HomeMy WebLinkAboutReview Checklist, �-- s , �
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHE('KLIST
, Location: A.M.��Z Lot� Zone of Contribution: In Out �Acreage
� CommerciaL• Residential:_�
Slreet:
Village: Floor Plan: � #Bedrooms: �
Owner: % Installer: �
Address: Phone: '
Phone:
Builder: Engineer: �i �� vVQ�
Address: Phone: -
Phone: v/, �� e/_ �-�
LLX `�
N!A YES NO
1.Required#of wpies received c/
2.Date of soils exam and ercolation test not older than 2 years v'
3. 4-5 ft of naturall occurrin ervious material,above water table L�
4.Foundation 2 ft above lv point 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 wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.: ��
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.: �./
9. Leachin minimum 100 ft from wetlands Var.: �
10.Leachin minimum 150 ft from drinkm welU25 ft irrigation well Var.:
11.Tank/]eachin minimum 10 ft from prop line Vaz.:
12. S stem meets all other setback r uuements Vaz.:
13. Uses adjustment for maximum high groundwater Var.:
14.Leaching set 4-5 ft above adj. water or bottom of test hole Vaz.:
15. System not in to or subsoil(A,B horizons)or 5' removal
16.Pro osed contours aze suitable
17. S stem meets slo e r uirements-min. i/8", '/<" referred ��
18. System meets breakout requirements PVC liner: Wall:
19. S ecified tee sizes aze pro er, s baffle on outlet tee
20. Sewa e is under 10,000 d for azcel
21.No azbage dis osal ��
22. S stem ade uatel sized for its intended use
` 23.Minimum 6" stone or wm acted below tank and dbox `/
24.Manhole covers within 6"of ade, um chamber cover to ade
25.Ins tion ort on lastic 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 dbox, um size �
28. S tic tank/ ump chamber to be facto wat roofed /�'
29.Vent rovided if leaching below 3 feet, under driveway/pazkin
30. Buo ancy calculations for tank/ um chamber -
31. E ' eer to ins ect and cert soils: wall: commercial:
32.En 'neer/Re � tered Sanitarian and Land Surveyor stam s/si hve
33.H-20 loadin is subject to vehicular traffic, groundwater
34.Title V A lication and ermit fee, installer si ature
35.Foundation footing min. 2 feet above ad'usted ground water for new house
36.Deed Restriction r uired maac. #bedrooms: maac. flowc d �
37. Check azea lots for oundwatedLabel groundwater in Assessor's Ma
Plan reviewed bY� s�ovo3