HomeMy WebLinkAboutReview Checklist� g ��� -i�
� TOWN OF YARMOUTH
. SEWAGE PLAN REVIEW CHECKLIST
iLocafion: . A.M. J� 3 L,ot / 7� Zone of Contribution: In_ Out�Acreage
s � �� Commercial: Res�dential•�o
j Street: /
Village: ` Floor Plan: ✓ #Bedrooms: L
IOwner: I7Q/L(/Gzl.6t �/(es Installer: /�
Address: Phone: � - 77 s- �
Phone: �
' � ss
Builder: Engineer:
�;. Address: Phone: � - - �j ,[
Phone:
,✓Y tf ��f��� ? /'Y'l L�alt'�
N/A - NO
1.Required#of co ies received
2. Date of soils e�cam and ercolation test not older than 2 years
3. 4-5 ft of naturall occurrin ervious material,above water table
4.Foundation 2 ft above lu oint of road H.P.: Fnd: Vaz.: '
5. Water line 10 ft from s tic com onents Vaz.: L/
, 6.Benc6mark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Vaz.:
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9.I,eaclvn minimum 100 ft from wetlands Vaz.: .�
10.I,eachin minimum I50 ft from driukin weIU25 ft irri ation well Vaz.:
11. Tank/leaching minimum 10 ft from roperry line Vaz.:
12. S stem meets all other setback r uirements Vaz.:
13.Uses adjustment for maximum high oundw Var.:
14.I,eaching set 4-5 ft above ad'.water or bo of test hole Vaz.:
15. S stem not in to or subsoil(A,B horizons)o '
16.Pro sed contours aze suitable
17. S stem meets slo e r uirements-min. 1/8", '/a" referred
18. S stem meets breakout re uirements PVC liner: Wall:
19. S �ed tee sizes aze ro , baftle on outlet tee `/
20. Sewa e is under 10,000 d for arcel
• 21.No ba 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 ade �� ,
25.Ins ection ort on lastic chamb�s/leach field '
26. Electrical ermit for um chamb�/S ate meter for du lexes `�
27.Pum system-2" line,w hole,check valve,tee in dboac, um size
28. S 'c tauk/pump chamber to be factory wat roofed
29.Vent rovided if leachin below 3 feet, under drivewa / azkin ✓
30.Buo ancy calculations for tank/pum chamber
3I. En ' eer to ins ect and c ' soils: wall: commercial:
32.En 'neer/Registered Sauitazian and Land Surveyor stam s/si ture
33. H-201oadin is subject to vehicular traffic, oundwatet �1 !
34.Title V A lica6on and ermit fee, installer si ature _� ,
35.Foundarion footing min. 2 feet above adjusted ound water for new house �
36. Deed Restriction r uired ma�c. #bedrooms: max, flow: d
37.Check azea lots for oundwater/L,abel oundwater in Assessor's Ma
Plan reviewed by: �' �ro3