HomeMy WebLinkAboutReview Checklist� �✓�/J �
� TOWN OF YARMOUTH
�
' SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.___�� Lot �� � Zone af Contribution: In Out �Acreage
� Commercial: Residential: �G
Street:
Village: Floor Plan: � #Bedrooms: �-.
� Owner: -� Insta ller: �
Address: Phone:
Phone:
Builder: Engineer: --�
Address: Phone: > - �'
� ���Phone: ' ��', /. S;� ���5�. �, ����� 7i
� '� �� U
N/ YES NO
l.Required#of co ies received
2.Date of soils exam 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 septic com onents Var.: �
6.Benchmark indica.ted and shown-NGVD if near wetlands '
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: '' ��
10.Leachin minimum 150 ft from drinking welU25 ft irriga.tion well Var.:
11. Tank/leaching minimum 10 ft from ro erty line Var.: C�
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum hi groundwater Var.:
14.Leaching set 4-5 ft above ad'.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 uirements-min. 1/8", 1/4" eferred c..i'''
18. S stem meets breakout re uirements PVC liner: Wall:
19. S ecified tee sizes are ro er, as baftle on outlet tee
20. Sewa e is under 10,000 d for arcel
21.No bage dis osal
n 22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or compacted below ta.nk and dbox
24.Manhole covers within 6"of ade, um chamber cover to ade .
� 25.Ins ection ort on lastic chambers/leach field
26.Electrica.l ermit for um chamber/S arate meter for du lexes
27.Pum system-2" line,wee hole,check valve,tee in dbox,pump size
28. Septic tank/pum chamber to be factory waterproofed �"
29.Vent provided if lea.chin below 3 feet,under driveway/ arkin J
30.Buoyancy calculations for tank/pump chamber :/'
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surve or stam s/signature ��
33.H-20 loadin is sub'ect to vehicular traffic, oundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundation footing 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 in Assessor's Ma
Plan reviewed by: ` �` s�o3io�