HomeMy WebLinkAboutReview Checklist ��!-i �
TOWN OF YARMOUTH
SEWAGE PLAN REV�W CHECKLIST
, Location: A.M. �� Lot� Zone of Contribution: In Out A rc�ea.ge
� /�„ /' Commercial: Residentia�"�
Street: �°f,/ �
Village: �' Floor Plan: #Bedrooms:
Owner: �,�,� Insta.11er:
Address: Phone: - - 7
Phone:
Builder: Engineer:
Address: Phone:
Phone: �_ '` � � ���� �t' �Z�i
� / � _��S �
N/A YES NO
1.Re uired#of c 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 hi 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 �'"
7. S 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.: '------- �
10.Lea.chin minimum 150 ft from drinking we1U25 ft irrigation well Var.: � -
11.Tank/leachin minimum 10 ft from ro line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses adjustrnent for maximum hi groundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.:
15.S stem not in to or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suitable ,
17. S stem meets slo e r irements-min. 1/8", '/4" eferred
18. System meets breakout r irements PVC liner: Wall: �,,�-�'
19. S ified tee sizes are ro er, as baffle on outlet tee °��
20. Sewa e is under 10,000 gpd for arcel �
21.No bage dis osal i
22. S stem ad ua.tel sized for its intended use �_, �
23.Minimum 6"stone or com acted below tank and dbox �� ':
24.Manhole covers within 6"of de, um chamber cover to ade
• 25.Ins ection ort on lastic cha.mbers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes -
27.Pum system-2"line,wee hole,check valve,tee in dbo� um size ----'
28. S tic tank/ um chamber to be factory wat roofed '
29.Vent rovided if leachin below 3 feet,under driveway/parkin '
30.Buoyancy calculations for tank/ ump chamber -------- '
31. En ' eer to ins ect and c ' soils: wall: commercial:
32.En ' eer/Re 'stered Sanitarian and Land Surveyor stam s/si ture
33.H-20 loadin is sub'ect to vehicular tra.ffic, oundwater
34.Title V A lication and ermit fee, installer si ture ��
35.Foundation footing min. 2 feet above ad'usted ound water for new house _---
36.Deed Restxiction r uired max. #bedrooms: max. flow: d
37.Check area lots for groundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �os�o3