HomeMy WebLinkAboutReview Checklist . r_z� -�;�.
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
. Location: A.M.�,� Lot 9 � Zone of Contribution: In Out�Acreage
Commercial: ResidentiaL•�
Street: � � �
Village: !� Floor Plan: / #Bedrooms:
�
Owner: �(p��.5 �1.�'G� P� Insta.11er: X.�.� �
Address: � Phone: �
Phone: � � ��,/� • �
/�.
Builder: Engineer: '� f
Address: Phone: �j�7 " � �
Phone: ;,,/f,� ��,. : / S-� S �j �,`,
., d � �Zi ( ' < � 1�fGV � %`�/z"l�/:
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 occunin ervious material, above water table
4.Founda.tion 2 ft above high 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. Se tic tank minimum 10 ft from foundation, deck Var.: �,�
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �
9.Leaching minimum 100 ft from wetlands Vax.:
10.Lea.chin minimum 150 ft from drinkin welU25 ft irrigation well Var.:
11.Tank/leachin minimum 10 ft from roperty line Var.: -✓
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum hi oundwater Var.:
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Vaz.:
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" eferred ��
18. S stem meets breakout requirements PVC liner: Wall: L�
19. S ecified tee sizes are proper, gas baffle on outlet tee
20. Sewa e is under 10,000 d for arcel
: 21.No garbage disposal
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 grade, um chamber cover to ade
25.Inspection ort on lastic chambers/leach field ��
26.Electrica.l ermit for um chamber/S arate meter for du lexes ��
27.Pum stem-2" line,wee hole,check valve,tee in dbo� um size
28.S tic tank/pum chamber to be factory waterproofed
29.Vent rovided if leachin below 3 feet,under drivewa / arkin
30.Buoyancy calcula.tions for tank/pump cha.mber `�
31.E ' eer to ins ect and cert' soils: wall: commerciaL• �._.
32.En ' eer/Registered Sanitarian and Land Surveyor stam 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: maar. flow: d -
37.Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by: �C�1 6/03/03