HomeMy WebLinkAboutReview Checklist �-zr-�`� ��---��_�� ,
TOWN OF YARMOUTH �,,.��
, SEWAGE PLAN REVIEW CHECKLIST � ��� `� �F�'�s
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. Location: A.M. Lot 1b� Zone of Contribution: fi�--�"CSut Acreag�`���
� Commercial: Residential:_�`
Street:
Village: Floor Plan: #Bedrooms:�__�
Owner: Insta.11er: �
Address: Phone: ' � -
Phone: `
Builder: Engineer: ' �
Address: Phone: `
Phone: _--
�, .- �, ,�<<� � �'��- �
.� .1
N/A YES NO
1.Required#of copies received
2.Date of soils e�m and ercolation test not older than 2 years
3.4-5 ft of naturall occunin ervious material,above water table �...._----'
4.�'oundation 2 ft above high point of road H.P.: Fnd: Var.: �..,�
5.Water line 10 ft from septic com onents Var.: �..---`
6.Benchmark indicated and shown-NGVD if near wetlands +-�--y'�
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leaching 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 we1U25 ft irri ation well Var.: �J�
11.Tank/leaching minimum 10 ft from roperty line Var.: �.--��'��
12.S stem meets all other setback r irements Var.:
13.Uses adjustment for maximum 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 i,..�---'
16.Pro osed contours are suitable c...-.-�'�
17. S stem meets slo e r irements-min. 1/8", 1/4" eferred
18. System meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes are pro er, gas baffle on outlet tee
20. Sewage is under 10,000 gpd for arcel �.-�-�''
21.No arbage dis osal ;..--''�
. 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 grade, um chamber cover to ade
25.Ins ection port on plastic 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 dbolc, ump size --'"�" �
28. Septic tank/ ump chamber to be factory waterproofed "
29.Vent rovided if leaching below 3 feet,under driveway/ arking '"
30.Buoyancy calculations for tank/pump chamber --''`
31.En ' eer to ins ect and cert soils: wa1L• commercial: �-�''
32.Engineer/Registered Sanita.rian and Land Surveyor sta.m s/signature
33. H-201oading is subject to vehicular tr�c, groundwater /
34:Title V A lication and ermit fee, installer signature � _�` i
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: y maac. flow: �- `%-�C: d ✓"
37.Check area lots for oundwater/Label oundwater in Assessor's Map
Plan reviewed by: �,�
��� 6/03/03