HomeMy WebLinkAboutReview Checklist�
' ��f ) ,�'� /�'�.-.�'�
' l� TOWN OF YARMOUTH l ���-%
I SEWAGE PLAN REV�W CHECKLIST ���y' �
/ �
Location: A.M. 9� Lot � Zone of Contribution: In+�Out Acreage � �s �"�-�
Commercial: Residential: �./
' Street: Z� y /�
Village: s' Floor Plan: �� #Bedrooms: Z---
Owner: �'7G(s2eGl /��/�/�l� ,���Installer: � ',
Address: Phone: `
Phone:
Builder: Engineer: � c%�/l?)
Address: Phone: - �' �
Phone:
N/A YES NO
l.R uired#of co ies received '
2.Date of soils e�.m and ercolation test not older than 2 years �--�
3. 4-5 ft of natural occurrin ervious material, above water table
4.Foundation 2 ft above hi 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. Se tic tank minimum 10 ft from foundation, deck Var.: •�� ;
8.Leachin minimum 20 ft full, 15 ft crawl, 10 fE slab Va.r.: �� '
9.Leaching minimum 100 ft from wetlands Va.r.: �-
10.Lea.chin minimum 150 ft from drinkin welU25 ft irri tion well Var.: '
1 l.Tank/leaching minimum 10 ft from ro erty line Var.:
12. S stem meets all other setback r uirements Var.: ��
13.Uses adjustment for maximum high groundwater Var.: �.�
14.Leachin set 4-5 ft above adj.water or bottom of test hole Var.: '
15. S stem not in to or subsoil(A,B horizons)or 5'removal ��� ;
16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", 1/a" eferred
18. S stem meets breakout r uirements PVC liner: Wall:
19. Spec�ed tee sizes are pro er, gas baffle on outlet tee
20. Sewa e is under 10,000 d for arcel ,
_ 21.No garba e disposal �„� ,
22.S stem ad ua.tel sized for its intended use
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 ection port on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum system-2" line,wee hole,check valve,tee in dbo�pum size � ,
28. Septic tank/ ump chamber to be facto waterproofed �
29.Vent rovided if leachin below 3 feet,under driveway/parkin �
30.Buo ancy calculaxions for tank/ um chamber �
31.En ' eer to ins ect and cert' soils: wall: commercial: =�""
32.En ' eer/Registered Sanitarian and Land Surveyor sta.m s/si ture
33.H-20 loadin is subject to vehicular traffic,groundwater ,,��,,..
34.Title V A lication and ermit fee, insta.11er si ture ,�
35.Foundaxion footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms:-. ma�c. flow:�. d ,�"""
37.Check area lots for groundwater/Label oundwater in Assessor's
Plan reviewed by: -��"��-� 6/03/03 f