HomeMy WebLinkAboutReview Checklist ' ���� �/ � TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M.--�i/ v Lot /2 -� t� Zone of Contribution: In Out_`�Acreage��
Commercial: Residential.
Street: � � �
Village: Floor Plan: 6/ #Bedrooms:
Owner: Installer: G�
Address: Phone: - �- 7
Phone: � �� � l.'/�� ��/�2���/r��`�,�
�7�
Builder: Engineer: GJ �'
Address: Phone: -- --
Phone: �f fL . j� ,i'����/�'/
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N/A YES NO
1.Re uired#of co ies received
2.Date of soils exam and percolation test not older than 2 years (..i'
3. 4-5 ft of naturall occurrin ervious material, above water table
4.Founda.tion 2 ft above hi oint of road H.P.: Fnd: Var.: C�
5.Water line 10 ft from s tic com onents Var.: C�'
6.Benchmark indicated and shown-NGVD if near wetlands
7. Se 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 drinkin welU25 ft irri ation well Var.:
11.Tank/leaching minimum 10 ft from ro erly line Var.:
12. S stem meets all other setback r uirements Vaz.: ;
13.Uses adjustment for ma�mum hi groundwater Var.: !
14.Leaching set 4-5 ft above adj.water or botto es le-Var.:
15. System not in to or subsoil(A,B horizons) 5're ;
16.Pro osed contours are suitable
17.S stem meets slo e r uirements-min. 1/8", '/4" referred �i
18. System meets breakout requirements PVC liner: Wall: ' , ;
19. Spec�ed tee sizes are proper, gas baffle on outlet tee
20. Sewa e is under 10,000 d for arcel :`1
21.No garba e dis osal
- 22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox
24.Manhole covers within 6"of grade,pump chamber cover to grade ��°"
25.Inspection port on lastic chambers/leach field („�
26.Electrical ermit for um chamber/S arate meter for du lexes �i'
27.Pump system-2" line,weep hole,check valve,tee in dbox, um size �i
28. S tic tank/ ump chamber to be factory wat roofed
29.Vent rovided if leaching below 3 feet,under driveway/parkin
30.Buoyancy calculations for tank/ um chamber c��
31.En ' eer to ins ect and cert' soils: wall: commercial: :
32.Engineer/Registered Sanitarian and Land Surve or stam s/si ature i
33.H-201oading is subject to vehicular traffic, oundwater ',
34.Title V A lication and ermit fee, insta.11er signature �1
35.Foundation footing min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired m�. #bedrooms: max. flow: d '
37.Check area lots for oundwater/Label groundwater in Assessor's Ma
Plan reviewed by: l.�'" wosio3