HomeMy WebLinkAboutReview Checklist ��z� � �
TOWN OF YARMOUTH
- SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot �� Zone of Contribution: In Out �ge
" Commercial: Residential�J
Street: Z {� � �
Village: !✓ Floor Plan: #Bedrooms:
Owner: Insta ller: �
Address: Phone: �- G'
Phone:
Builder: Engineer: � �
Address: Phone: •--
� Phone: ��'{� � .� j-� ��"��% .��
;l�;� � �:_ -o�, �
/A YES NO
l.Required#of co ies received
2. Date of soils e�cam and ercolation test not older than 2 years ��
3. 4-5 ft of naturall occurrin ervious material, above water table �----
4.Founda.tion 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
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.Lea.ching minimum 150 ft from drinkin we1U25 ft irri ation well Var.: -
11.TanWleaching minimum 10 ft from pro line Var.: �� �--
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum hi groundwater Var.: �
14.Leachin set 4-5 ft above ad'.water or bottom o Var.:
15.System not in to or subsoil(A,B horizons) 5'remov �,,.
16.Pro osed contours are suitable �-
1
17. S stem meets slo e r uirements-min. 1/8", '/4" referred
18. System meets breakout r uirements PVC liner: Wall: L/'
19. S ecified tee sizes are ro , gas baffle on outlet tee �,�--
20. Sewa e is under 10,000 d for parcel V,--
_ 21.No bage 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 grade, ump chamber cover to ade
25.Ins ection ort on lastic chambers/leach field ��
26.Electrical ermit for um cha.mber/S arate meter for du lexes
27.Pum system-2" line,weep hole,check valve,tee in dbo� pump size ---""-
28. S tic tank/pum chamber to be factory waterproofed
29.Vent rovided if leachin below 3 feet,under drivewa / arkin -----
30.Buoyancy calculations for tank/ um chamber �----�r
31.En � eer to ins ect and cert' soils: wall: commercial: --�-'""
32.En ' eer/Registered Sanitarian and Land Surveyor stam s/si ture
33.H-201oading is subject to vehicular traffic, groundwater
34. Title V A lication and ermit fee, installer signature �„�.
35.Foundation footin min. 2 feet above adjusted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow: d �
37.Check axea lots for oundwater/Label groundwater in Assessor's Ma ---�-
Plan reviewed by: \ �o3io3