HomeMy WebLinkAboutReview Checklist � �y�
� �� �� TOWN OF YARMOUTtI �
SEWAGE PLAN REVIEW CHECKLIST
, Location: A.M.� Lot `� Zone of Contribution: In�'" Out Acreage �-
� Commercial: Residential:
Street: '.='�--. ; /'�1��7=,`���
Village: Floor Pl . -� #Bedrooms: ��;;-���C�
O��': 1 � Installer: LQ
Address: � Phone: --�` �-
Phone:
Builder: Engineer:
Address: Phone: �
Phone: ���dL� f j ��� ;�
J^•�
N/A YES NO
l.Required#of copies received i,i
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 s tic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands L�
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 Var.: '
10.Leachin minimum 150 ft from drinking welU25 ft irrigation well Var.: I
1 l.Tank/leaching minimum 10 ft from roperty 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 �'" i
16.Pro osed contours are suitable �
17. S stem meets slo e re uirements-min. 1/8", '/a" referred �
18. System meets breakout re uirements PVC liner: Wall: /
19. S ecified tee sizes are proper, gas baffle on outlet tee �j �
20. Sewa e is under 10,000 d for parcel
21.No arbage dis osal j
' 22. S stem ade uatel sized for its intended use �'
23.Minimum 6"stone or compacted below tank and dbox �'' r
24.Manhole covers within 6"of grade, um chamber cover to ade t,�,/'
25.Ins ection port on plastic chambers/lea.ch field �
26.Electrical ermit for um chamber/S arate meter for du lexes �
27.Pump system-2"line,wee hole,check valve,tee in dbo�pum size �
28. Septic tank/pump chamber to be factory waterproofed �
29.Vent rovided if leaching 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 Surveyor stamps/signature i
33.H-20 loadin is subject to vehicular traffic, groundwater
34.Title V A lication and ermit fee, insta.11er si ature �/
35.Foundation footing min. 2 feet above adjusted ground water for new house �
36.Deed Restriction r uired max. #bedrooms: max, flow: d �
37. Check area lots for groundwater/Label groundwater in Assessor's Ma
E
Plan reviewed by: ,�_ eiosio3 j