HomeMy WebLinkAboutReview Checklist -3�i�--r-� �
TOWN OF YARMOUTH :
SEWAGE PLAN REVIEW CHECKLIST ' , '
Location: A.M. �Z-- Lot/Z--� Z- Zone of Contribution: In Out��creage
Commercial: ,/ Residential: ,
Street: �� � �
Village: �L ' � Floor Plan: #Bedrooms:
Owner: l�.� -�C l � /Z�Installer: � f
� I
Address: Phone:
Phone: t � s� � •� ?�j • ��� �
�� ��' � ��'� /� � �i�, �
Builder: Engm�': � � �� - �i
Address: Phone:
Phone: , ����� ty'�G�'' i���7 �� �
,� - , �2���` �
� N/A YES NO
l.Required# of copies received '
2.Date of soils e�m and ercolation test not older than 2 ears �-�
3.4-5 ft of naxurall occurrin ervious material, above water table L--�
4.Founda.tion 2 ft above high int 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. Se tic tank minimum 10 ft from founda.tion, deck Var.: '� !
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8.Leaching mini.mum 20 ft full, 15 ft crawl, 10 ft slab Var.: - ��`
9.Leaching minimum 100 ft from wetlands Var.: `-�
10.Lea.ching minimum 150 ft from drinking welU25 ft irri ation well Var.: '�--�''
11.Tank/lea.ching minimum 10 ft from roperry line Var.:
12.S stem meets all other setback r uirements Var.: �
13.Uses adjustment for maximum hi groundwater Var.: �' � '�'
14.Leaching set 4-5 ft above adj.water or bottom s e Var.: .
15. System not in top or subsoil(A,B horizons) r 5' remov 1
16.Pro osed contours are suitable
17.S stem meets slo e re uirements-min. 1/8", '/4" referred
18. S stem meets breakout requirements PVC liner: Wall:
19. Specified tee sizes are ro er, gas baffle on outlet tee ,
20. Sewage is under 10,000 d for parcel
21.No garba e disposal
22. S stem ad uatel sized for its intended use '
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of grade, um chamber cover to grade
25.Inspection ort on plastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pump system-2" line,weep hole,check valve,tee in dbox, um size
28. S tic tank/ ump chamber to be factory waterproofed
29.Vent provided if leaching below 3 feet,under driveway/ arking
30. Buoyancy calculations for tank/ um chamber
31.En ' eer to ins ect a.nd c ' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surveyor stam s/signature
33.H-201oadin is sub'ect to vehicular trai�c, oundwater
34.Title V A plication and ermit fee, installer signature
35.Foundaxion footin min.2 feet above adjusted ground 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: �osro3