HomeMy WebLinkAboutReview Checklist' - 2 � -/ �
� � / TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M. �� Lot� Zone of Contribution: In Out -� Acreage
Commercial: Residential: -�
( Street:
Village: Floor Plan: �/� #Bedrooms: �
Owner: ��GV�� Installer:
Address: Phone: �p - �,d� --' �l�_
Phone:
Builder: Engineer:
Address: Phone: � -
Phone: �
-��'� �, r'-�
N/A YES NO
1.Required#of copies received c/
2. Date of soils e�.m and ercolation test not older than 2 ears L-�
3.4-5 ft of naturall occurrin ervious material, above water table
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.: �
5.Water line 10 ft from s tic components Var.:
6.Benchmark indica.ted and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ��'
9.Leaching minimum 100 ft from wetlands Vax.:
10.Lea.ching minimum 150 ft from drinkin we1U25 ft irrigation well Var.: c�
11.Tank/leachin minimum 10 ft from ro erty line Var.: �/
12. S stem meets all other setback r irements Var.:
13.Uses adjustment for maxirnum high groundwater Var.: �/
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.:
15. S stem 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", '/a" referred �----
18. System meets breakout r uirements PVC liner: Wall: �1
19. S ecified tee sizes are roper,gas baffle on outlet tee �/
20. Sewage is under 10,000 d for arcel �
- 21.No bage dis osal �,/
22. S stem ade ua.tel sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox
' 24.Manhole covers within 6"of ade, um chamber cover to ade L--�
25.Ins ection ort on lastic chambers/leach field �
26.Electrica.l ermit for uxn chamber/S arate meter for du lexes
27.Pum system-2" line,wee hole,check valve,tee in dbox,pum size `---
28. S tic tank/pum chamber to be factory wa roofed �---
29.Vent rovided if leaching below 3 feet,under driveway/ arking _ -
30.Buoyancy calculations for tank/ ump cha.mber "�-
31.E ' eer to ins ect and cert' soils: wall: commercial: �_
32.Engineer/Re ' tered Sanitarian and Land Surve or stam s/signature ��
33.H-201oadin is subject to vehicular traffic, groundwater
34.Title V A lication and ermit fee, installer signature
35.Foundation footin min. 2 feet above adjusted ground water or new house
36.Deed Restriction r uired ma1c. #bedrooms: max. flow: d
37.Check area lots for groundwater/Label groundwater in Assessor's Ma
Plan reviewed by: � �03�0�