HomeMy WebLinkAboutReview Checklist l�- � �� �
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST -
Location: A.M. � � Lot-1�-- Zone of Contribution: In Out_ eage
�� �/ Commercial: Residential: -
Street: (/(/ '
Village: Floor Plan: �.�� #Bedrooms:_��
Owner: � `r i �, Installer: ,
Address: Phone: ,
Phone: ,��.��/ /� fZ, /l�/'�,� �"�-�'j�
Builder: Engineer: (,� � �
Address: Phone: -"' --�
Phone: ,- r:.�:� �L,,-�',� �" :,��� -�
--. .'"�i� -- �..�
N/A YES NO
1.R uired#of co ies received '-�'"
2.Date of soils e�m and ercolation test not older than 2 years �:----�
3.4-5 ft of na.turall 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 s tic com onents Var.: �✓
6.Benchmark indicated and shown-NGVD if near wetlands �--y"�
7. S tic ta.nk minimum 10 ft from foundation, deck Var.:
8.Leachin 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 tion well Var.: �
11.Tank/leaching minimum 10 ft from ro line Var.: �--�""-
12.S stem meets all other setback r uirements Var.: 4----�"
13.Uses adjustment for ma�mum high oundwater Var.: i._.-�
14.Leachin set 4-5 ft above adj.water or bottom of .; ar.: ✓
15. System not in to or subsoil(A,B horizons)or ' remo
16.Pro osed contours are suitable
17.S stem me.ets slo e r uirements-min. 1/8", '/4" eferred
18. S stem meets breakout r uirements PVC liner: Wall: ,:.,�-'
19. S ecified tee sizes are ro er, as baffle on outlet tee
20. Sewa e is under 10,000 gpd for arcel ✓�
21.No bage 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 ade, um chamber cover to ade .
25.Ins ection ort on la.stic chambers/leach field
26.Electrica.l ermit for um chamber/S arate meter for du lexes
27.Pum s stem-2" line,w hole,check valve,tee in dboar,pum size
28.S tic tank/ um chamber to be factory waterproofed
29.Vent rovided if leachin below 3 feet,under drivewa / arkin �.�-�'
30.Buoyancy calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commercial: �--�
32.En ' eer/Re 'stered Sanitarian and La.nd Surveyor stam s/signature
33.H-20 loading is sub'ect to vehicular traffic, oundwater
34.Title V A lica.tion and �rmit fee, installer si ature
35.Foundation footin min.2 feet above ad'usted ound water for new house �/'
36.Deed Restriction r ired max. #bedrooms: max. flow: d �.�.. �..-
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ����/ wo3�o3