HomeMy WebLinkAboutReview Checklist /- f''y- / c�'.
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot�UJ Zone of Contribution: In Out vAcreage�
CommerciaL• Residential: -�
Street: ��f � �/!!�'--r'/rLCGC' �. .
Village: -�Y . ��v � Floor Plan: �/� #Bedrooms:�
Owner: �7�(,� Installer: �
Address: Phone: �
Phone:
Builder: Engineer: �'�
Address: Phone: � - �- /
� ; �Phone: �- � ` t jr�'�r,e�' C=�� �`��fi�tr/t�
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N/A YES NO
1.Re uired#of co ies received U
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.Foundation 2 ft above high oint of road H.P.: Fnd: Var.: ✓
5. Water line 10 ft from septic components Var.:
6. Benchmark indica.ted and shown-NGVD if near wetlands
7. Se 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 irrigation well Var.:
11. Tank/leaching minimum 10 ft from property line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for ma�mum high groundwater Var.:
14.Leachin set 4-5 ft above adj.water or botto -a€test hole Var.:
15. System not in to or subsoil(A,B horizons or 5'remova `;
16.Pro osed contours are suita.ble
17. S stem meets slo e re uirements-min. 1/8", '/4" referred
18. System meets breakout re uirements PVC liner: Wall: L%
19. S ec�ed tee sizes are ro er, as baffle on outlet tee `./
20. Sewa e is under 10,000 gpd for arcel
21.No arbage disposal •
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 grade, ump chamber cover to ade •--1' �
25.Inspection ort on lastic chambers/leach field
26.Electrical erxnit for uxn chamber/S arate meter for du lexes ---
27.Pum system-2" line,wee hole,check valve,tee in dbo� ump size
28. S tic tank/pump chamber to be factory wat roofed "
29.Vent rovided if leaching below 3 feet, under driveway/ arking '
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/si ture
33.H-201oading is subject to vehicular tr�c, groundwater
34. Title V A lication and permit fee, installer si ture � `
35.Foundation footing 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 groundwater/Label oundwater in Assessor's Ma
Plan reviewed by: aY�;�:,"
6/03/03