HomeMy WebLinkAboutReview Checklist �°-;� -r� �- ���a��y i�i �'r�-�'`.
TOWN OF YARMOUTH
SER'AGE PLAN REVIEW CHECKLIST ���. j f����<C%��
. Location: A.M. �X Lot_�� Zone of Contribution: In �-'�Out_ Acreage `% �' �.
�-7 _ Commercial: Residential: L/
Street: ( G7'i! �
Village: Floor Plan: � #Bedrooms:
Owner: �7'7'�L�!/�'/ , Installer: �� Q �f'd��
Address: Phone: - - , Z�7
Phone:
Builder: Engineer: � � �
Address: Phone: ' '�
Phone: ���'l��: (` S����.l�y
N/A YES NO
l.R uired#of c ies received
2.Date of soils exam and ercolation test not older than 2 ears �''�
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 we1U25 ft irrigation well Var.: J ,,
11.Tank/leachin minimum 10 ft from roperly line Var.: �--�'
12. S stem meets all other setback r uirements Var.: �..�-
13.Uses adjustment for maximum hi oundwater Var.: �,�
14.Leaching set 4-5 ft above a.dj.water or bottom of test hole Vaz.:
15. System not in to or subsoil(A,B horizons)or 5'removal L�
16.Pro osed contours are suitable �--�
17. S stem meets sl e r uirements-min. 1/8", '/4" eferred `�
18. System meets breakout r uirements PVC liner: Wall: '�-
19. Specified tee sizes are pro er, as baffle on outlet tee L��'
20. Sewage is under 10;000 gpd for arcel
. 21.No gazbage dis osal �"`
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 ade, um chamber cover to ade
25.Ins ection ort on plastic chambers/leach field ��
26.Electrical ermit for um chamber/S arate meter for du lexes
27.P system-2"line,wee hole,check valve,tee in dbox, ump size ---
28.S tic tank/pum chamber to be factory wat roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buoyancy calculations for tank/pump chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surveyor stam s/si ture ��
33.H-20 loading is subject to vehicular tr�c, oundwater
34.Title V A lication and ermit fee, insta.11er signature ��--
35.Foundation footin min. 2 feet above ad'usted 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: � wo3io3