HomeMy WebLinkAboutReview Checklist � �� �� TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST �
Location: A.M.� Lot Zone of Contribution: In Out_ Acreage
/ Commercial: ResidentiaL• �
Street:
Village: Floor Plan: � #Bedrooms: ?i
.�7/U �
Owner: Insta.11er:
Address: Phone: � `7
Phone:
Builder: Engineer: �G�
Address: Phone: 7 '" �'" �
Phone:
N/A YES NO
1.R uired#of co ies received
2.Date of soils exa.m and ercolation test not older than 2 years
3.4-5 ft of naturall occurrin ervious material, above water ta.ble
4.Foundation 2 ft above hi 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 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.Leachin minimum 150 ft from drinicin welU25 ft irri ation well Var.:
11.Tank/leachin minimum 10 ft from ro erty line Var.: j
12.S stem meets all other setback r uirements Var.: �� �
13.Uses adjustment for ma�mum hi groundwater Var.: •
14.Leachin 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 �..�-" ;
16.Pro osed contours are suitable
17. S stem meets slo e r irements-min.1/8", 1/a" eferred �-- �
18. System meets breakout r irements PVC liner: Wall: �--
19. S ecified tee sizes are ro er, s baffle on outlet tee �---'' i
20. Sewage is under 10,000 for arcel �
21.No ba e dis osa.l
22. S stem ad uatel sized for its intended use L,..,..�
23.Minimum 6"stone or com acted below tank and dbox
� 24.Manhole covers within 6"of ade, um cha.mber cover to grade
25.Ins ion ort on la.stic chambers/leach field
26.Electrica.l ermit for um chamber/Se arate meter for du lexes
27.P system-2" line,wee hole,check valve,tee in dbox, um size L-�"J�
28. S tic tank/ um chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arkin �
30.Buoyancy calculations for tank/ um chamber '
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.Engineer/Re 'stered Sanitaria.n and Land Surv or sta.m s/si ture
33.H-201oadin is subject to vehicular traffic, oundwater ✓ !
34.Title V A lication and ermit fee, installer si ture �`
35.Foundation footin min. 2 feet above adjusted ound water for new house ,,�--'
36.Deed Restriction r ired max. #bedrooms: max. flow: d
37.Check area lots for groundwater/Label groundwater in Assessor's Ma �
Plan reviewed by: � � �osios ,