HomeMy WebLinkAboutReview Checklist �'- / 3 -1�
TOWN OF YARMOUTH
a SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot ( Q Zone of Contribution: In Out�Acreage�
• Commercial: Residential:
S�eet: ` �- � ; ;2� /
Village: . �/� Floor Plan: ✓ #Bedrooms: �
Owner: d2� ' Installer: , /� G�
Address: Phone: Z � D
Phone:
Builder: '� Engineer: l.�S5 G�.�l�
Address: Phone: �
Phone: �`G`,�,,. `_ � ;'Y-, �4
, _-�
N/A ' YES NO
1.R uired#of copies received
2.Date of soils exa.m 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 hi 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
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.chin minimum 150 ft from drinkin we1U25 ft irrigation well Var.:
11.Tank/leachin minimum 10 ft from rop line Var.: �
12.S stem meets all other setback r uirements Var.: c�-
13.Uses ad'ustment for maximum high 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", '/4" referred �--�
18. System meets breakout re uirements PVC liner: Wall:
19. Specified tee sizes are pro er, as baffle on outlet tee `--�'
20. Sewa e is under 10,000 d for arcel
,
21.No ba e dis osal ��
22.S stem ade uatel sized for its intended use �.1
23.Minimum 6"stone or compacted below tank and dbox
- 24.Manhole covers within 6"of ade, um cha.mber cover to ade
25.Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum system-2" line,weep hole,check valve,tee in dbox, um size --�
28. Septic tank/pum chamber to be factory wat roofed
29.Vent rovided if leaching below 3 feet,under driveway/ arkin
30.Buoyancy calculations for tank/ ump chamber
3 l.En ' eer to ins ect and cert' soils: wall: commercial: �
32.Engineer/Re ' ered Sanitarian and Land Surveyor stam s/si ture �
33.H-201oadin is sub'ect to vehicular tr�c, groundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundation footin 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 oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ' `'1 �o�io3