HomeMy WebLinkAboutReview Checklist � �Z �� � i�
TOWN OF YARMOUTH _
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. � / Lot �� Zone of Contribution: In Out '� Acrea.ge •
Commercial: esi e,ptial: ✓ `�
Street: �'J� ���D�� -� ��` ,� ��z� �
Village: Floor Plan: # edrooms �
�� ���,�p� r
owner: Installer:
7 '��
Address: Phone:
Phone:
Builder: � Engineer:
Address: � Phone: ' � `�
Phone:
N/A YES NO
1.R uired#of co ies received
2.Date of soils exam and ercolation test not older than 2 years C_,�
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.: L�
5.Water line 10 ft from s tic com onents Var.: v�
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from founda.tion, deck Var.:
8.Lea.ching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: `--� "�'
9.Leaching minimum 100 ft from wetlands Var.: �-� �
10.Leaching minimum 150 ft from drinking welU25 ft irri tion well Var.: ;
11.Tank/leaching minimum 10 ft from ro erry line Vaz.: �-=
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum high oundwater Var.: ✓�
14.Leaching set 4-5 ft above ad'.water or bottom of test hole Var.:
15. System not in to or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suita.ble �..�
17.S stem meets slo e r uirements-min. 1/8", '/4" referred '
18. S stem meets brealcout re uirements PVC liner: Wall: •-� '
19. Specified tee sizes are proper, s baffle on outlet tee ��-'
20. Sewage is under 10,000 d for arcel
21.No arba e dis osal �
22. S stem ade ua.tely sized for its intended use ��- i
23.Minimum 6"stone or com acted below tank and dbox �..�-�
24.Manhole covers within 6"of grade, ump cha.mber cover to grade ` -
25.Ins ection ort on lastic chambers/leach field �
26.Electrical ermit for um cha.mber/S arate meter for du lexes
27.Pump system-2" line,wee hole,check valve,tee in dbox, um size
28. S tic tank/pum cha.mber to be factory wa roofed ��''
29.Vent rovided if leaching below 3 feet,under drivewa / arkin �.--
30. Buoyancy calcula.tions for tank/pu chamber
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature
33.H-20 loading is subject to vehicular tra.ffic, groundwater
34.Title V A plication and ermit fee, installer si ture '/
35.Founda.tion footing min.2 feet above adjusted ound water for new house �
36.Deed Restriction r ired maaL. #bedrooms: ma�c.flow: d
3'7.Check area.lots for groundwater/Label groundwater in Assessor's Ma
Plan reviewed by: l�'�:� �,o3ro3 �