HomeMy WebLinkAboutReview Checklist • ��" � Z � � S TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
' Location: A.M. !Z� Lot '7� Zone af Contribution: In Out ✓Acreage�L
� Commercial: Residential.
Street:
Village: Floor Plan: t� #Bedrooms: 2-
Owner: Installer: J�. / - �� ':
Addres�� Phone: � Z
Phone:
Builder: Engineer: .-�d�
Address: Phone: - L - 2<P
Phone: ._.- �' � ��..� � ��� /�
`<��� = � 7� �,�� ��l��-t'����
N/A S 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 s tic components Var.:
6.Benchmark indicated and shown-NGVD if near wetlands ��,.�'
7. S tic tank minimum 10 ft from foundation, deck Var.: 1.��
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: r----'
9.Leachin minimum 100 ft from wetlands Var.: �---
10.Lea,chin minimum 150 ft from drinkin welU25 ft irri ation well Var.:
11.Tank/leachin minimum 10 ft from roperty line Var.:
12.S stem meets all other setback r uirements Var.: �,�--�'
13.Uses adjustment for maximum high oundwater Var.:
14.Leachin set 4-5 ft above adj.water or bottom es e Var.:
15. System not in to or subsoil(A,B horizons)or ' m '
16.Pro osed contours 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 ec�ed tee sizes are pro er, s baffle on outlet tee `._�`
20. Sewa e is under 10,000 for arcel '
Z 1.No garba e dis osal �---�
22. S stem ade 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.Ins ection ort on lastic chambers/leach field --
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pump system-2" line,wee hole,check valve,tee in dboar, um size
28. S tic tank/pum chamber to be factory wa roofed
29.Vent rovided if leaching below 3 feet, under driveway/ arkin �
30.Buo anc calculations for tank/pum chamber ./
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Re 'stered Sanitarian and Land Surveyor stam s/signature �✓'�
33.H-20 loading is subject to vehicular�c, oundwater
34.Title V A lication and ermit fee, installer si ture ✓
3 5.Foundation footin min. 2 feet above ad'usted ound water for new house -
36.Deed Restriction r ired max. #bedrooms: ma�c. flow: d
37.Check area lots for groundwater/Label oundwater in Assessor's Ma
Plan reviewed by: � 6/03/03