HomeMy WebLinkAboutReview Checklist�
i � �� r� � TOWN OF YARMOUTH
' SEWAGE PLAN REVIEW CHECKLIST
t Location: A.M.�_ Lot� Zone of Contribution: In Out '-�creage�
� ���S, Commercial: Residential.
Street:
Village: Floor Plan: � #Bedrooms:
Owner: Installer: /'¢��� �" �
Address: Phone: � �7�S- ,2�
Phone:
Builder: Engineer: �Lg� !✓
Address: Phone: -
Phone: " '
; ��1''� - 1� �-��z.�-� ` lY ,�
j �;�:. � 7 . ,y� 1,�,s�;y�
N/A YES NO
,� l.Required#of co ies received
2. Date of soils e�m and ercolation test not older than 2 ears
' 3.4-5 ft of naturall occurrin ervious material, above water ta.ble �-
� 4.Foundation 2 ft above hi int of road H.P.: Fnd: Var.:
i
5.Water line 10 ft from s tic com onents Var.: L/
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.: i,_./
9.Leachin minimum 100 ft from wetlands Var.: �._..._�
;
10. Leachin minimum 150 ft from drinkin we1U25 ft irri tion well Var.: `--�'""�
; 11.Tank/leaching minimum 10 ft from ro erty line Var.:
� 12. S stem meets all other setback r uirements Var.: �.,,....--
j 13.Uses ad'ustment for ma�vmum hi oundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom o Var.: `
i 15. S stem not in to or subsoil(A,B horizons)0 5'remova �
� 16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/4" referred
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ec�ed tee sizes are ro er, gas baftle on outlet tee
' 20. Sewage is under 10,000 d for arcel �
� 21.No garba e dis osal
22. S stem ade ua.tel sized for its intended use �,�
: 23.Minimum 6"stone or com acted below tank and dbox
; 24.Manhole covers within 6"of grade,pum chamber cover to ade
25.Inspection ort on plastic chambers/leach field �/
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum s stem-2" line,wee hole,che�k valve,tee in dbo� ump size
28. Septic tank/ um chamber to be factory wa roofed
29.Vent rovided if leaching below 3 feet,under driveway/ arking �,,,.�
30.Buoyancy ca.lculations for tank/ ump chamber
31.En ' eer to ins ect and cert soils: wall: commercial: v�
32.Engineer/Re 'stered Sanitarian and Land Surveyor stam s/signature u'
33.H-201oading is subject to vehicular traffic, groundwater
34.Title V A lication and ermit fee, installer si ature �----�
35.Founda.tion footing min. 2 feet above adjusted ound water for new house --`-
36.Deed Restriction r uired m�. #bedrooms: max. flow: d �---��
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �' ' wo3�o3