HomeMy WebLinkAboutReview Checklist � -t ��
TOWN OF YARMOUTH
, SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. �� Lot� Zone af Contribution: In Outc/Acreage
• Commercial: Residential: '-`-�
Street: �-�
Village: �.- - Floor Plan: � #Bedrooms: f _
Owner:___�z��,�1l��-"����� Installer: ���1>�'
Address: �- Phone: �` -- �j /�
Phone:
Builder: Engineer: �-�
Address: Phone: - �` � -"
Phone: � ,� � �--Fa�e�°�� ����-�_-
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N/A YES NO
1.Required#of co ies received
2.Date of soils exam and ercolation test not older than 2 yea,rs ,�..r
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 com onents Var.:
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.Leaching minimum 100 ft from wetlands Var.: �
10.Leaching minimum 150 ft from drinkin welU25 ft irrigation well Var.:
11.Tank/leaching minimum 10 ft from roperty line Var.: `� �-�--�
12. S stem meets all other setback re uirements Var.: �-�
13.Uses ad'ustment for maximum high groundwater Var.: ,
14.Leaching set 4-5 ft above adj.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 suitable
17. S stem meets slo e re uirements-min. 1/8", I/4" referred
18. System meets breakout re uirements PVC liner: Wall:
� 19. Specified tee sizes are roper, gas baffle on outlet tee
20. Sewage is under 10,000 d for parcel �.--
. 21.No arbage dis osal
22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox t.�--
24.Manhole covers within 6"of grade, ump chamber cover to grade �/
25.Inspection ort on plastic chambers/leach field
26.Electrical ermit for uxn chamber/S arate meter for du lexes
27.Pum system-2" line,wee hole,check valve,tee in dbox,pum size
28. S tic tank/ um chamber to be factory waterproofed �_�
29.Vent rovided if leaching below 3 feet,under driveway/parking u'�
30.Buoyancy calculations for tank/pump chamber c„i
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Re 'stered Sanitarian and Land Surveyor stam s/signature
33.H-201oadin is subject to vehicular traffic, groundwater
34.Title V A lication and permit fee, installer si ture �'
35.Foundation footing min. 2 feet above adjusted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow: d
37.Check area lots for groundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ��' �os�o3