HomeMy WebLinkAboutReview Checklist � �_�� � � TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot� Zone of Contribution: In Out�creag�
i � Commercial: Residential.
a Street:
Village: !l' Floor Plan: � #Bedrooms:��
Owner: � �Za� IS�NOt / Installer: ^
Address: Phone: �
Phone:
Builder: Engineer:
Address: Phone: �l� -
Phone: r ���x� �- �
N/A YES NO
1.Required#of co ies received
2. Date of soils exam and ercolation test not older than 2 years ��
3.4-5 ft of x�aturall 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 septic components 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.: 1..�
9.Leaching minimum 100 ft from wetlands Var.: �
10.Leachin minimum 150 ft from drinkin welU25 ft irri ation well Var.:
11.Tank/lea.ching minunum 10 ft from ro erly line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for ma�mum 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 L..i
16.Pro osed contours are suitable t�-.
17. S stem meets slo e r uirements-min. 1/8", I/4" referred L�
18. System meets breakout re uirements PVC liner: Wa1L• ✓�
19. Spec�ed tee sizes are proper, gas baftle on outlet tee �.--�'
20. Sewage is under 10,000 d for arcel �_,
21.No arbage dis osal �/
' 22. S stem ade uately sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox
, 24.Manhole covers within 6"of grade, um chamber cover to ade �'
25.Inspection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pump system-2"line,weep hole,check valve,tee in dbo� um size <-�
28. Septic tank/ ump chamber to be factory waterproofed �
29.Vent rovided if leaching below 3 feet,under driveway/ arkin
30.Buoyancy calculations for tank/pum chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En 'neer/Registered Sanitarian and Land Surveyor stam s/signature
33.H-20 loadin is subject to vehicular traffic, groundwater `�
34.Title V A lication and permit fee, installer si ture ��
35.Foundation footin min. 2 feet above ad'usted ound water for new house ��,
36.Deed Restriction r uired max. #bedrooms: max. flow: d
37.Check area lots for groundwater/Label goundwater in Assessor's Ma
Plan reviewed by: � �o3ios