HomeMy WebLinkAboutReview Checklist /--z � - � � �-I�,� .� ✓,'�-,G"��,�
TOWN OF YARMOUTH _c,G����j��� �'��l�i''�1��
SEWAGE PLAN REVIEW CHECKLIST I
Location: A.M. `J� � Lot ��- Zone of Contribution: In Out creage �
Commercial: ResidentiaL• �
Street: �
Village: , Floor Plan: #Bedrooms: � �
Owner: � /1l%G��u`/� Insta.11er:
Address: Phone: �" 7'7� � 7 �
Phone: � ,�;,�, " C�L�;��c:�/
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Builder: Engineer: � � ^
Address: Phone:
Phone: - �-iJ/` G1 ' �/��/6�/
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N/A YES NO
1.Required#of co ies received
2.Date of soils exam and ercolation test not older than 2 ears
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 indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, d�k Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: L�' :
9.Leaching minimum 100 ft from wetlands Var.: ,
10.Lea.chin minimum 150 ft from drinkin welU25 ft irrigation well Var.:
11.Tank/leachin minimum 10 ft from properry line Var.:
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 adj.water or bottom test h�Var.:
15. System not in to or subsoil(A,B horizons)or 'remova
16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/4" referred
18. System meets breakout re uirements PVC liner: � � all:
19. Specified tee sizes are proper, gas baffle on outlet tee
20. Sewage is under 10,000 d for parcel �/ ^
21.No garbage disposal L1
22. S stem ad uatel sized for its intended use �---�
23.Minimum 6"stone or compacted below tank and dbox '
24.Manhole covers within 6"of grade, um chamber cover to grade
25.Ins ection ort 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
28. S tic tank/ um chamber to be factory waterproofed � -
29.Vent provided if leaching below 3 feet,under driveway/ arking
30.Buoyanc calculations for tank/ ump chamber �.�
31.En ' eer to ins ect and cert' soils: wall: commercial: -
32.En ' eer/Registered Sanitarian and Land Surveyor sta.m s/signature : ,
33.H-201oading is subject to vehicular traffic, groundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundation footin min. 2 feet above adjusted ground water for new house '
36.Deed Restriction r uired max. #bedrooms: . flow: �- d ':
37.Check area lots for groundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �o3io3