HomeMy WebLinkAboutReview Checklist � � ��7 �-�r� � Z�;� �
- TOWN OF YARMOUTH �G�� � `��
SEWAGE PLAN REVIEW CHECKLIST
' Location: A.M./� Lot �� Zone of Contribution: In COt�" Acreage ��
�- CommerciaL• Residential�
Street: �� �'ti, �, �'
Village: � Floor Pl . �' #Bedrooms: �.�j '� �
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Owner: L�O"d� Installer: � ��`✓� �
Address: Phone: `
Phone:
Builder: Engineer:
Address: Phone: � �--
Phone: _ �
%/-.�%�'c'�` ��
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N/A NO
l.R uired#of copies received
2.Date of soils exa.m and ercolation test not older than 2 years �._.---�
3.4-5 ft of natural occurrin ervious ma.terial,above water table t_.�-�
4.Founda.tion 2 ft above high int 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. Leaching minimum 20 ft fu11, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.: ---
10.Leaching minimum 150 ft from drinkin welU25 ft uri ation well Var.:
11.Tank/leaching minimum 10 ft from ro line Var.: C:---�
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum hi groundwater Var.:
14.Leachin 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 t:...,.----'
16.Pro osed contours are suitable �_,_.
17. S stem meets slo e r irements-min. 1/8", '/4" eferred `
18. S stem meets breakout requirements PVC liner: Wall: �_---
19. S ecified tee sizes are ro er, gas ba$le on outlet tee �,,,�..--
20. Sewa e is under 10,000 d for arcel
21.No ba e dis osal
22. S stem ad ua.tel 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 pla.stic chambers/leach field �..._...-
26.Electrical ermit for um cha.mber/S arate meter for du lexes �-
27.Pump stem-2" line,wee hole,check valve,tee in dbo� um size ___---��-
28. Septic tank/pum chamber to be factory wat roofed
29.�ent rovided if leaching below 3 feet, under driveway/ arkin
30.Buoyancy calculations for tank/ ump chamber -'
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Re 'stered Sanitarian and Land Surveyor stam s/si ture -
33.H-20 loadin is sub'ect to vehicular traffic, oundwater ---.._..�
34. Title V A lica.tion and ermit fee, installer si ature
35.Foundation footing min. 2 fezt above adjusted ound water for new house
36.Deed Restriction r uired max. #bedrooms: ma�c. flow: d _._ ,-
37.Check a.rea lots for oundwater/Label oundwater in Assessor's Ma '
Plan reviewed by: �r R�, �o3io3