HomeMy WebLinkAboutReview Checklist1
� /- ,/-� �r
� TOWN OF YARMOUTH
; _ SEWAGE PLAN REV�W CHECKLIST
{ • Location: A.M. � / Lot�/ ? Zone of Contribution: In Out�Acreage
( - /� � Commercial: ResidentiaL• ti
� Street: f'`� � '�
Village: Floor Plan: #Bedrooms:
� � ��� ���<�
o��: �.-�- //� �S�.11�:
Address: �� Phone: �i' " �`7"� ^���
Phone:
Builder: Engineer: ��
Address: Phone: � � �'a _�G�_
Phone:
N/A YES NO
1.R uired#of copies received �--
2.Date of soils exam and percolation test not older than 2 years
3.4-5 ft of naturall occurrin ervious material, above water table
4.Founda.tion 2 ft above high oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.: ��
6.Benchmark indicated and shown-NGVD if near wetlands c..�
� 7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: �
10.Leachin minimum 150 ft from drinking welU25 ft irrigation well Var.: -
11.Tank/leachin minimum 10 ft from properry li.ne Var.:
12. S stem meets all other setback re uirements Var.:
13.Uses adjustment for maximum hi groundwater Var.:
14.Leachi.ng set 4-5 ft above adj.wa.ter or bottom of test hole Var.:
15. System not in top or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suita.ble �_i
17. S stem meets slo e r uirements-min. 1/8", 1/4" referred ��
18. S stem meets breakout requirements PVC liner: Wall: �,_
19. S ec�ed tee sizes are pro er, as baffle on outlet tee
20. Sewage is under 10,000 gpd for arcel
_ • 21.No arbage dis osal �--�
22. S stem ade ua.tel sized for its intended use v
23.Minimum 6"stone or com acted below tank and dbox
• � 24.Manhole covers within 6"of ade,pum chamber cover to grade ��-
25.Ins ection ort on plastic chambers/leach field
26. Electrical ermit for um chamber/S arate meter for du lexes
27.Pump system-2" line,wee hole,check valve,tee in dbox,pum size ,�-
28. Septic tank/ ump chamber to be factory wat roofed �--
29.Vent rovided if leaching below 3 feet,under drivewa / arkin �
30.Buoyancy calculations for tank/pum chamber
31. En ' eer to ins ect and c ' soils: wall: commercia.l: �
32.En ' eer/Registered Sanitarian and Land Surveyor stam s/signature
33.H-201oading is subject to vehicular traffic, oundwater
34.Title V A plication and ermit fee, installer si ture �..�
35.Foundation footin min. 2 feet above adjusted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow: d -
37.Check area lots for groundwater/Label groundwater in Assessor's Ma
Plan reviewed by:_ � 6/03/03