HomeMy WebLinkAboutReview Checklist . �/��/� TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
° Location: A.M._� I,ot� Zone of Contribution: In_ Out� Acreage
Commercial: Residential:�_
Street: � �
Village: Floor Plan: � #Bedrooms:�
Owner: �J����J � Installer: �
Address: Phone:
Phone:
Builder: Engineer:�i� ( (����e����
Address: Phone:
Phone: �� � ' �" C
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N/A YES NO
1.Re uired#of co ies received L/
2. Date of soils exam and ercolation test not older than 2 years
3. 4-5 ft of natural occurrin ervious material, above water table ��
4.FoundaUon 2 ft above hi oi�rt of road H.P.: Fnd: Vaz.: ��
5. Water line 10 ft from s tic com onents Vaz.: `�
6.Benchmazk indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft&om foundation, deck Vu.: ✓�
8.I,eaching minimum 20 ft ful1, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft&om wetlands Var.:
10. Leaching minimum 150 ft from drinking welU25 ft irri tion well Vaz.:
11. Tank/leachin minimum 10 ft from ro line Vaz.: �f
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 Vaz.: �/
15. S stem not in to or subsoil(A,B horizons)or 5' removal L�
16.Pro osed contours aze suitable
17. S stem meets slo e re uirements-min. 1/8", '/a" eferred �/
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes aze roper, gas baftle on outlet tee ��
20. Sewa e is und� 10,000 for arcel
21.No arba 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 chamber cover to gade ` �
25.Ins ection ort on lastic chambers/leach field L/
26.Electrical ermit for um chamber/S azate meter for du lexes
27.Pump stem-2"line,wee hole,check valve,tee in dbox, um size
28. S tic tauk/ ump chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet,under drivewa / arkin
30. Buoyancy calculations for tank/ um c6amber
3I. En � eer to ins ect and cert soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surve or stam s/si ature
33.H-201oading is sub'ect to vehicular traffic, oundwater ,/
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 uired maac. #bedrooms: ma�c. flow:
37.Check azea lots for oundwater/Label oundwater in Assessor's Map
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Plan reviewed by: i/ [} , � u�mro3