HomeMy WebLinkAboutReview Checklist /�r �� ���
TOWN OF YARMOUTH
' SEWAGE PLAN REVIEW CHECKLIST
. Location: A.M. � �/ Lot l� Zone of Contribution: In Out� Acreage�_
�/r - Commercial. Residential.
Street: �X -1� /�
Village: Floor Plan: ✓ #Bedrooms:�_
Owner: �/
��.���c1J1 G��Ss�/y��� Installer: �� Gi%��
Address: Phone: - "�- �/
Phone:
Builder: Engineer: �� �l
Address: Phone: `- �`' ��-
Phone: ^ . G',�'' c� s r'
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N/A' YES NO
l.Required#of copies received L--�'�
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
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.: �.--
5.Water line 10 ft from se tic components Var.: c,,,..--�'`�
6.Benchmark indicated and shown-NGVD if near wetlands �
7. S tic tank minimum 10 ft from foundation, deck Var.: ::�-'`�
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Vax.: ' c_./�
10.Leaching minimum 150 ft from drinking welU25 ft irrigation well Var.: t_...�- �
11.Tank/leaching minimum 10 ft from property line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum high groundwater V •
14.Leaching set 4-5 ft above adj.water or bottom s�-test hv e 'Vaz.:
15. System not in to or subsoil(A,B horizons) `r 5'remov �
16.Pro osed contours are suitable -�- -'�``�
17. S stem meets slo e re uirements-min. 1i8", '/4" referred �.../'
18. System meets breakout re uirements PVC liner: Wall:
19. Specified tee sizes are roper, gas baffle on outlet tee
20. Sewage is under 10,000 gpd for arcel ,�/�
21.No garba e disposal `�.,,,��''
22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox L-�-�
� 24.Manhole covers within 6"of ade, ump chamber cover to grade
Z5.Ins ection port on plastic chambers/leach field �---�-�'`
26. Electrical ermit for um chamber/S arate meter for du lexes �-
27.Pum system-2" line,weep hole,check valve,tee in dbo�pum size
28. Se tic tank/pump chamber to be factory waterproofed �.-�-"""
29.Vent rovided if leachin below 3 feet, under driveway/ arking ---�'""�
30. Buoyancy calculations for tank/pump chamber
31.En ' eer to ins ect and cert' soils: wall: commercial: /���
32.Engineer/Registered Sanitarian and Land Surve or stam s/si ature "
33.H-201oading is subject to vehicular traffic, groundwater
34.Title V A lication and ermit fee, insta.11er signature
35.Foundation footing min. 2 feet above adjusted gound water for new house
36.Deed Restriction re uired max. #bedrooms: max. flow: d
37. Check area lots for groundwater/Label groundwater in Assessor's Ma ✓'"`�
Plan reviewed by: /�(�,�,i;� 6/03/03