HomeMy WebLinkAboutReview Checklist �'�� � � ' � ���-��,��
� TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST �ll�` 'J ����1�`�
, � �/ /�r
Location: A.M.�_ Lot �� Zone of Contribution: In Out Acreage �. ��1�zij't�-�
Q Commercial: Residential:�
Street: --
Village: l� Floor Plan: � #Bedrooms:�_
Owner: �ti%2%�'� </G2� Installer: �
- Address: -��T�� Phone: `
Phone: ✓ ���� ��, ���
Builder: Engineer: .� �1'
Address: Phone: - - L
Phone: � �,+ . C�'� ;� 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 years
3.4-5 ft of natura occurrin ervious material, above water ta.ble �.i
4.Founda.tion 2 ft above hi int of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.:
6.Benchmark indica.ted and shown-NGVD if near wetlands �^
7. S tic tank minimum 10 ft from foundation, deck Var.: -�f
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.: �' �_
10.Lea.ching minimum 150 ft from drinkin welU25 ft irri ation well Var.:
1 l.Tank/leachin minimum 10 ft from ro erty line Var.: �i^
12. S stem meets all other setback r uirements Var.: �.�-
13.Uses ad'ustment for maximum high oundwater Var.:
14.Leachin set 4-5 ft above ad'.water or botto esfl'io�e Var.:
15.S stem not in to or subsoil(A,B horizons) r 5'remo
16.Pro sed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/4" referred
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes are ro er, as baffle on outlet tee
20. Sewa e is under 10,000 for arcel ��
_ 21.No ba e dis osal �,,,
22. S stem ad uatel sized for its intended use `,�� ;
23.Minimum 6"stone or com acted below tank and dbox �,� '
' 24.Manhole covers within 6"of ade, um chamber cover to ade �'
25.Inspeetion ort ott la.stic chambers/leach field
26. Electrical ermit for um chamber/S arate meter for du lexes '
27.Pum system-2"line,weep hole,che�k valve,tee in dbo� um size �
28. S tic tank/pump chamber to be factory wat roofed •`./
29.Vent rovided if leachin below 3 feet,under drivewa / arking
30. Buoyancy calculations for tank/pum chamber ,`�
31.En ' eer to ins ect and cert' soils: wall: commercial: �
32.En ' eer/Re 'stered Sanitarian and Land Surveyor stam s/si ture , �
33.H-201oading is sub'ect to vehicular tr�c, oundwater
34.Title V A lication and ermit fee, installer signature f
35.Founda.tion footing min. 2 feet above adjusted ound water for new house �
36.Dead Restriction r uired max. #bedrooms; max, flow; d ,
37. Check area lots for groundwate�/Label groundwater in Assessor's Map
Plan reviewed by: ( (��� wo3io3