HomeMy WebLinkAboutReview Checklist " �''/ � �/ TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M. �I' � Lot �/ � Zone of Contribution: In_ Out� Acreage
/� �, „/�_ Commercial: Residential:�_
Street: s !�(=(�CJ'C�L/� �
Village: /i!i- /',//' Floor Plan: �� #Bedrooms:��
Owner: .JDU///I � /n-�;y-t.� > Installer: �
Address: � Phone: '
Phone:
Builder: Engincer: �) �/ip
Address: Phone: U - � - �j/�
Phone: J!F �'�� �,��'/' Cx <J
� � /
..� f�f� 7�, t�E-.e:� .�i uC�r'lt
N/A YES NO
1. R uired# of copies received , /
2. Date of soils exam and ercolation test not older than 2 years
3. 45 ft of naturall occurrin ervious material, above water table �
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from septic com onents Var.:
6.BencUmark 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 fr crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Vaz.: `�
10.Leaching minimum 150 ft from drinkin welU25 ft irrigation well Vaz.:
11. Tank/leaching iuinimum 10 ft from ro line Vaz.:
12. S stem meets all other setback r uirements Vaz.:
13. Uses ad'ustment for maximum hi oundwater Vaz.:
14. Leachin set 4-5 ft above ad'.water or botto tes;hole az.: ��
15. S stem not in to or subsoil(A,B horizons)0 5'removal
16.Pro osed contours aze suitable ,�
17. S stem meets slo e re uirements-min. 1/8", '/<" eferred
18. System meets breakout r iremenu PVC liner:�f i;^ all:
19. S �ed tee sizes aze roper, s baffle on outlet tee -
20. Sewage is under 10,000 for arcel
2 L No bage dis osal
22. S stem ad uatel sized for its intended use �.i
• 23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of ade, pum chamber cover to e ��
25.Ins ection ort on plastic chambers/leach field `�
26. Electrical ermit for wn chamber/S azate meter for du lexes ✓
27.P s stem-2" line,wee hole,check valve,tee in dbox, um size ✓
28. S tic tauk/ um chamber to be facto wat roofed
29.Vent rovided if leachin below 3 feet, under driveway/ azkin
30.Buoyancy calculations for tank/ um chamber /
31. En ' eet to ins ect and cert' soils: wall: commercial:
32. En 'neer/Registered Sanitarian and Land Surv or stam s/si ture
33. H-20 loadin is sub'ect to vehicular traf£c, groundwater
34.Title V A lication and ermit fee, installer si ature
35.Foundation footin min. 2 feet above ad'usted ground water for new house
36.Deed Reshriction r uued ma�c. #bedrooms: � . flow: d
37. Check azea lots for oundwater/Label oundwater in Assessor's Map
Plan reviewed by:_ ��% sro3ro,