HomeMy WebLinkAboutReview Checklist � �--�� -�� �
� TOWN OF YARMOUTH
_ SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M.�� �- Lot�� � Zone ofContribution: In Out ' Acreage.
q � Commercial: Residential: f-""
Street: /
Village: Floor Plan: ��-�� #Bedrooms: �
Owner: �j�lil�1�-� Installer:
Address: Phone: ( 2-- � � 5'
Phone:
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Builder: Engineer:
Address: Phone: � S�
Phone: �
< f��- c �i'''��� `�t' `.7
N/A YES NO
1.Re uired#of co ies received
2.Date of soils exaxn and percolation test not older than 2 years
3.4-5 ft of naturall occurrin ervious material,above water ta.ble �-�
4.Foundation 2 ft above high oint 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. S tic tank minimum 10 ft from foundation,deck Var.: ��
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinking welU25 ft irrigation well Var.:
11.Tank/leachin minimum 10 ft from ro erty line Var.: �.�"
12. S stem meets all other setback r uirements Var.: L��
13.Uses ad'ustment for maximum high oundwater Var.:
14.Leaching set 4-5 ft above ad'.water or bottom of test hole Var.: ��
15. S stem not in to or subsoil(A,B horizons)or 5'removal
16.Pro sed corrtours are suitable
17. S stem meets slo e r irements-min. 1/8", '/4" eferred ��
18. S stem meets breakout re uirements PVC liner: Wall: .�-----„
19. Spec�ed tee sizes are ro er, gas baffle on outlet tee �,i-
20. Sewa e is under 10,000 gpd for arcel
21.No garba e dis osal
° 22. S stem ad uatel sized for its intended use �_
23.Minimum 6"stone or com acted below tank and dbox `�/
, 24.Ma.nhole covers within 6"of ade, um cha.mber cover to grade
25.Ins ection ort on la.stic chambers/leach field c:._�
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.Septic tank/ um chamber to be facto wat roofed
29.Vent rovided if leaching below 3 feet,under driveway/parking
30.Buoyancy calculations for tank/ chamber
3 L En ' eer to ins ect and cert' soils: wall: commerciaL•
32.En ' eer/Re ' ered Sanitarian and Land Surveyor stam s/si ture
33.H-201oadin is sub'ect to vehicular trai�c, groundwater -
34.Title V A lica.tion and ermit fee, installer si ture _---
35.Foundation footing 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 oundwater/Label oundwater in Assessor's Ma
i
Plan reviewed by: ��'' 6/03/03