HomeMy WebLinkAboutReview Checklist �z- �- - i�
TOWN OF YARMOUTH
- SEWAGE PLAN REVIEW CHECKLIST '
. Zone af Contribution: In Out . crea e '
. Location: A.M. 3� Lot � 7 � _ L�' g �,,,.
q Commercial: Residential: ;
Street: �/ '� � � '
Village: Floor Plan: #Eedrooms: j
� � ° � �' � I
o��: �Sr�li�:
Address: Phone: -� �� D�p
Phone: - ��� , �����%`„•-���S�l�dj°��ly'l��
� ��Builder: Engineer: '
Address: Phone: �'7 �-' 3���/�.�'S^ 7
,�` / �.��`��� .2 � ��`���,
� Phone: _- /l/�' � �,� � ��
��-
N/A YES NO
l.Re uired#of co ies received
2.Date of soils exam and percolation test not older than 2 ears �
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.: ` G ` �
6.Benchmark indica.ted and shown-NGVD if near wetlands 1.-:--�'
7. S 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.Leachin minimum 150 ft from drinking we1U25 ft irrigation well Var.:
11.Tank/leaching minimum 10 ft from ro line Var.:
12.S stem meets all other setback r uirements Var.: �--�
13.Uses ad'ustment for maximum hi oundwater Vax.: �✓ -
14.Leaching set 4-5 ft above adj.water or bottom of e Var.: L'�� ` � �--� '
�
15. System not in to or subsoil(A,B horizons)or 'remov
16.Pro osed contours are suitable .� ° �"�" � � -l�� �� �---'��� �-�
17. S stem meets slo e re uirements-min. 1/8", '4" referred '
18. S stem meets breakout re irements PVC liner• ' � . alL• •
19. S ecified tee sizes are proper, as baffle on outlet tee
20. Sewa e is under 10,000 d for arcel `--
21.No arba e dis osal
- � 22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox �.--/�
, 24.Manhole covers within 6"of grade, um chamber cover to ade �-�
� 25.Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum system-2" line,wee hole,check valve,tee in dbo� um size ��
28. S tic tank/pum chamber to be factory wat roofed .��
29.Vent rovided if leaching below 3 feet,under driveway/ arking
30.Buoyancy calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commercial: ,
� 32.Engineer/Registered Sanitarian and Land Surveyor sta.m s/si ture �--�''!
; 33.H-201oadin is sub'ect to vehicular trai�c, groundwater
34.Title V A lication and ermit fee, installer signature
�' 35.Foundation footin min.2 feet above adjusted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow: d
� 37.Check area lots for oundwater/Label groundwater in Assessor's Ma
± �/1'✓S_�_- 6/03/03
; Plan reviewed by: