HomeMy WebLinkAboutReview Checklist //- ��'i S� ���_�--
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST i,��X- � �,���c��'�
Location: A.M. � � Lot 2� Zone of Contribution: In vPlut Acreage�� ��
� � ���� /„� Commercial: Residential: �
Street: Z i ,�
Village: Floor Plan: � #Bedtooms:
Owner: G � Installer: �'/i(
Address: Phone: � �- �
Phone: -�`7�' - 3 S� - 7 4 �
Builder: Engineer: �,���2��
Address: Phone: �
� Phone: � �� � �- r F
N/A YES NO
1.Re uired#of c ies received
2.Date of soils e�m and ercolation test not older than 2 years
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 com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.: Ls �� -�`�z
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9.Leachin minimum 1 0 ft w �
g 0 from etlands Var.:
10.Leachin minunum 150 ft from drinicin welU25 ft irri ation well Var.:
1 l.Tanlc/leaching minimum 10 ft from ro erty line Var.: �_�
12. S stem meets all other setback r irements Var.: _
' 13.Uses ad'ustment for maximum hi groundwater Var.:
14.Leaching set 4-5 ft above ad'.water or bottom of test hole Vat.: L,/'
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. System meets breakout r irements PVC liner: Wall:
19. S ecified 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 ade uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of ade, ump cha.mber cover to grade
. 25.Ins ection ort on plastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum stem-2" line,wee hole,check valve,tee in dbo� ump size ---'"-
28. S tic tank/ um chamber to be factory wat roofed
29.Vent rovided if leachin below 3 feet,under drivewa / arkin
30.Buo anc calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commercial: /
32.En ' eer/Re ' ered Sanitarian and Land Surve or s/si ture _.�
33.H-201oadin is subject to vehicular traffic, oundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundaxion footin min. 2 feet above adjusted ound water for new house
36.Deed Restriction r uired max. #bedrooms: . flow: � ,/-
37.Check area lots for oundwater/Label oundwater in:Assessor's Ma
Plan reviewed by: �,i� �o3io3