HomeMy WebLinkAboutReview Checklist � �-� r�
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot� Zone of Contribution: In Out JAcreagze�
' Commercial: ResidentiaL• ,
Street:
Village: • Floor Plan: � #Bedrooms:� ;
Owner: �� y�,+�/L�� Installer: -
Addres� Phone: ��7 -
Phone:
Builder: Engineer: G�
Address: Phone: �
Phone: � 7j �! �` `�,0�C�,
N/A YES NO
l.Required#of co ies received ,
2.Date of soils exam and percolation 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 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.: '
9.Leachin minimum 100 ft from wetlands Var.: ----- - ,
10.Leaching minimum 150 ft from drinking welU25 ft irrigation well Var.: ;
11.Tank/leachin minimum 10 ft from property line Var.: �c/
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.: L,�
15. System 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" referted �-�-
18. System meets breakout requirements PVC liner: Wa1L•
19. Specified tee sizes are ro er, as baffle on outlet tee �/ ;
20. Sewage is under 10,000 gpd for arcel '
" 21.No garba e disposal �-�
22. S stem ade 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 grade �
25.Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum system-2" line,weep hole,check valve,tee in dbo� ump size --�
28. Septic tank/ um cha.mber to be factory waterproofed
29.Vent provided if leachin below 3 feet,under drivewa / arking
30.Buoyancy calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surve or stam s/signature
33.H-20 loading is subject to vehicular traffic, oundwater
34.Title V A lication and ermit fee, installer signature '
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooxns: max. flow: d /�'
37.Check area lots for groundwater/Label groundwater in Assessor's Ma :
Plan reviewed by: " �osio3
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