var.: �--�"`
11.Tank/leachin minimum 10 ft from roperly line Var.: t--�-J
12. S stem m�ts all other setback r uirements Var.: c._._----'
13.Uses ad'ustment for maximum hi oundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: �---��
15. S stem not in to or subsoil(A,B horizons)or 5'removal
16.Pro osed contours aze suitable
17. S stem meets slo e r uirements-min. 1/8", '/4" eferred i,_..i
18. System meets breakout r uirements PVC liner: Wall: �--.---�
- - 19. Specified tee sizes are ro er, gas ba.ffle on outlet tee
20. Sewa e is under 10,000 gpd for arcel
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, 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 system-2" line,w hole,check valve,tee in dbo�c, um size
28. S tic tank/ um chamber to be facto waterproofed `..�--
29.Vent rovided if leaching below 3 feet,under driveway/ arkin �.,,_.,.,.-�
30.Buoyancy calculations for tank/pump chamber �/
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Re 'stered Sanitarian and Land Surve or stam s/signahue �/
33.H-201oading is subject to vehicular tra�c, groundwater
34.Title V A lication and ermit fee, installer signature -
35.Foundation footin min.2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: . flow: � � d
37.Check area lots for groundwater/Label groundwater in Assessor's Ma
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Plan reviewed by: ��y c�o3ros