HomeMy WebLinkAboutReview Checklist ����/ �.
+� T�wN OF YARM�UTH
SEWAGE PLAN REVIEW CHECKLIST
� Lot � � Zone of Contribution: In Out �eage
Location: A.M. �� _
Commercial: Residential: �--��
Street: �� �
Village: l/ Floor Plan: V #Bedrooms: Z,
Owner:�� �C'��tit,f �LS��C�/���i'� Installer: /
Address: Phone: ` ��
Phone: '7 ' ��1�` :�-�
d� `
Builder: Engineer: ss ��/
Address: Phone: - -
Phone: - y�� � �'�
�j . / V�-'�'.�.� r � L ar �
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 occunin ervious material, above water table �-�'"
4.Founda.tion 2 ft above high oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from septic com onents Var.: �.�
6.Benchmark indicated and shown-NGVD if near wetlands ��
7. S tic tank minimum 10 ft from foundation, deck Var.: �-�'
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minunum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinicing welU25 ft irri ation well Var.:
11.Tank/leaching minimum 10 ft from roperty 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.: r;>', �,�<-
15. System not in top or subsoil(A,B horizons)or 5'removal
16.Pro sed contours are suitable �._.-,-
17. S stem meets slo e r uirements-min. 1/8", I/4" eferred ��
18. System meets breakout re irements 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 arba e dis osal �..�'"
V � 22. S stem ad ua.tel sized for its intended use � -�Z-y;y '
23.Minimum 6"stone or compacted below tank and dbox �--��"
� � 24.Ma.nhole covers within 6"of ade, ump chamber cover to grade �.J...--�
25.Inspection ort on plastic chambers/leach field �,.,,�
26.Electrical ermit for um chamber/S arate meter for du lexes �'
27.Pum stem-2" line,weep hole,check valve,tee in dbo� um size
28. Septic tank/ um chamber to be factory waterproofed
29.Vent rovided if leaching below 3 feet,under driveway/parking
30.Buoyancy calculations for tank/pump chamber
31.En ' eer to ins ect and cert' soiis: wall: commercial: '�
32.Engineer/Registered Sanitarian and Land Surve or stam s/si ature ' f '
33.H-201oading is subject to vehicular tr�c, groundwater L� ;
34.Title V A plication and permit fee, installer si ture I
35.Foundation footin min. 2 feet above adjusted ground water for new house �-�"
36.Deed Restriction r uired max. #bedrooms: �� max. flow: �� d `--�- ..
37.Check axea lots for groundwater/Label oundwater in Assessor's Ma
y ',
Plan reviewed by: ��L' wo3io3