HomeMy WebLinkAboutReview Checklisti n�
��T
�" TOWN OF YARMOUTH
• SEWAGE PLAN REVIEW CHECKLIST
Locarion: A.M.�_ Lot �� ZoneofContribution: In_ Out� Acreage
/� �/ ��pj,/ Commercial: Residential:�
Street: �7 [ a'I.S����-
Village:_��,J!/'. Floor Plan: #Bedrooms:�
Owner: ��/�G/ (�"�� Installer: �/�l / � C_SYd/�"��
Address��'��, �ew/ . � a` Phone: '�? - Z - ?
Phone:
Builder: ����/ Engineer: �j��� �/�GiG�1
Address: Phone: //�
Phone: -7�/- Z��-
N!A YES O
1.Requ'ved#of co ies received
2. Date of soils exam and ercolation test not older than 2 ears v�
3. 45 ft of naturall occurrin ervious material, above water table �/
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Vu.: `�
5. Water line 10 ft from s tic com onents Vaz.: '
6. Bencl�mark indicated and shown-NGVD if near wetlands
7. S ric tank minimum 10 ft from foundation, deck Vaz.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9. Leaching minimum 100 ft from wetlands Var.:
10. I,eachin minimum 150 ft from drinkin well/25 ft irrigation well Vaz.:
11. Tank/leaching minimum 10 ft from ro line Vaz.:
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum high groun Vax..;
14. I,eachin set 4-5 ft above adj. water or ttom of test ole az.:
15. S stem not in to or subsoil(A,B horizo )or 5' rem ��
16.Pro osed contows are suitable
17. S stem meets slo e r uirements-min. 1/8", Y<" referred
18. S stem meets breakout re uirements PVC liner: all:
19. Spec�ed tee sizes aze ro er, gas baffle on outlet tee
20. Sewage is under 1 Q000 for arcel '
21.No bage 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 e, um chamber cover to gade
25.Ins tion on la stic chambers/leach field
26. Electrical ermit for um chamber/S azate m�er for du lexes /
27.Pum stem-2" line,wee hole,check valve,tee in dbo�pum size
28. Septic tauk/pum chamber to be facto waterproofed
29.Vent rovided if leachin below 3 feet,under driveway/pazkin
30.Buoyanc calcula6ons for tank/ ump chamber
31.E ' eer to ins ect and cert soils: wall: commercial:
32.En ' eer/Registered Sanitarian and Land Surv or stam s/si ature
33.H-201oading is sub'ect to vehiculaz traffic, groundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundation footing min. 2 feet above adjusted gound water for new ouse
36.Deed Restriction r uired max. #bedrooms: max. flow: d
37.Check azea lots for groundwater/Label oundwater in Assessor's Map
Plan reviewed by: � �ro3