HomeMy WebLinkAboutReview Checklist /�� � i�
. TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
� ,,
= Location: A.M. 76 Lot / Zone of Contribution: In Out Acrea e
� - g
CommerciaL• ResidentiaL•
Street: 2�'� C�./�� ��-� `�C�1`T"'� ��'��
Village: S, �c� Floor Plan: t�_ #Bedroo � ,�
Owner: ��(/J Ins#aller: /'����� �SC� i'1�t�'G -�,�i�'�/ll�'1
Address: Phone: � -�'S--
Phone: � - �
�-- �ll�� ���� ll�� � r
� �
Builder: Engineer: _S'
Address: Phone: p -� � '' /
Phone: --�G'l l[i -�''�� r
� ��
' N/A YES NO
1.R uired#of co ies received
' 2.Date of soils exa.m and ercolation test not older than 2 ears
3. 4-5 ft of natura occurrin ervious material, above water ta.ble
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Vaz.: i
6.Benchmark indica.ted and shown-NGVD if near wetlands �
7. S tic tank minimum 10 ft from founda.tion, deck Var.:
' 8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: '
9.Leachin minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinkin welU25 ft irrigation well Var.:
11.Tank/leachin minimum 10 ft from ro line Var.: `�
12. S stem meets all other setback r uirements Vaz.:
13.Uses ad'ustment for maximum hi oundwater Var.: t_-� �
14.Leaching set 4-5 ft above ad'.water or bottom of test hole Var.: - !
15. S stem not in to or subsoil(A,B horizons)or 5'removal ��
16.Pro sed contours are suita.ble
�
17. S stem meets slo e r irements-min. 1/8", '/4" referred �-� j
18. System meets breakout r irements PVC liner: Wall: �
19. S ecified tee sizes aze ro er, gas baffle on outlet tee �
20. Sewa e is under 10,000 d for arcel �.� !
21.No ba. e dis osal � � � �� � � I
22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox ,,,��
: 24.Ma.nhole covers within 6"of ade, um cha.mber cover to e '
25.Ins ection rt on plastic chambers/leach field
26.Electrical ermit for um cha.mber/S arate meter for du lexes
27.Pum stem-2"line,wee hole,check valve,tee in dboar, ump size
28. S tic tank/p cha.mber to be facto waterproofed /"�
29.Vent rovided if leachin below 3 feet,under driveway/ arkin '
30.Buoyancy calcula.tions for tank/pum cha.mber /
31.En ' eer to ins ect and cert' soils: wall: commerciaL•
32.E ' eer/Re ' ered Sanitaria.n 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.Foundation footin min. 2 feet above ad'usted ground water for new house �
i
36.Deed Restriction r uired max. #bedrooms: ma�c.flow: d ;
�
37.Check area lots for oundwater/Label oundwater in Assessor's Ma '
Plan reviewed by: �=�-'f I _ wo3ros