HomeMy WebLinkAboutReview Checklist �=�� .-.� � ����� �
TOWN OF YARMOUTH �" " `
� y
� SEWAGE PLAN REVIEW CHECKLIST /'�f r - ��''��� �i `
'� � o �� ���>`
" C%L. (_��.<
�
, Location: A.M.__�C� Lot Zone of Contribution: In,��-Out_ Acreage `` � .�'�Z%�
/� Commercial: Residential:�-------'
Street: � C_..C� � � �
Village: � Floor Plan: ` ��. #Bedrooms: �--�
Owner: (���%Z�!� Insta ller: �dZ'I
Address: Phone: - 77 -^�'r p''-7
Phone:
Builder: Engineer: ���'
Address: Phone: � ���.�' --�.-
Phone: - v��.I . �� %,`.L�/
,��'�_ , ��
N/A YES NO
l.Re uired#of co ies received
2. Date of soils exam and percolation test not older than 2 years �`_-�
3.4-5 ft of naturall occurrin ervious material, above water table `----
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 near wetlands �._.--�'`
7. S tic tank minimum 10 ft from foundation, deck Var.: �t.�-'
8.Leaching 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 irrigation well Var.: �-----
1 l. Tank/leaching minimum 10 ft from roperty line Var.: ,�-�-�'"
12. S stem meets all other setback r uirements Var.: _.�-'"
13.Uses adjustment for maximum high oundwater Var.:
14.Leaching 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 re uirements-min. 1/8", '/4" referred �
18. System meets breakout requirements PVC liner: Wall: `�,
19. S ecified tee sizes are ro er, gas baffle on outlet tee �
20. Sewa e is under 10,000 d for parcel
21.No garba e dis osal •�___...,.
22.S stem ade 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 port on lastic chambers/leach field
26. Electrical ermit for um chamber/Se arate meter for du lexes
27.Pum system-2"line,wee hole,check valve,tee in dbox,pump size
28. S tic tank/pump chamber to be factory wat roofed
29. Vent rovided if leachin below 3 feet,under driveway/parking
30. Buoyancy calculations for tank/ um 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-201oadin is subject to vehiculax traf�c, groundwater
34. Title V A lication and ermit fee, installer signature
3 5.Foundation footing min. 2 feet above ad'usted ound water for new house �-
36.Deed Restriction r uired max. #bedrooms: ma�c. flow: d •�''-
37. Check area.lots for groundwater/Label groundwater in Assessor's
,
Plan reviewed by: ��'`-� 6/03/03