HomeMy WebLinkAboutReview Checklist i���,�i� _
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST °
Location: A.M. �� Lot Z- Zone of Contribution: In Out � Acreage
Commercial: Residential: �/
Street: G! �
Village: Floor Plan: #Bedrooms:
Owner: ��.`�,�/! ��l�/�9.-l�� Insta.11er: �G� cr' c����C.�
Address: Phone: �
Phone: c�'� �L� � �
- -�'�� ! �u�C����ll"`
Builder: Engineer: �
Address: Phone: ' - :�'
Phone: -/lf d�'...E",� /. S� -�'�� � �
� ��� ��`S
N/A YES NO
l.R uired#of co ies received .
2.Date of soils exam and percolation test not older than 2 years ��
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.: L/
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 Var.:
10.Leaching minimum 150 ft from drinking welU25 ft irri ation well Var.:
11.Tank/leachin minimum 10 ft from ro erry 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 ad'.water or botto of test le Var.:
15.System not in to or subsoil(A,B horizons) r 5'remov '�.�'`
16.Pro osed contours are suitable 2/�
17.S stem meets slo e r uirements-min. 1/8", '/4" eferred
18. System meets breakout re uirements PVC liner: all: �/��
19. Specified tee sizes are pro er, as baffle on outlet tee ��
20. Sewa e is under 10,000 d for arcel �
21.No garba e dis osal
22. S stem ade uatel sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox �
24.Manhole covers within 6"of grade, ump chamber cover to ade
25.Inspection 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 dbo� um size �.�
28. Septic tank/ um chamber to be factory waterproofed �`._�
29.Vent rovided if leaching below 3 feet,under drivewa / arkin
30.Buoyancy calculations for tank/ u chamber �-�
31.En ' eer to ins ect and cert' soils: wall: commercial: •
32.Engineer/Registered Sanitarian and Land Surveyor stam s/signature
33.H-201oadin is subje�t to vehicular traffic, groundwater
34.Title V A lication and ermit fee, installer si ture
35.Founda.tion footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow: d
37.Check area lots for groundwater/Label groundwater m Assessor's Ma
Plan reviewed by: (�i �03�03
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