HomeMy WebLinkAboutReview Checklist _ S '/ �S� TOWN OF YARMOUTH ��`�� ,��� �/
SEWAGE PLAN REV�W CHECKLIST �r��,�- �/�-z'-�l
, Location: A.M.� L,ot�� Zone of Contribution: In✓Out Acreage�� 7d� �'
� Commercial: Residential:�
Street: � " �
Village: �J/ Floor Plan: // #Bedtooms:�d�j�,Y
Owner: ��w�0/IT Installer: �
Address: Phone: �
Phone:
Builder: Engincer: `�
Address: Phone: -
Phone: '
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N/A YES ` O
1.R uited#of co ies received
2.Date of soils e�m and ercolation test not older than 2 ears
3.4-5 ft of natural occurrin ervious material,above water table
4.Foundation 2 ft above lu oint of road H.P.: Fnd: Vaz.: „/
5.Water line 10 ft from s tic com onents Vaz.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Vaz.:
8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Vaz.:
10.Leachin atinimum 150 ft&om drinkin welU25 ft irri tion well Vaz.: _/
11.Ta.nk/leaching minimum 10 ft from roperry line Var.:
12.S stem meets all other setback uirements Vaz.:
13.Uses ad'ustment for max;mum hi oundwater Vaz.: �
14.Leachin set 4-5 ft above ad'.water or bott aftest�e] Vaz.: �/
15. S stem not in to or subsoil(A,B horizo or 5'rem I L/'
16.Pro sed contours aze suitable �i
17. S stem meets slo e r irements-min. 1/8", '/<" referred
18. S stem meets breakout r irements PVC liner: Wall: ��-
' 19. S ec�ed tee sizes aze ro , gas baffie on outlet tee `�
20. Sewa e is under 10,000 for azcel
2L No ba 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 ade, um ct�amber cover to ade
25. Ins ection ort on lastic chambers/leach field
26.Electrical ennit for um chambea/S arate meter for du lexes
27•P stem-2" line,weep hole,check valve,tee in dbo�y um size /
28. Septic tank/ um chamber to be factory wat roofed
29.Vent rovided if leaclvng below 3 feet, under driveway/ kin
30.Buo ancy calculations for tank/ um chamb�
31. En ' eer to ins ect and cert soils: wall: commercial:
32.En 'neer/Registered Sanitarian and Land Surv or s/si ture
33.H-201oadin is sub'ect to vehicular haffic, groundwater `�
34. Title V A lication and ermit fee, installer si ature ��
35.Foundarion footing min. 2 feet above ad'usted ound water for new house ✓
36.Deed Restriction r uired ma�c. #bedrooms: maac. flow: d
37. Check azea lots for oundwater/Label oundwater in Assessor's Ma �
Plan reviewed by: �_�s
Q/03/03