HomeMy WebLinkAboutReview Checklist �-- � -�C
TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot �l Zone of Contribution: In Out �Acreage
' Commercial: Residential: �!
Street: �o� �
Village: Floor Plan: � #Bedrooms:�_
Owner: �4�lld �,�/f°C/I/liUYO Installer: �1 /��
Address: Phone: ��
Phone:
Builder: Engineer: �
Address: Phone: S�
Phone: _ ��_ � �� �, �
N/A YES NO
1.Re uired#of co ies 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 ta.ble
4.Foundation 2 ft above hi int of road H.P.: Fnd: Var.: -
5.Water line 10 ft from s tic com onents Var.: cy-�
6.Benchmark indicated and shown-NGVD if near wetlands �,._._
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �
9.Leachin minimum 100 ft from wetlands Var.:
10.Lea.ching minimum 150 ft from drinking welU25 ft irrigation well Var.:
11.Tank/leaching minimum 10 ft from ro erty line Var.: ��
12. S stem meets all other setback r uirements Var.: .��
13.Uses ad'ustment for maximum hi oundwater Var.:
14.Leaching set 4-5 ft above ad'.water or bottom of test hole Var.:
15. System not in top or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suita.ble :_�
17. S stem meets slo e r uirements-min. 1/8", '/a" referred �
18. S stem meets breakout r irements PVC liner: Wall: �-
19. S ecified tee sizes are ro er, gas baffle on outlet tee ���
20. Sewage is under 10,000 d for arcel
21.No arbage dis osal �/
' 22. S stem ad ua.tel sized for its intended use �"
23.Minimum 6"stone or com acted below tank and dbox
; 24.Manhole covers within 6"of grade, ump chamber cover to ade c.�
25.Inspection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes �,�
27.Pum stem-2" line,wee hole,check valve,tee in dbo� um size �/
28. S tic tank/pum chamber to be factory wa roofed �-�
29.Vent rovided if leaching below 3 feet,under driveway/ arkin �.�--
30.Buo a.ncy calculations for tank/pump chamber
31.En ' eer to ins ect and c ' soils: wall: commercial: -
32.En ' eer/Registered Sanitaria.n and Land Surv or stam s/signature
33.H-201oa.ding is subject to vehicular traffic, oundwater �_
34.Title V A lication and ermit fee, insta.11er si ture
35.Founda.tion footing min. 2 feet above ad'usted ound water for new house -''�
36.Deed Restriction r ired max. #bedrooms: ma�c. flow:
37.Check area lots for oundwater/Label groundwater in Assessor's a
Plan reviewed by: C�'� 6/03/03