HomeMy WebLinkAboutReview Checklist lz � �/-t�
TOWN OF YARMOUTH .
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot �`� Zone of Contribution: In� Acreage� �
CommerciaL• Residential.
Street: �
Village: Floor Plan: L•� #Bedrooms:
Owner: (�l�� � Installer: �
Address: Phone: `
Phone:
Builder: Engineer:
�
Address: Phone: �
Phone: �` ���T �
N/A YES O
l.R uired#of co ies received
2.Date of soils exam and percolation test not older than 2 ears
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.: C._-i'
j 6.Benchmark indicated and shown-NGVD if near wetlands �.i
7. S tic tank minimum 10 ft from foundation, deck Var.: i-�
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: r ��-
9.Leaching minimum 100 ft from wetlands Var.: '
10.Leaching minimum 150 ft from drinking welU25 ft irri ation 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 adjustment for maximum high groundwater 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 r uirements-min. 1/8", 1/a" referred ' �� lht:
18.System meets breakout requirements PVC liner: Wall: �-�'
19. Specified tee sizes are roper, as ba$le on outlet tee
20. Sewage is under 10,000 d for parcel _
21.No arba e dis osal
22. S stem ad uatel sized for its intended use
23.Mmimum 6"stone or com acted below tank and dbox •
24.Manhole covers within 6"of grade, um chamber cover to ade �,.�/
25.Inspection port on plastic chambers/leach field �----�"
26.Electrical ermit for um chamber/S arate meter for du lexes c-.-�'�
27.Pump s stem-2" line,wee hole,check valve,tee in dbo� ump size ✓�..-
28. S tic tank/ ump chamber to be factory wat roofed
29.Vent rovided if leachin below 3 feet, under driveway/parking
30.Buoyancy calculations for ta.nk/pump 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-20 loadin is subject to vehicular traffic, oundwater
34.Title V A plication and ermit fee, installer signature
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 groundwater in Assessor's Ma
Plan reviewed by: �' wo3�o3