HomeMy WebLinkAboutReview Checklist �* �/�<i-��
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST '
Location: A.M.�L Lot�� Zone of Contribution: In_ Out� Acreage
� Commercial: (/ R identi�
Street:
Village: / (�G;l/ Floor Plan #Bedr�m�. :�'�' �����
Owner:���/� Installer:
Address: Phone:
Phone:
Builder: `� Engineer: T>� /�
�� Address: Phone:_���� �-��Fj'
Phone: . /
-_ �� `�'����� ., i���';�'.
N/A YES NO
1.R uired#of co ies received
2.Date of soils exam and percolarion test not older than 2 years
3. 4-5 ft of natural occurrin ervious material, above water table
4.Founda6on 2 ft above hi oint of road H.P.: Fnd: Vaz.: ✓
5. Water line 10 ft from s tic components Vaz.: �' --�'
6. Benchmazk indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundarion, deck Vaz.:
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9. Leaching minimum 100 ft from wetlands Var.:
10. Leaching minimum 150 ft from drinkin welU25 ft irri tion well Vaz.:
11. Tank/leachin minimum 10 ft from roperty line Var.: �' a � ��
12. S stem meets all other setback r uirements Vaz.:
13.Uses adjustment for maximum hi groundwater Vaz.:
14. Leachin set 4-5 4t above ad'. water or bottom of test hole Var.: ��
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. 1/8", '/<" eferred
18. System meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes aze roper, as baffle on outlet tee �
20. Sewa e is under 10,000 d for arcel �_� '
21.No garba e 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, um chamber cover to ade ti�
25. Inspection rt on plastic chambers/leach field
26. Electrical ermit for um chamber/S arate meter for du lexes
27.Pum system-2" line,wee hole,check val tee-iadb um size
28. Septic tank/pum chamber to be facto wat roofed
29. Vent provided if leaching below 3 feet, under dnveway/ azking
30. Buo ancy calculations for tank/pump chamber
31.En � eer to ins ect and c soils: wall: commerciaL ,�./
32. En 'neer/Re 'stered Sanitarian and Land Surveyor stam s/si ature
33. H-201aading is subject to vehicular traffic, groundwater
34. Title V A lication and ermit fee, installer signature
35.Foundation footin min. 2 feet above ad'usted ground water for new house
36. Deed Restriction re uired maY. #bedrooms: maz. flow:
37. Check area lots for groundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ��\�
NO3/03