HomeMy WebLinkAboutReview Checklist� �
i _ �'Z� /� TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST
' Location: A.M. I�� Lot � Zone of Contribution: In Out�Acreage
� .� Co Residential: �
Street: ,
Village: Floor Plan: ' Bedrooms:�` _
i /�,
I Owner:����� ./t��/ / Installer: �>�,�$'/
Address: Phone: � � �
Phone:
` ` �Builder: Engineer: /
Address: Phone: - S � �
Phone: .- ' , '�, i�'..�.� �T�'f�!.�'�� �
_/�. G _ '�'
N/A YES NO
l.R uired#of co ies received
2.Date of soils e�m and ercolation test not older than 2 years
3.4-5 ft of natura.11 occurrin ervious material, above water ta.ble �-�
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 indicated and shown-NGVD if near wetlands
7. S tic tanlc minimum 10 ft from foundation, deck Var.:
8.Leaching minimum 20 ft full, 15 ft cra.wl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.: ,�_
10.Leaching minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from ro line Var.: �/
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum hi oundwat V .. •
14.Leachin set 4-5 ft above adj.water or bo m of test e ar.:
15. S stem not in to or subsoil(A,B horizons or 5'rem
16.Pro sed contours are suita.ble
17.S stem meets slo e r uirements-min. 1/8", '/4" referred
18. S stem meets breakout re uirements PVC liner: Wall:
19. S ified tee sizes are ro er, as baffle on outlet tee
20. Sewa e is under 10,000 d for arcel
_ 21.No arba 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 cha.mber cover to ade
25.Ins tion on lastic chambers/leach field
26.Electrica.l ermit for um chamber/S arate meter for du lexes ��
27.P system-2"line,weep hole,check valve,tee in dbox, ump size �-�'
28. S tic tank/ um chamber to be factory wat roofed ✓
29.Vent rovided if leaching below 3 fcet,under drivewa / arkin
30. Buoyanc calculations for tank/pum chamber �../
31.En ' eer to ins ect and cert' soils: wall: commerciaL•
32.Engineer/Registered Sanitaria.n and Land Surv or stam s/si ture
33.H-201oading is sub'ect to vehicular traffic, groundwater �
34. Title V A lication and ermit fee, installer si ture
35.Foundation footin min.2 feet above ad'usted ound water for new house �
36.Deed Restriction r uired max. #bedrooms: max. flow: d
37.Check area lots for oundwater/Label oundwater in Assessor's Ma '
Plan reviewed by: k� �o3io3