HomeMy WebLinkAboutReview Checklist ��� �r � �.��f ��, ,
, TOWN OF YARMOUTH ��� � �
SEWAGE PLAN REVIEW CHECKLIST k - I-�� �
� Location: A.M. �� Lot� Zone of Contribution: In ut_ Acreag�7�
Commercial: Residential: � ,L
Str�: �'�' � ,
Village: Floor Plan: #Bedrooms: _����E'I '' � j
y�� ��J i
Owner: �4�.�,//l,�i ����/�f _ Insta.11er: � ��" I
Address: Phone: � � - d ;
Phone: �
Builder: Engineer: !-C � '
Address: Phone: � -
Phone: � �� �. ���' r'
N/A YES NO
1.R uired#of copies received '
2.Date of soils e�.m and ercolation test not older than 2 ears �..y-�
3.4-5 ft of na.tural occurrin ervious material,above water table �,,,�-�
4.Foundation 2 ft above high int of road H.P.: Fnd: Var.: '
5.Water line 10 ft from s tic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands �-/
7. S tic tank minimum 10 ft from foundaxion, deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.:
10.Leachin minimum 150 ft from drinkin we1U25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from ro erty line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum high groundwat
14.Leaching set 4-5 ft above ad'.water or botto of test hole ,Vlar.: �/
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" eferred �
18. S stem meets breakout r uirements PVC liner: Wall: '
19. S ec�ed tee sizes are roper, gas baffle on outlet tee �
20. Sewa e is under 10,000 gpd for parcel i
. 21.No ba 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 ade '
25.Ins ection ort on plastic chambers/leach field �'
26.Electrical ermit for um cha.mber/S arate meter for du lexes �------�'
I
27.Pum stem-2" line,wee hole,check valve,tee in dboat, um size ''�--� �
28. S tic tank/ um chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet, under driveway/ arking
30.Buo ancy calculations for tank/ ump chamber ��� �
31.En � eer to ins ect and c ' soils: wall: commercial: � ,
32.En ' eer/Re 'stered Sanitarian and Land Surveyor stam s/si ture �„� �
33.H-20 loading is sub'ect to vehicular traffic, groundwater f
34.Title V A lication and ermit fee,installer si ture
35.Foundation footin min. 2 fe�t above ad'usted ound water for new house
36.Deed Restriction r uired ma�c. #bedrooms: max.flow: d
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: � 6/03/03