HomeMy WebLinkAboutReview Checklist �
/ A�/� ,
,��
TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. �� Lot ��� Zone of Contribution: In Out A reage �
j �/� Commercial: Residential: c___--�
Street: ��7 � /z'� ";
Village: - ¢ Floor Plan: �-�" #Bedrooms: �---
Owner: /�l�� C_.?��'��G/� Installer: ,
Address: Phone: � " - �OO' r
Phone: -- � �`..�'�" �{'C� Gv�G"
Builder: //4� Engineer: I� �_
Address: Phone: "" (�-" � �/
Phone: ;�.1� . r' ri-�`�- 4'`�'�':j' ;7 ����f��'�`�.',�'f�
,��l � �6� �'€`-c.=� ,-�sz� ��
N/A YES NO
l.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 table �i..--�''' '
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.: ,_...-
5.Water line 10 ft from s tic com onents Var.: �= L.�� j
6.Benchmark indica.ted and shown-NGVD if near wetlands �..� �
7. Se tic tank minimum 10 ft from foundation, deck Var.: '� � �'''�
• 8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: - �---�"
9.Leachin minimum 100 ft from wetlands Var.: �...r'
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 ma�mum hi oundwater Var.: � `"""''� j
�
14.Leaching set 4-5 ft above ad'.water or bottom of test ho Var.: �,,,..:.--�' j
15. System not in to or subsoil(A,B horizons)or 5'remo ;
16.Pro osed contours are suitable "� �-.--�" i
17. S stem meets slo e r uirements-min. 1/8", '/a" referred a..../� j
18. System meets breakout re uirements PVC liner: �G • all: -;�'� �.�
19. Specified tee sizes are roper, gas baffle on outlet tee ✓
20. Sewa e is under 10,000 d for arcel � ;
- 21.No arbage dis osal !
22. S stem ad uatel sized for its intended use �
23.Minimum 6"stone or com acted below tank and dbox �
' 24.Manhole covers within 6"of ade, um chamber cover to grade ,
25.Inspection ort on lastic chambers/leach field �/ ;
26.Electrical ermit for um chamber/S arate meter for du lexes �--�' '
27.P s stem-2"line,wee hole,check valve,tee in dbo�pump size
28. S tic tank/pump chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arkin �--�`
30.Buoyancy calculations for tank/ um chamber t,.,,/ f
31.En ' eer to ins ect and cert' soils: wall: commercial: ✓� �
32.Engineer/Registered Sanitarian and Land Surv or stam s/signature '
33.H-20 loadin is subject to vehicular traffic, oundwater ....✓ ,
34.Title V A lication and ermit fee,insta.11er signature i
35.Founda.tion footin min. 2 feet above ad'usted ground 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:_ i'��,� 6/03/03
�