HomeMy WebLinkAboutReview Checklist �- /` -/�
�• TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
�� Location: A.M. /3� Lot_1�1� Zone of Contribution: In Out �e '
Commercial: ResidentiaL• ` -
Street: � G !
Village: Floor Plan:
✓ #Bedrooms:_� (
� I
o��: �C�S ��11�: �
Address: Phone: � -
Phone: /� � f�' ,� ,� �
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Builder: Engineer: s S � � ''
Address: Phone: ` -
Phone: -- ��(,o'C ` /`G������/
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N/A YES NO
l.Required#of copies received «
2. Date of soils exam and ercolation test not older than 2 ears v' '
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 indica.ted and shown-NGVD if near wetlands .C/
7. S tic tank minimum 10 ft from foundation, deck Var.: '�
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ��' f
9.Leaching minimum 100 ft from wetlands Var.:
10.Leachin minimum 150 ft from drinicin welU25 ft irrigation well Var.: �-+
11.Tank/leachin minimum 10 ft from ro erly line Var.: s � '
12.S stem meets all other setback r uirements Var.: L�
13.Uses ad'ustment for ma�mum high groundwater Var.: ��
14.Leachin set 4-5 ft above ad'.water or bottom Var.: L/
15.System not in to or subsoil(A,B horizons) 5'remo
16.Pro osed contours are suitable � �---r
17. S stem meets slo e r irements-min. 1/8", 1/4" referred
18. System meets breakout r irements PVC liner: Wall: '.
�
19. S ecified tee sizes are pro er, gas ba.ffle on outlet tee �.-r
20. Sewage is under 10,000 d for arcel �----' ;
<;q• 2 L No garbage dis osal L� �
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 grade, um cha.mber cover to grade '
25.Inspection ort on plastic chambers/leach field `�
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pump s stem-2" line,weep hole,check valve,tee in dbox, um size --�
28.Septic tank/ um chamber to be factory wat roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arking �
30.Buoyancy calculations for tank/ u cha.mber /
3 l.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surve or stam s/si ture L ,
33.H-20 loading is subject to vehicular traffic, goundwater
34.Title V Ap lication and ermit fee, installer signature �---�'
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow:
37.Check area lots for oundwater/Label groundwater in Assessor's Ma
Plan reviewed by: � �os�o3