HomeMy WebLinkAboutReview Checklist /- S ���
_ TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
• Location: A.M. 7� Lot �� Zone of Contribution: In Out l-Acreage
Commercial: Residential:
Street: � / G ,�(.Zt./iJ� � / �2
Village: � ��., Floor Plan: V #Bedrooms: V
Owner:� /�aC(�1 /��1� Installer: �C0 � !��
Address: Phone: S(�' -19 -' � C�
Phone:
Builder: Engineer: ��,c�.ivr l�,?dl�
Address: Phone: ��&' -�,�� - %��
Phone: � - �'. ,-r 1� ��� , -��.},-_'� /1-';,"� r'�"C �
�
N/A YES NO
1.R uired#of copies 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 8 above high oint of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s tic com onents Vaz.: `�
6. Benclimark indicated and shown-NGVD if near wetlands �/
7. S tic tank minimum 10 ft from foundation, deck Vaz.: �:/
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.: �
9. Leaching minimum 100 ft from wetlands Var.:
10. Leaching minimum 150 ft from drinking welU25 ft irri tion well Vaz.:
11.Tank/leachin minimum 10 ft from roperly line Vaz.:
12. S stem meets all other setback r uirements Var.:
13. Uses ad'ustment for maacimum high oundwater Vaz.:
14. Leaching set 4-5 ft above ad'.water or botto o test ho ,Vaz.:
15. System not in to or subsoil(A,B horizons) S remov
16.Pro sed contows aze suitable
17. S stem meets slo e r uirements-min. 1/8", YI' referred
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes aze ro er, gas baffle on outlet tee �,'
20. Sewa e is under 10,000 gpd for azcel
21.No garba e dis osal ��
22. S stem ade uatel sized for its intended use �j
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of ade, um chamber cover to grade ✓
25. Ins tion ort on plastic chambers/leach field
26. Electrical ermit for um chamber/S azate meter for du lexes �/
27.Pum stem-2" line,weep hole,check valve, tee in dboac, um size ✓
28. S tic tank/ ump chamber to be factory wat roofed
29. Vent rovided if leaching below 3 feet, under drivewa / azking
30. Buoyanc calculations for tank/pum chamber �
31. En ' eer to ins ect and cert� soils: wall: commercial: `/
32. Engineer/Registered Sanitarian and Land Surveyor stam s/si ture �/
33. H-20 loadin is sub'ect to vehicular tr�c, oundwater
34. Title V A lication and ermit fee, installer si ture
35. Foundarion footin min. 2 feet above adjusted ound water for new house
36. Deed Restriction r uired ma�c. #bedrooms: max. flow: d
37.Check area lots for groundwater/Label oundwater in Assessor's Ma
Plan reviewed by:
vo;ro3