HomeMy WebLinkAboutReview Checklist ���{����
TOWN OF YARMOUTH ��l��"�`/ ��i�-�L,�-
- SEWAGE PLAN REV�W CHECKLIST
Location: A.M. � Lot Z � Zone of Contribution: In Out�Acreage �-�.
• /� Commercial: ResidentiaL• '
Street: �
Village: �i Floor Plan: ;./� #Bedrooms: '
Owner: �_ Insta.11er: �'
Address: Phone: ' 7
Phone:
, Builder: Engineer: �
Address: Phone:
Phone: � �C��� / S'f; '�� ��'
N/A YES NO
l.R uired#of co ies received
2.Date of soils exam and ercolation test not older than 2 ears �
3.4-5 ft of naturall occurrin ervious ma.terial,above water ta.ble �.�'
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 indica.ted a.nd shown-NGVD if near wetlands `
7. S tic tank minimum 10 ft from founda.tion, deck Vaz.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.: �-�-
9.Leachin minimum 100 ft from wetlands Var.: --�'
10.Lea.ching minimum 150 ft from drinking welU25 ft irrigation well Var.: �
11.Tank/leaching minimum 10 ft from ro erry line Var.: ��
12. S stem meets all other setback r uirements Var.: �..--'
13.Uses adjustment for m�ximum hi oundwater Var.: •
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Vaz.:
15. S stem not in top or subsoil(A,B horizons)or 5'removal '
16.Pro osed contours are suita.ble ��
17. S stem meets slo e r uirements-min. 1/8", '/4" referred ��--
18. System meets breakout re uirements PVC li.ner: Wall: ;
19. S ec�ed tee sizes are ro er, as baffle on outlet tee
20. Sewage is under 10,000 gpd for arcel �_ '
i
21.No garba e dis osal �� ,
` 22. S stem ad ua.tel sized for its intended use �.�
23.Minimum 6"stone or com acted below tank and dbox ��
24.Manhole covers within 6"of ade, ump cha.mber cover to grade '
25.Inspection port on la.stic chambers/leach field
26.Electrica.l ermit for um chamber/S arate meter for du lexes - '
27.Pump system-2" line,wee hole,check valve,tee in dbox, um size
28. S tic ta.nk/ ump chamber to be factory wat roofed ;
29.Vent rovided if leachin below 3 fcet,under driveway/ arkin '
30.Buo anc calculations for tank/ ump cha.mber
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surve or stam s/si ture ,_� �
33.H-201oading is sub'ect to vehicular traffic, oundwater
34.Title V A lication and ermit fee, insta.11er signature
35.Foundation footing min.2 feet above adjusted ound water for new house i
36.Deed Restriction r ired max. #bedrooms: max.flow: d ''
37.Check area lots for oundwater/Label oundwater in Assessor's Ma �
Plan reviewed by: (�> wo3�o3