HomeMy WebLinkAboutReview Checklist � ✓� TOWN OF YARMOUTH
� � SEWAGE PLAN REVIEW CHECKLIST
,Location: A.M. /� Lot�_ Zone of Contribution: In_ Out� Acreage
' /� Commercial: Residential:�
Street: �z �� / � /
Village: l! // Floor Plan: !/ #Bedrooms: �
. / � �
Owner: 1 L. C�Fis� Installer:
Address: Phone:
Phone:
Builder: 6 � F�' ' Engineer: /��`'� � IiteC6iC�
Address: + G2 � Phone: � '3�,'L=" �
Phone: -' (L
J �. �
N/A YES
l.Required#of co ies received
2. Date of soils exam and ercolation test not older than 2 years
3. 4-5 ft of natural occurriu ervious material, above water table
4.FoundaUon 2 ft above hi int of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s tic com onents Vaz.:
6. Benchwark indicated and shown-NGVD if near we�lands
7. S tic tank minimum 10 ft from foundation, deck Var.: �""
8. I.eachin minimum 20 ft full, 15 ft crxwl, 10 ft slab Vaz.:
9. Leaching minimum 100 ft from wetlauds Vaz.:
10. I,eachin minimum 150 ft from drinking welU25 ft irri rion well Vaz.: -
11. Tank/leachin minimum 10 8 from ro erty line Vaz.:
12. S stem meets all other setback r u'vements Var.:
13. Uses ad'ustment for max;mum high groundwater Vaz.:
14.Leaching set 4-S lt above ad'.water or bottom of test hole Vaz.: �� '
15. S stem not in to or subsoil(A,B horizons)or 5'removal
16.Pro sed contours ue suitable �
17. S stem meets slo e r uirements-min. 1/8", '/a" referred �
18. System meets breakout r uirements PVC liner: Wall: -
19. S ec�ed tee sizes aze r er, gas baffle on outlet tee
20. Sewa e is under 10,000 gpd for pazcel
21.No bage dis osal
' 22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or com acted below tanlc and dbox
24.Manhole covers within 6"of ade, um chamber cover to grade
25. Inspection ort on plastic chambers/leach field v
26. Electrical ermit for um chambedS azate meter far du lexes `-�
27.Pum s stem-2" line,wee hole,check valve,tee in dbo�t,pum size
28. S tic tank/ um chamber to be factory waterproofed
29. Vent rovided if leaching below 3 feet,under drivewa / azkin
30.Buoyancy calculations for tavk/ um chamber
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.En ' eer/Registered Sanitarian and Land Surv or s s/si ture
33. H-20 loading is subject to vehicular traffic, oundwat� _�
34. Title V A lication and ermit fee, installer si ture
35.Foundation footin min. 2 feet above adjusted ground water for new house
36.Deed Restriction r uired max. #bedrooms: ma�c. flow: d .
37.Check azea lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �'" ' �o3ro�