HomeMy WebLinkAboutReview Checklist �
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: . TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
' Location: A.M. 9d Lot �� Zone of Contribution: In Out �Acrea.ge
' Commercial: Residential: ✓
Street:
Village: Floor Plan: ✓/� #Bedrooms: 3
i
� Owner: -� Installer: �
' Address: Phone:
Phone:
Builder: Engineer: ���' � ��l/f7s
Address: Phone: S"'a� -' 6O -- j.��/
� Phone: '
' NlA YES NO
a
i 1.Re uired#of co ies received ,�,,..
j 2.Date of soils earam and ercolation test not older than 2 ears ��
3.4-5 ft of naturall occurrin ervious materia.l, above water ta.ble ��
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from septic components Var.: �/
6.Benchmark indicated and shown-NGVD if neax wetlands
7. S tic tank minimum 10 ft from foundaxion, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9. Leachi.ng minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinkin welU25 ft irrigation well Var.:
1 l. Tank/leachin minimum 10 ft from ro erty line Var.: ,��
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum high groundwater Var.:
14.Leaching set 4-5 ft above ad'.water or bottom of test hole Var.: ��
15. System not in to or subsoil(A,B horizons)or 5' removal �
16.Pro osed contours are suitable �„�,�
! 17. S stem meets slo e r uirements-min. 1/8", %4" referred ��-�
18. System meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes are roper, gas baffle on outlet tee
20. Sewage is under 10,000 d 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.Manhole covers within 6"of ade,pum chamber cover to grade
25.Ins ection port on plastic chambers/leach field �-
� 26. Electrical ermit for um chaxnber/S arate meter for du lexes
27.Pump system-2" line,wee hole,check valve,tee in dbox,pum size �---
28. S tic tank/ um chamber to be factory wat roofed _-s-''"
29.Vent rovided if leachin below 3 feet,under driveway/parkin ,s.-�'`"
30.Buoyancy calculations for tank/pum chamber
3 l.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surveyor s/si ture �-
33.H-201oadin is sub'ect to vehicular traffic, oundwater
34. Title V A lication and ermit fee, installer si ature ;
35.Founda.tion 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 groundwater in Assessor's Ma . ,,,,,.�.
Plan reviewed by: _ ( �'� wo3�o3