HomeMy WebLinkAboutReview Checklist �-�= i �
_ TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
. Location: A.M.� Lot �� Zone of Contribution: In Out A ge
Commercial: Residential:_�
Street: J1� ���Gr/I �%�
Village: ���/"/ Floor Plan: (/'�� #Bedrooms: �
Owner: /L�a cJ�'7_� Lf�i/ Installer: ��-:li�il �
Address: Phone: G.;��. ' (o� - ( �� 2_
Phone: �. ��„� ����i« ,�'S.
Builder: Engineer: � .��5�- ��il/LC- ' J
Address: Phone: ` --�
Phone: - S�C�� �•r/�' �%l%`
- �' ,{�c-� �t
N/A YES NO
l.Required#of co ies received +
2.Date of soils e�.m and percolation test not older than 2 ears
3.4-5 ft of naturall occurrin ervious material,above water ta.ble �-�
4.Founda.tion 2 ft above hi oint 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.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: �--
10.Leachin minimum 150 ft from drinking welU25 ft irri tion well Var.:
11.Tank/leaching minunum 10 ft from pro line Var.:
12. S stem meets all other setback r uirements Var.: j�L� #-�t 1.��' � � � -
13.Uses ad'ustment for maximum hi oundwater Var.: ,
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: �,/
15. S stem 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", 1/4" eferred
18. S stem meets breakout r uirements PVC liner: Wall: <�
19.S ecified tee sizes are roper, gas baffle on outlet tee L-�
20. Sewa e is under 10,000 d for arcel
21.No garba e dis osal
22. S stem ade uatel sized for its intended use L..,�
23.Minimum 6"stone or com acted below tank and dbox �
'24.Manhole covers within 6"of ade, um cha.mber cover to ade
25.Inspection ort on lastic chambers/leach field ��
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum system-2" line,wee hole,check valve,tee in dbox,pump size
28. S tic tank/ um chamber to be factory wat roofed �
29.Vent rovided if leaching below 3 feet,under driveway/parkin ✓�
30.Buoyanc calculations for ta.nk/ um chamber --�
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surveyor stam s/signature �
33.H-201oading is subject to vehicular traffic, groundwater
34.Title V A lication and ermit fee, installer si ature `_�'
35.Founda.tion footing min. 2 feet above ad'usted ground water for new house
36.Deed Restriction r uired max. #bedrooms: maac. flow: d .r"
37.Check area lots for groundwater/Label oundwater in Assessor's Ma
Plan reviewed by: Cs.t-� c�os�m