HomeMy WebLinkAboutReview Checklist �'"�''LL- '' l '� ���'��
TOWN OF YARMOUTH > �
• SEWAGE PLAN REVIEW CHECKLIST ��Z� � �=�`�-J
Location: A.M. � � Lot ��� Zone of Contribution: In �Uut � Acreage l /�/. �J c'�
' /�� Commercial: Residential: L.�'
Street: � '�/��"
Village: Floor Plan: ✓ #Bedrooms: 3
Owner: ,i2��
C��G'�p Installer: �
Address: Phone:
Phone: .��f�."s', S � �c�'
�.. � --�'�<�� �, ���/- �:iC��/�l��,
Builder: '� Engineer: G�i�:�/
Address: Phone: '' - �
Phone: -'� ���;'%��_� �� '��" ��`�J
.�- ' '�� �-1 �('' /
N A YES NO
1.R uired#of copies received
2.Date of soils exam and ercolation test not older than 2 years �.�
3.4-5 ft of naturall occurrin ervious material,above water ta.ble
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.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ' ' �s--'
9.Leaclun minimum 100 ft from wetlands Var.: �--
10.Leachin 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 groundwater Var.: �-�
14.Leaching set 4-5 ft above ad'.water or bottom ole Var.:
15. System not in to or subsoil(A,B horizons) r 5'remo 1 �
16.Pro sed contours are suitable �'
17. S stem meets slo e r uirements-min. 1/8", '/4" e �-"'� �--
18. System meets breakout r uirements PVC liner: t`- a .
19. Specified tee sizes aze ro er, as baffle an outlet tee
20. Sewa e is under 10,000 d for arcel :
. 21.No garbage dis osal �-�-�
22. S stem ad uatel sized for its intended use C:-�
23.Minimum 6"stone or com acted below tank and dbox
• 24.Manhole covers within 6"of ade, um chamber cover to ade
25.Ins ection ort on lastic chambers/leach field 1...-�
26.Electrical ermit for um chamber/S arate meter for du lexes
27.P s stem-2" line,wee hole,check valve,tee in dbox, ump size �,/
28. S tic tank/ um chamber to be factory wa roofed
29.Vent rovided if lea.chin below 3 feet,under drivewa / arkin '--�'"
30.Buoyancy calculations for tank/ ump chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Registered Sanitarian and Land Surve or stam s/si ture
33.H-201oadin is subject to vehicular traffc, groundwater
34.Title V A lication and ermit fee, installer si ature
3 5.Foundation footing min. 2 feet above adjusted ground water for new house
36.Deed Restriction r ired max. #bedrooms: max. flow: d
37.Check area lots for groundwater/Label oundwater in Assessor's Ma ..�`
Plan reviewed by: ��� wo3�o3