HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST •
Location: A.M.
Lot 2�3ffv Zone of Contribution: In Out Acreage
Commercial: Residential: f /Gec5
Street:
Village: Floor Plan: a
Bedrooms:
Owner: .
_ - Installer: _. , ,, ,
Address:
_ - Phone: ( f ,; i)
Phone:
Builder: Engineer: = .
Address: ', „r,
Phone: Phone: r� f i....)
N/A YES NO
1. Required#of copies received
2. Date of soils exam and percolation test not older than 2 years 3. 4-5 ft of naturally occurring pervious material, above water table ./4. Foundation 2 ft above high point of road H.P.: Fnd: Var.:
5. Water line 10 ft from septic components Var.: J -
6. Benchmark indicated and shown-NGVD if near wetlands
7. Septic tank minimum 10 ft from foundation, deck Var.:
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9. Leaching minimum 100 ft from wetlands
wars: :� 1 fr` / I
10. Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: -
11. Tank/leaching minimum 10 ft from property line Var.:
12. System meets all other setback requirements Var.: /
13. Uses adjustment for maximum high groundwater Var.:
14. Leaching set 4-5 ft above ad. water or bottom of test hole Var.: I
15. System not in top or subsoil (A,B horizons)or 5' removal
16. Prososed contours are suitable
1111.011111111.
17. System meets slope requirements- min. 1/8", %"preferred 18. S stem meets breakout re.uirements
19. S.ecified tee sizes are 'roper, vas baffle on outlet tee PVC liner: Nall: -
20. Sewage :.,ad is under 10,000 .d for .angel ,
21. Noa
arbaoe dissosal
22. System ade uately sized for its intended use
23: Minimum 6"stone or comaacted below tank and dboxMil
24. Manhole covers within 6"of grade, pump chamber cover to gradeMil
1.1111111111111
25. Ins.ection sort on alastic chambers/leach field
26. Electrical .ermit for 'urn. chamber/Sesarate meter for duplexes
27. Puma system-2"line,wee. hole,check valve, tee in dbox, sump size _�_
28. Se tic tank/pump chamber to be factory waterproofed _111111111111111111
29. Vent provided if leaching below 3 feet,under driveway/parkinaIIIIIIIIIIIIIIIII
30. Buo anc calculations for-tank/sums chamber -�
31. Engineer to ins ect and certify soils: wall: ,.„ In
32. Enrineer/Re:istered Sanitarian and Land Surveyor stam.s!signature commercial: 111111111
33. H-20 loading is sub'ect to vehicular traffic, : oundwater _®_
34.Title V Ap.lication and aermit fee, installer signature
35. Foundation footing min. 2 feet above ad'usted around water for new house _®-
36. Deed Restriction re•uired max. ®-
37. Check area lots for groundwater/Label • ound eater in Assessor's Ma. d ®_
MIMIPlan reviewed by
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