HomeMy WebLinkAboutReview Checklist �- �� -��
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
I,ocation: A.M.� Lot�_ Zone of Contribution: In Out �Acreage
/ � Commercial: Residential:�
Street:�� �/����[/ (�'� /
Village: (,d_ //�� Floor Plan: �./ #Bedrooms:�_
Owner. �C(({42�1Y� /6� �l/'/Y Installer: ''7
Address: ' 4 ` �
Phone:
Phone: °
-r''��v t/ '{ �%�-G� �- .')�Z'c�°`'.�'i/
Builder: Engineer: S
Address: Phone: -� L
Phone: �, , � �
_�Z"LGtr�-�/'� G �� Zt'
' '- � •�h�4
N/A YES NO
l.R uired#of co ies received
2. Date of soils exam and ercolation test not older than 2 years
3. 4-5 ft of naturall occurrin ervious material, above water table `l
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Vaz.: , � �
6. Benchmazk indicated and shown-NGVD if near wetlauds
7. S tic tank minimum 10 ft from foundation, deck Var.:
8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9.Leaching minimum 100 ft from wetlands Var.:
10.I,eachin minimum 150 ft from drinking welU25 ft irrigation well Vaz.:
11. TanWleaching minimum 10 ft from ro line Vaz.: `/
12. S stem meets all other setback r uirements Var.:
i 13.Uses ad'ustment for ma�cimum high goundwater Va�: �/
14.I,eaching set 4-5 ft above adj.water or bott of test hole V .:
I5. System not in to or subsoil(A,B horizons or Y removal
16.Pro osed contours are suitable L�
17. S stem meets slo e r uirements-min. 1/8", '/a" referred L/
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ec�ed tee sizes aze pro er,gas baf�le on outlet tee
20. Sewa e is under 10,000 d for arcel
21.No gazbage disposal `�
22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox
� 24.Manhole covers within 6"of gade, ump chamber wver to e
25. Ins ection ort on plastic chambers/leach field �
26.Electrical ermit for um chamber/Se azate meter for du lexes
27.Pum stem-2" line,wee hole,check valve,tee in dboac, ump size
28. Septic tank/ um chamber to be factory waterproofed
29.Vent provided if leaching below 3 feet, under drivewa / arking
30.Buo ancy calcularions for tank/ um chamber
31.En ineer to ins ect and cert soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surveyor stam s/signature
33.H-20 loading is sub'ect to vehicular traf�ic, groundwater
34.Title V A lication and permit fee, installer si ture
35.Foundation footing min. 2 feet above adjusted ound water for new house �/
36.Deed Restriction r uired max. #bedrooms: ma�c. flow: d �
37.Check azea lots for oundwater/Label groundwater in Assessor's Map
Plan reviewed bY� �"' t' �o;io3