HomeMy WebLinkAboutReview Checklist r� -� /6 ' '
TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST
. Location: A.M.� Lot �-� Zone of Contribution: In Out �/ Acreage�,.
/ � S.� /��" Commercial: Residential.
Street: /
Village: Floor Plan: �/ #Bedrooms:� �
Owner: - Installer: �d.�� �
Address: Phone: "
Phone:
Builder: Engineer: �/ �%GL�
Address: Phone: � "
Phone: �. /���j,� Cj� i y�,��
J �'
N/A YES NO
1.Required#of co ies 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 high oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.: �,i'''�
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from founda.tion, deck Var.: �''
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: t.-�
9.Leaching minimum 100 ft from wetlands Var.: •
10.Leaching minimum 150 ft from drinkin welU25 ft irri ation well Var.:
11.Tank/leaching minimum 10 ft from pro erty line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum hi groundwater Var.:
14.Leaching set 4-5 ft above ad'.water or bottom of test hole Vax.: t✓�
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 uirernents-min. 1/8", '/4" eferred ��
18. System meets brea.kout requirements PVC liner: all: `,,...�
19. Spec�ed tee sizes are pro er, gas baffle on outlet tee L�/
� 20. Sewage is under 10,000 gpd for arcel
21.No garba e disposal ✓
22. 5 stem ade ua.tel sized for its intended use t..-�'
23.Minimum 6"stone or compacted belaw tank and dbox
24.Manhole covers within 6"of grade, um chamber cover to grade ✓
25.Inspe�tion ort on lastic 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 dbo�pum size -�''��
28. Septic tank/ ump chamber to be factory waterproofed
29.Vent rovided if leaching below 3 feet,under driveway/ arkin -�''"�
30.Buo ancy calculations for tank/pump cha.mber ---''"��
31.En ' eer to ins ect and cert' soils: wall: commerciaL•
32.Engineer/Re 'stered Sanitarian and Land Surve or stam s/si ture
33.H-201oadin is sub'ect to vehicular traffic, groundwater
34.Title V A lication and ermit fee, installer signature
35.Foundation footing min.2 feet above adjusted ground water for new house /r�
36.Deed Restriction r uired max. #bedrooms: max. flow: d �..----`""
37.Check area lots for groundwater/Label groundwater in Assessor's Ma
Plan reviewed by: � wos�o3
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