HomeMy WebLinkAboutReview Checklist �� ��- / � ���.-.-��
TOWN OF YARMOUTH `
SEWAGE PLAN REV�W CHECKLIST ��/�'" �` '
Location: A.M. ( `�V Lot�� Zone of Contribution: In �' Out_ Acreage ��"J� � ��' ,
Commercial: Residential:_�;%'�
Street: /6�
Village: Floor Plan: #Bedrooms:�
Owner: � //� Installer: �
Address: Phone: � 7
Phone:
Builder: Engineer: �/� ���
Address: Phone: -
Phone: -f� �� � A
- �� ��< <" � � � i
N/A YES
1.Required#of ies received
2.Date of soils exam and ercolation test not older than 2 years
3.4-5 ft of natural occurtin ervious material, above water table j-----j'
4.Founda.tion 2 ft above high oint of road H.P.: Fnd: Var.: `��
5.Water line 10 ft from s tic components Var.:
6.Benchmark indicated and shown-NGVD if near wetlands �-'
7. S tic tank minimum 10 ft from foundation, deck Var.: �,,,,�
8.Lea.chin minunum 20 ft full, 15 ft crawl, 10 ft slab Var.: �----•
9.Leachin minimum 100 ft from wetlands Var.: t-`- •
10.Lea.chin 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 irements Var.: C�,.�-�-
13.Uses ad'ustment for maximum high groundwater Var.:
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.: �,_,._.-
15. S stem not in to or subsoil(A,B horizons)or 5'removal ��--' i
16.Pro osed contours are suitable i.�--' '
17. S stem me�ts sl e r irements-min. 1/8", '/4" eferred r;._._.,- ;
18. S stem meets breakout r uirements PVC liner: Wall: �„_ '
19. Spec�ed tee sizes are ro er, gas baffle on outlet tee �,�,
20. Sewa e is under 10,000 gpd for arcel �,,, - -
21.No garba. e dis osal �� ;
22. S stem ad uatel sized for its intended use �,,,,�
23.Minimum 6"stone or compacted below tank and dbox - '
24.Manhole covers within 6"of ade, um chamber cover to grade ;
25.Ins ection ort on lastic chambers/leach field �..--- '
26.Electrical ermit for um chamber/S arate meter for du lexes ,J_- '
27.P stem-2"line,wee hole,check valve,tee in dbox, ump size .---''"�
28. S tic tank/pum chamber to be factory waterproofed �
29.Vent rovided if leachin below 3 feet,under driveway/ arking � '
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30.Buoyancy calculations for tank/ um chamber
31.En ' eer to ins ect and c " soils: wall: commercial: ;
32.Engineer/Re ' tered Sanitarian and Land Surve or stam s/signature �,_...-� �
33.H-201oading is subject to vehicular traffic, groundwater :_......-- ; ;
34.Title V A lication and ermit fee, installer signature �,,,_,,,,� �
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 groundwater in Assessor's Ma �
Plan reviewed by: �J wos�os
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