HomeMy WebLinkAboutReview Checklist �-�-�-���'
� TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
' Location: A.M. � Lot 2 � Zone of Contribution: In Out �creage ____.
� Commercial: ResidentiaL•`f
Street:
Village: � Floor Plan: y-�'" #Bedrooms: �-
Owner: -G Installer: �
Address: Phone:
Phone:
Builder: Engineer: � �
Address: Phone: � -
�
Phone: r. ��,, �
� ,� � ��c E �, �
r' � �+
.. a i- 6-�-�
N/A YES NO
1.Re ired#of copies received
2.Date of soils exam and ercolation test not older than 2 years
3.4-5 ft of naturall occurrin ervious material, above water table
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 i.��"
7. S tic tank minimum 10 ft from foundation, deck Var.: -
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �' " r
9.Leachin minimum 100 ft from wetlands Var.: ��- �
10.Leaching minimum 150 ft from drinkin welU25 ft irri ation well Var.: -'""��
11.Tank/leaching minimum 10 ft from ro 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 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", '/a" eferred �_-r-
18. System meets breakout requirements PVC liner: Wall: �
19. S ecified tee sizes are ro er, as baffle on outlet tee
20. Sewa e is under 10,000 gpd for arcel �-y
21.No bage 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, 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.Pum s stem-2" iine,wee hole,check valve,tee in dbo� um size =
28. S tic tank/ ump chamber to be factory wat roofed -�-
29.Vent rovided if leaching below 3 feet,under drivewa / arkin /-
30.Buoyancy ca.lculations for ta.nk/pump chamber .�-
31.E ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Re 'stered Sanitarian and Land Surve or stam s/signature �-
33.H-20 loadin is sub'ect to vehicular traffic, oundwater
34.Title V A lication and ermit fee, installer si ature ` � �
35.Foundation 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: ' r,.,� r�o3io3