HomeMy WebLinkAboutReview Checklist �������
, ; ; TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST /
Location: A.M.� Lot �� Zone of Contribution: In Out Acreage
� � Commercial: Residential: �
Street: �
Village: Floor Plan: #Bedrooms:_,��'-��,�y Z-.
. �
Owner: l�U Installer: � ` ��.� / C�1%�
Address: Phone:
Phone: � J � /
-�T�� � �._.�'��;G;' `�4-�
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Builder: Engineer: �
Address: Phone: .- r.-
Phone: ---j�12���"� � l� -� �_ �'�
._. ;A, �i
N/A YES NO
1.Required#of copies received
2.Date of soils exam and ercolation test not older than 2 ears �"
3.4-5 ft of naxural occurrin ervious material,above water ta.ble �--�'
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.: �.---�
5.Water line 10 ft from septic 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.:
10.Leachin minimum 150 ft from drinking welU25 ft uri tion well Var.: �-'''��
11.Tank/leachin minimum 10 ft from r erry 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 ad'.water or bottom of test hole Var.: �'
15. System not in to or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suita.ble °,----"
17. S stem meets slo e r uirements-min. 1/8", '/4" eferred
18. System meets breakout r uirements PVC liner: Wall:
19. Specified tee sizes are ro er, ga.s ba,ffle on outlet tee
20. Sewa e is under 10,000 for parcel `
21.No arba e dis osal �_
22. S stem ad uatel sized for its intended use i�..--F
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of ade, um chamber cover to ade
25.Ins ection ort on lastic chambers/leach field �_----
26.Electrical ermit for um cha.mber/S azate meter for du lexes �
27.Pum system-2" line,wee hole,check valve,tee in dbox, um size
28. S tic tank/ um chamber to be factory wat roofed
29.Vent rovided if leaching below 3 feet,under drivewa / arking
30.Buoyancy calculations for tank/ ump cha.mber �-�
31.En ' eer to ins ect and cert' soils: wall: commercial: r'
32.Engineer/Registered Sanitarian and L,and Surveyor stam s/si ture
33.H-201oading is subject to vehicular h�a�c, groundwater �_...�
34.Title V A lication and ermit fee, insta.11er si ature
35.Foundation footin min.2 feet above ad'usted ground water for new house
36.Deed Restriction r uired max. #bedrooms: ma�c. flow: d
37.Check azea lots for groundwater/Label oundwater in Assessor's Ma ----�-"'
Plan reviewed by: � 6/03/03