HomeMy WebLinkAboutReview Checklist � -�� _, � ��z�-�,� I
TOWN OF YARMOUTH /�
� � SEWAGE PLAN REVIEW CHECKLIST Y�,� � ��`�y���'',
; . Location: A.M. /'l� Lot� Zone of Contribution: In�t_ Acreage�� �����
�f Commercial: Residential:�,�
Street: � �`�
Village: C Floor Plan: #Bedrooms:���7��'
Owner: � Insta.11er: s
Address: � Phone: -
Phone:
Builder: Engineer: -�����
Address: Phone: Gj �' -�
Phone: .. ��'� ' � '!
_ � - � r �
N/A YES NO
l.Required#of copies received ✓
2.Date of soils exam and ercolation test not older than 2 years (..�-''"'
3.4-5 ft of naturall occurrin ervious material, above water ta.ble �r.
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic components Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from founda.tion, deck Var.: ��'
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.: v
10.Leaching minimum 150 ft from drinkin welU25 ft irri ation well Var.: --��
11.Tank/leaching minimum 10 ft from roperry line Var.: �
12. S stem meets all other setback r uirements Var.: L.�' �
13.Uses adjustment for maximum high oundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom Var.: ��'
I5. System not in to or subsoil(A,B horizons) 5'remo
16.Pro osed contours are suitable
17. S stem meets slo e re uirements-min. 1/8", '/4" referred
18. S stem meets breakout re uirements PVC liner: �Wall: v-
19.S ecified tee sizes are proper, gas baffle on outlet tee t�
20. Sewa e is under 10,000 d for parcel ✓
21.No arba e dis osal �/
- 22. S stem ade uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox
� 24.Manhole covers within 6"of grade, um chamber cover to grade t/
25.Inspection ort on plastic 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, ump size ��'
28. S tic tank/pum chamber to be factory wat roofed �'
29.Vent provided if lea.ching below 3 feet, under driveway/parking ti�
30.Buoyancy calculations for tank/pum chamber ��
31.En ' eer to ins ect and cert soils: wall: commercial: ✓"
32.En ' eer/Re ' tered Sanitarian and Land Surveyor stam s/si ature
33.H-201oading is sub'ect to vehicular traffic, goundwater
34.Title V A lication and ermit fee, installer si ature ��
35.Foundation footing min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired ma�. #bedrooms: � max. flow: Z d
37.Check area lots for groundwater/Label groundwater in Assessor's Ma 1/
Plan reviewed by: �osio3