HomeMy WebLinkAboutReview Checklist 9��- ���
- TOWN OF YARMOUTH '
SEWAGE PLAN REVIEW CHECKLIST
' Location: A.M.� Lot �� Zone of Contribution: In Out( Acreage
/ Commercial: Residential:�L
Street:
Village: �/ Floor Plan: � #Bedrooms: Z--
/ �
Owner: /� //4�/ l�/�f/ Insta.11er: � �/
Address: Phone: - � L 4 �
Phone:
Builder: Engineer: J� �
Address: Phone: � ' �
Phone:
N/A YES NO
1.Required#of copies received
2.Date of soils e�cam and ercolation test not older than 2 years � -
3.4-5 ft of naturall occurrin ervious material, above water table ��
4.Founda.tion 2 ft above hi oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.: `i'
6.Benchmark indica.ted and shown-NGVD if near wetlands ��
7. S tic tank minimum 10 ft from foundation, 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 drinking 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 ad'ustment for maximum high groundwater Var.: ��-�
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 osed cotrtours 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 roper, gas baffle on outlet tee � -
20. Sewa e is under 10,000 d for arcel `� ',
� 21.No arba. 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 chamber cover to ade
25.Ins ection port on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes ��
27.Pum system-2" line,wee hole,check valve,tee in dbox, um size L.---
28. S tic ta.nk/ um chamber to be facto wa roofed ��
29.Vent rovided if leachin below 3 feet, under driveway/ arkin ��-�
30.Buo ancy calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: comm cial: .
32.Engineer/Registered Sanitarian and Land Surveyor stam s/signature C `
33.H-201oading is subject to vehicular traffic, oundwater �---
34.Title V A lication and ermit fee, installer si re �..�--
35.Founda.tion footing min.2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: ma�c. flow: d �
37.Check area lots for oundwater/Label oundwater in Assessor's
Plan reviewed by: ��� �os�os