HomeMy WebLinkAboutReview Checklist ������� � TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CFiECKLIST
Location: A.M.� Lot_� Zone of Contribution: In Out� Acreage
. Commercial: Residential:�b
Street:
Village: Floor Plan: �� #Bedrooms:_�
Owner: Insta.11er: ��I/!
Address: Phone: �-f' -- �
Phone:
Builder: Engineer:
Address: Phone: 3 -
Phone: � �/ � 5���
� ����� �
N/A YES NO
l.R uired#of c ies received ��/'
2.Date of soils exam and percolation test not older than 2 ears �,/
3.4-5 ft of natura occurrin ervious material,above waxer ta.ble �---�
4.Foundation 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 .�_f
7. S tic tank minimum 10 ft from founda.tion, deck Var.: f
8.Leachin 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/leachin minimum 10 ft from ro erty line Var.:
12.S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum hi oundwater Var.:
14.Leaching set 4-5 ft above adj.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 irements-min. 1/8", '/a" eferred C� ';
18. S stem meets breakout r irements PVC liner: Wall: �/ '
19. S ified tee sizes are ro er,gas baffle on outlet tee '
� 20. Sewa e is under 10,000 d 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 w�ithin 6"of ade, um chainber cover to de �.�-
25.Inspection ort on plastic chambers/leach field
26.Electrical ermit for um cha.mber/S arate meter for du lexes
27.Pum system-2"line,wee hole,check valve,tee in dbox, um size /
28.S tic ta.nk/ um chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buoyancy calculations for tank/ um chamber
31.En ' eer to ins ect and cert" soils: wall: commerciaL•
32.En ' eer/Re 'stered Sanitarian and Land Surve or s s/si ture
33.H-201oadin is sub'ect to vehicular traffc, oundwater '
34.Title V A lication and ermit fee, insta.11er si ture '
35.Foundation footin min. 2 feet above ad'usted ound water for new house '
36.Deed Restriction r uired ma.x. #bedrooms: max. flow: d ,
37.Check area lots for oundwater/Label groundwater in Assessor's Ma '
Plan reviewed by: �o3io� ':