HomeMy WebLinkAboutReview Checklist / ��� �� TOWN OF YARMOUTH
` SEWAGE PLAN REVIEW CHECKLIST
Loca.tion: A.M.� Lot o � Zone of Contribution: In Out�Acreage
� �� Commercial: Residential:�'/
Street: �
Village: • Floor Plan: � #Bedrooms:
Owner: or /���� Installer: �
Address: T� Phone: " � ��/
Phone:
Builder: Engineer: ` �
Address: Phone: - Z�
Phone:
N/A YES NO
1.Required#of co ies received
2.Date of soils exam 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 septic com onents Var.: �.-=�
6.Benchmark indica.ted and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from founda.tion, deck Var.: �---�
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ��
9.Leachin minimum 100 ft from wetlands Var.:
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11.Tank/lea.chin minimum 10 ft from ro erty line Var.: L�
12.S stem meets all other setback r uirements Var.: �--'
13.Uses ad'ustment for maximum high groundwater Var.:
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.: ��_____.-
15. System not in to or subsoil(A,B horizons)or 5'removal �.---�
16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/4" referred ��
18. S stem meets breakout requirements PVC liner: Wall: �---_
19. Specified tee sizes are ro er, s baffle on outlet tee
' 20. Sewa e is under 10,000 gpd for arcel
21.No ba 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, um cha.mber cover to ade �--�
25.Ins ection rt on lastic chambers/lea.ch 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 .
28.Septic tank/ um chamber to be factory wa roofed
29.Vent rovided if leaching below 3 feet,under drivewa / azkin
30.Buoyanc calculations for ta.nk/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Re ' tered Sanitarian and Land Surveyor stam s/si ture �.�
33.H-201oadin is sub'ect to vehicular traffic, groundwater
34.Title V A lication and ermit fee, insta.11er si ture �-
35.Founda.tion footin min. 2 feet above adjusted ground water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow: d
37.Check area lots for oundwater/Label groundwater in Assessor's Ma
Plan reviewed by: ��. �o3�oa