HomeMy WebLinkAboutReview Checklist �?. -z/-�,� -
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST '
Location: A.M. �� Lot�_ Zone of Contribution: Out_ Acreage
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Commercial: Residential: �---�'�
Street: �'/li /
Vijlage: � Floor Plan: f� #Bedrooms: �
Owner: e Insta ller: �
Ac�dress: Phone:
Phone: �-�Z r� :J� ��' ��� � "/�3�"L�'��'�'/
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Builder: Engineer: .G� �
Address: Phone: -
Phone: ._ � � �tv�� � ��. ;,�
'�1 : �� '�"�S �. .f�'f ' �'�
N/A NO
l.Required#of copies 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 table
4.Foundation 2 ft above hi 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 founda.tion, deck Var.: °, --� /
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: /'
9.Leaching minimum 100 ft from wetlands Var.: �
10.Leachin minimum 150 ft from drinking welU25 ft irri ation well Var.:
11.Ta.nk/leaching minimum 10 ft from ro erty line Var.: �---
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum high oundwater Var.: � � ✓'�
14.Leachin set 4-5 ft above adj.water or botto -tesC��l � Var.:
15.System not in to or subsoil(A,B horizons) 5'r
�6.Proposed contours are suitable �`-''�
17. S stem meets slo e re uirements-min. 1/8", '/4" eferred �/'
i 8. System meets breakout re uirements PVC liner: ��� all:
i9.Specified tee sizes are proper, gas baffle on outlet tee L/�
20. Sewa e is under 10,000 d for arcel ✓
21.No arba e 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 grade �.,�--�
25.Ins ection ort on lastic chambers/leach field �.-� �
26.Electrical ermit for um chamber/Se arate meter for du lexes
27.Pump system-2"line,weep hole,check valve,tee in dbo�pum size
28. Septic tank/ ump chamber to be factory wat roofed
29.Vent rovided if leaching below 3 feet,under driveway/ arkin ✓
30.Buoyanc calculations for tank/pump chamber ✓
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Re 'stered Sanitaria.n and Land Surveyor stam s/signature
33.H-20 loading is subject to vehicular traffic, groundwater
34.Title V Application and ermit fee, installer si ture
35.Foundation footing min. 2 feet above adjusted ound water for new house
36.Deed Restriction r uired maaL. #bedrooms: maar.flow: d
37.Check area lots for oundwater/Label groundwater in Assessor's Map _
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Plan reviewed by: �+�������,�,
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