HomeMy WebLinkAboutReview Checklist1 !
��� �S' �G:�C-��`�
TOWN OF YARMOUTH �
' SEWAGE PLAN REVIEW CHECKLIST ��k� � ��'���''J
. Location: A.M.�� Lot ,��� Zone of Contribution: In `�Out_ Acreage // S�
z� � �/�/� f CommerciaL• Residential:�_
' Street: / es�
� Village: , Floor Plan: #Bedrooms: 2_
Owner: Installer: �
Address: Phone: �
Phone: �. ., � �C�' �-L'�G�%�
Builder: Engineer:
Address: Fhone: ' � �"7' �
Phone: ._��� �, �f _
�` �-.�_c�C� '/
N/A YES NO
1.R uired#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 high oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Var.: �,J
6.Benchmark indica.ted and shown-NGVD if near wetlands �'
7. S tic tank minimum 10 ft from foundation, deck Var.: t/
8. Leachi.ng minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ,._i
9.Leachin minimum 100 ft from wetlands Var.: �._
10.Leachin minimum 150 ft from drinkin welU25 ft irrigation well Var.:
11.Tank/leaching minimum 10 ft from r line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum hi oundwater Var.: -
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: ��
15.S stem not in to or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suita.ble ,��-
17. S stem meets slo e r irements-min. 1/8", '/4" referred
18. S stem meets breakout re irements PVC liner: Wall: c.�-�
19. Specified tee sizes are ro er, as ba.ffle on outlet tee �/ '
20. Sewa e is under 10,000 for parcel �-�
21.No garba e dis osal �.i
' 22. S stem ad uatel sized for its intended use �;,/
23.Minimum 6"stone ar com acted below tank and dbox ��
. 24.Manhole covers within 6"of ade, um cha.mber cover to grade ��/
25.Ins ection ort on lastic chambers/leach field i�j
26.Electrical ermit for um chamber/S arate meter for du lexes � '
27.Pum system-2"line,weep hole,check valve,tee in dbox, um size
28.S tic tank/ um chamber to be factory wat roofed �---
29.Vent rovided if leaching below 3 feet,under driveway/parkin
30.Buoyancy calculations for tank/ um chamber �-�
31.En ' eer to ins ect and cert' soils: wall: commercial: ,/'
32.En ' eer/Registered Sanitarian and Land Surve or stam s/si ture
33.H-20 loading is subject to vehicular traffic, groundwater �
34.Title V A lication and ermit fee, insta.11er signature
35.Foundation footing min. 2 feet above ad'usted ound water for new house -
36.Deed Restriction r uired ma.x. #bedrooms: � max. flow: z -�' d
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
-7
Plan reviewed by: .� �osios