HomeMy WebLinkAboutReview Checklist,
�-?� ��
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
� ^� '
, Location: A.M. �Z--.. Lot �' /� Zone of Contribution: In Out �-�Acreage
/' r
Commercial: Residential: �--""�
Street: �� !� �G � � .
Village: Floor Plan: � #Bedrooms:�
Owner: ��r��/ � ��`/�'� Installer: � �
� Address: Phone: �G�� �� �'�
Phone: G;,1J�'�r�� ����G•:�
Builder: Engineer:
Address: Phone: °- �-
Phone: � �. /: j�- ��Q''��i'� Z_ �'��'�'�����'
����` ' �z��.S'
N/A YES NO
1.Required#of co ies received
2.Date of soils exam and ercolation test not older than 2 ears
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 septic components Var.:
6.Benchmark indicated and shown-NGVD if near wetlands i/
7. S tic tank minimum 10 ft from foundation, deck Var.: ir...-�-'
8.Leaching 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 welU25 ft irrigation well Var.: �.-
1 l.Tank/leaching minimum 10 ft from pro erly line Var.: , L/ .
12. S stem meets all other setback r uirements Var.: (,/
13.Uses ad'ustment for maximum high groundwater Var.:
14.Leachin set 4-5 ft above adj.water or bottom of Var.: `` � -
15. S stem not in to or subsoil(A,B horizons)or remov '
16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/4" eferred ��
18. S stem meets breakout requirements PVC liner: Wall:
19. S ecified tee sizes are roper, gas baffle on outlet tee
20. Sewage is under 10,000 d for arcel
f
21.No arba e dis osal
22.S stem ade uatel sized for its intended use L„��
23.Minimum 6"stone or compacted below tank and dbox •
24.Manhole covers within 6"of grade, uxnp chamber cover to grade �.i
25.Ins �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,wee hole,check valve,tee in dboa�, ump size ��.
28. Septic tank/pump chamber to be factory waterproofed ��-
29.Vent rovided if leaching below 3 feet,under driveway/parking
30.Buo ancy calculations for tank/ um cha.mber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surveyor stam s/si ature
33.H-201oading is sub'ect to vehicular traffic, groundwater
34.Title V A plication and ermit fee, installer signature
35.Foundation footing min. 2 feet above adjusted ound water for new house
36.Deed Restriction r uired ma.x. #bedrooms: max. flow: d ,/"�
37.Check area lots for groundwater/Label groundwater in Assessor's Ma
Plan reviewed by: ,� �o3io3