HomeMy WebLinkAboutReview Checklist � _`����� TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST
: Location: A.M.�_ Lot /a Zone of Contribution: In Out creage
Commercial: Residential:
Street: ! 7( /��
Village: - Floor Plan: � #Bedrooms:�
Owner: Installer:
Address: Phone: - ? �
Phone: �� �-� ���
�, L��,
Builder: Engmeer: �/
Address: Phone: - �
Phone: 11��"�,' �� ' LS; -
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N/A YE NO
1.Re uired#of co ies received ��
2.Date of soils exam and percolation test not older than 2 years
3. 4-5 ft of naturall occurrin ervious material, above water table "/�' v� _ �""'-
4.Foundation 2 ft above high oint 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.: i
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: '7 � '
9.Leaching minimum 100 ft from wetlands Var.: ��
10.Leaching minimum 150 ft from drinking we1U25 ft irrigation well Var.:
11.Tank/leaching ininimum 10 ft from ro erty line Var.: =�- `�
12.S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum hi oundwater Var.:
14.Leachin set 4-5 ft above adj.water or bottom s Var.:
15.System not in top or subsoil(A,B horizons) r 5'remo �
16.Pro osed contours are suitable
17. S stem meets slo e re uirements-min. 1/8", 1/4" referred ,
18. System meets breakout requirements PVC liner: Wall:
19.S ecified tee sizes are proper, gas baftle on outlet tee
20. Sewage is under 10,000 d for arcel
. 21.No garbage dis osal
22. S stem ade uatel sized for its intended use f
I
23.Minimum 6"stone or compacted below tank and dbox '
� 24.Manhole covers within 6"of grade, um chamber cover to grade i
�
25.Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pump system-2" line,weep hole,check valve,tee in dbox,pum size
28. Septic tank/pump chamber to be factory wat roofed I
29.Vent rovided if leaching below 3 feet,under driveway/ arkin
30.Buoyancy calculations for ta.nk/ um chamber
31.En ' eer to ins ect and cert soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surve or sta.mps/signature
33.H-201oading is snbject to vehicular traffic, groundwater
34.Title V A lication and permit fee, installer signature
35.Foundation footing min. 2 feet above adjusted ound water for new house d
36.Deed Restriction r uired ma.x. #bedrooms: max. flow:
37.Check area lots for groundwater/Label groundwater in Assessor's Ma
6/03/03
Plan reviewed by: