HomeMy WebLinkAboutReview Checklist i
r�ZZ -1 �
TOWN OF YARMOUTFI
., SEWAGE PLAN REVIEW CHECKLIST
�
Location: A.M. � � Lot � � Zone of Contribution: In Out �ge
s Commercial: Residentia�
Street: � �
Village: Floor Plan: � #Bedrooms: � ',,
Owner: Installer: �.� �� I
Address: Phone: + ',
Phone: �
�'� �
���'"`�'
Builder: Engineer: �� i
Address: Phone: ��7 - � - �
Phone: " , ��. �
N/A YES NO
1.Re uired#of co ies received ✓
2. Date of soils exam and ercolation test not older than 2 yea.rs �--�
3. 4-5 ft of naturall occurrin ervious material, above water table '�/�
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 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 cra.wl, 10 ft slab Vaz.:
9.Leaching minimum 100 ft from wetlands Var.: --�- I
10.Leaching minimum 150 ft from drinkin welU25 ft irri ation well Var.: �-''"��
11.Tank/leachin minimum 10 ft from ro line Vaz.: t../
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum hi oundwater Var.:
14.Leachin 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 uirements-min. 1/8", '/4" referred
18. S stem meets breakout r uirements PVC liner: Wall: �--
19. S ecified tee sizes are ro er, gas ba.ffle on outlet tee ✓
20. Sewage is under 10,000 d for arcel `-�� !i
21.No garbage 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 ade L� I, �
25.Ins ection ort on lastic chambers/leach field (;._�
26. Electrical ermit for um chamber/S a.rate meter for du lexes "
27.Pum s stem-2" line,weep hole,check valve,tee in dbox, um size ----- ,
28. S tic tank/ um chamber to be facto wat roofed
29.Vent rovided if leachin below 3 feet, under drivewa / arkin
30. Buo ancy calculations for ta.nk/ um chamber !
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Re 'stered Sanitarian and Land Surve or stam s/si ture -
33.H-20 loadin is sub'ect to vehicular traffic, oundwater �
34.Title V A lication and ermit fee,installer si ature
35.Foundation 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 oundwater in Assessor's Ma ;
Plan reviewed by: '� sro3�o3