HomeMy WebLinkAboutReview Checklist� TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
I,ocation: A.M. LL� Lot / J Zone of Contribution: In�Out_ Acreage�_
. Commercial: Residential:
Street: .�
Village: � Floor Plan: L� #Bedrooms:�_
Owner: � � Instailer: lL S
Address: Phone: �.- 7
Phone:
i
Builder: Engineer: <�7/LC-e� [ _ y//�'1
Address: Phone: � -
Phone:
�
N/A YES NO
1.Re uired#of co ies received
2. Dafe of soils eacam and ercolation test not older than 2 ears
3. 4-5 ft of naturall occurrin ervious material,above water table �/
4.Foundation 2 ft above hi int of road H.P.: Fnd: Var.:
5. Water line 10 ft from s iccom onents Vaz.: ��
6.Benchmark indicated and shown-NGVD if near w�lands �/
7. S tic tank minimum 10 ft from foundarion,deck Vaz.:
8.L,eaching minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.: `/
9.Leachin minimum 100 ft from wetlands Vaz.:
10.L,eachin minimum 150 ft from drinkin we1U25 ft irri tion well Vaz.:
11.Tank/leachin minimum 10 ft from ro line Vaz.:
12. S stem m�ts all other setback uirements Var.:
13.Uses ad'ustment for maximum hi oundwater Vaz.:
14.Leachin set 4-5 ft above ad'. water or bottom of test hole Vaz.:
15. S stem not in or subsoil(A,B horizons or 5' removal
16.Pro sed contours are suitable
17. S stem meets sl e r uirements-min. 1/8", '/." eferred
18. S stem meets breakout uirements PVC liner: Wall:
19. S ec�ed tee sizes are r , baffle on outlet tee
20. Sewa e is under 10,000 for azcel
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 chamber cove�to e
25. ion on lastic chambers/leach field
26. Electrical ermit for um chamber/S arate meter for du lexes �/
27.Pum stem-2" line,wee hole,check valve,tee in dboac, um size �
28. S tic tank/ um chamber to be factory wa �oofed ,�
29. Vent rovided if leachin below 3 fe�,under drivewa / azkin
30.Buo ancy calculations for tank/ um chamber
31.En ' e�to ins ect and c ' soils: wall: commercial:
32.En ' eer/Re 'stered Sanitarian and Land Surv or stam s/si ture
33. H-201oadin is subject to vehicutaz Vaffic, oundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36. Deed Restriction uired matc. #bedrooms: max. flow: d
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
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Plan reviewed by: � bro;ro3