HomeMy WebLinkAboutReview Checklist �- �'�� �'
TOWN OF YARMOUTH N'" "��� � "
' SEWAGE PLAN REVIEW CHECKLIST �,p" ''7 ���'�����
t���,�C. �1 �'
Location: A.M.� Lot �J� Zone af Contribution: In �ut_ Acreage � �J���-
� � ��� ��/ Commercial: Residential: �
Street: ��� ��'����'G/ /`�-'
Village: Floor Plan: � #Bedrooms: �
Owner: � Insta.11er: (=�2%tGt���C%� ��
Address: Phone:
Phone:
Builder: Engineer: �
Address: Phone: - -
Phone: �- /ll�'� �• l�,,tn�r.-�u`�� �
- ;�',.�,Z: ���
N/A NO
1.Required#of copies 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 ta.ble -�.�
4.Founda.tion 2 ft above hi 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.Lea.ching 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 drinking welU25 ft irri ation well Var.:
11.Tank/leaching minimum 10 ft from ro erty line Var.:
12.S stem meets all other setback r uirements Var.: L./
13.Uses ad'ustment for maximum high groundwater Var.:
14.Leachin set 4-5 ft above adj.water or bottom of le Var.: ��
15. System not in to or subsoil(A,B horizons)or remo
16.Pro osed contours are suitable i...��"
17. S stem meets slo e r uirements-min. 1/8", 1/a" referred �..�
18. System meets breakout re uirements PVC liner: Wall:
, 19. Specified tee sizes are ro er,gas ba.ffle on outlet tee
20. Sewage is under 10,000 gpd for parcel
21.No garbage dis osal
• 22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox �./
24.Manhole covers within 6"of ade, um chamber cover to grade
25.Ins ection ort on lastic cha.mbers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum s stem-2" line,weep hole,check valve,tee in dbo�pum size �..�
28. S tic tank/ um chamber to be factory wat roofed ✓
29.Vent rovided if leachin below 3 feet,under drivewa / arkin _�
30.Buoya.ncy calculations for tank/pump chamber �-�
31.E ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Re 'stered Sanitarian and Land Su.rveyor stam s/signature /�t� .
33.H-20 loadin is subject to vehicular tr�c, oundwater
34.Title V A lication and ermit fee, installer signature
35.Foundation footin min. 2 feet above ad'usted ground water for new house
36.Deed Restxiction r uired max. #bedrooms: ma�c. flow: d
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �� 6/03/03