HomeMy WebLinkAboutReview Checklist � ~ �r!// � /�
TOWN OF YARMOUTH
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SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. �� Lot -rj � Zone of Contribution: In Out Acreage
Commercial: Residential: ��
Street: �
Village: Floor Plan: �--� #Bedrooms: �
Owner: Installer: �
� Address: Phone: � -' _
Phone:
��C ,' / �"r,y� � ���,�`.f�`-�-�
Builder: Engineer: (��-
Address: Phone: --� -
� Phone: � ��t/lL �G;'� �-�'G� - I�'��'-�+`"j ,
-`��.,��, �"c./� �,�� ,-�� �t:y,� �'r`(
N/A YES NO
l.Re uired#of copies received ,�_:--`""
2.Date of soils exam and ercolation test not older than 2 years c�-'
3. 4-5 ft of naturall occurrin ervious material, above water table
4.Foundation 2 ft above high int of road H.P.: Fnd: Var.:
5. Water line 10 ft from septic com onents Var.: �____
6. Benchmark indicated 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.Leachin minimum 100 ft from wetlands Var.:
10. Leachin minimum 150 ft from drinking welU25 ft irri tion well Var.:
11. Tank/leaching minimum 10 ft from roperty line Var.: �
12. S stem meets all other setback r uirements Var.: ;�,� ,
13. Uses adjustment for maximum hi oundwater Var.: (,�„ ----
14.Leachin set 4-5 ft above adj. water or botto ftest Var.:
15. System not in to or subsoil(A,B horizons)or 5'remov
16.Pro osed contours are suitable ��
17. S stem meets slo e r irements-min. 1/8", '/4" referted �
18. System meets breakout r uirements PVC liner: � � Wall: %
19. Specified tee sizes are roper, gas baffle on outlet tee
- 20. Sewage is under 10,000 d for arcel
21.No arba e disposal ,y�
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, ump chamber cover to ade •`�--�
25.Inspection port on plastic chambers/leach field �.1
26. Electrical ermit for um chamber/S arate meter for du lexes �_
27.Pump system-2" li.ne,wee hole,check valve,tee in dbo�pum size
28. Septic tank/pump chamber to be factory wat roofed f%!;,� "
29.Vent rovided if leaching below 3 feet,under driveway/ arking ✓ ��--
30.Buoyancy calculations for tank/pum chamber �.
31.En ' eer to ins ect and cert" soils:.�-----wall: commercial: � �:;
32.En ' eerlRe 'stered Sanitarian and Land Surveyor stam s/si ature
33.H-201oadin is subject to vehicular traffic, groundwater
34.Title V A lication and permit 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 oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �� �o3io3