HomeMy WebLinkAboutReview Checklist �- Z�-��
TOWN OF YARMOUTH
- SEWAGE PLAN REVIEW CHECKLIST
Locarion: A.M. � Lot 3�� Zone of Co�ribution: In Out� Acreage
�� �� �� CommerciaL• Reside�ial:��
Sr��r: �
Village: . Floor Plan: #Bedrooms:
Owner: S �-/ /�✓G Installer: Y�--� �- �/�/�Gzu�'�
Address: Phone: S��- ��f0
Phone:
Builder: Engineer: /�-'/S� s�� �/�
Address: Phone: �� � �-j
Phone:
N/A YES NO
1.Required#of co ies received
2.DaYe of soils atam and �colation test not old�than 2 years 2/
3.45 ft of na occurrin ervious material,above water table
4.Foundation 2 ft above hi im of road H.P.: Fnd: Vaz.:
5.Water line 10 ft from s 'c com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands ✓/
7. S 'c tank minimum 10 ft&om foundation, deck Vaz.:
8.I.eachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: L/
9.I.eaclung minunum 100 ft from wetlands Vaz.: -
10.I,eachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
1 I.Tank/leaching minimum 10 ft from r erty line Vaz.:
12. S stem meeu all other setback r uuements Vaz.: CC.�
13.Uses adjustment for m�imum hi groundwater Vu.:
14.I.eachin set 4-5 ft above ad'.water or bottom of test hole Var.:
15.S stem not in to or subsoil(A,B horizons or 5'removal c/
16.Pr osed co�ours are suitable
17.S stem meets slo r irements-min. 1/8", '/d' eferred E�
18. S stem meets breakout uirements PVC liner: Wall:
19.S ified tee sizes aze ro , baffle on outle,t tee
20. Sewa e is under 10,000 for azcei
21.No e dis osal
22. S ad uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of e, chamber wver to e
25. ection rt on lastic chambeis/leach field
26.Electrical ermit for um chamber/S ate meter for du lexes
27.P stem-2"line,wee hole,check valve,t�in dbox, um size
28. S 'c tank/ um chamber to be f wa roofed
29.Vern rovided if leachin below 3 fe�, under driveway/ azkin
30.Buoyanc calcularions for tank/ um chamber
31.En ' eer to ins ect and c ' soils: wall: commer ' �
32.E ' eer/Re 'stered Sanitarian and Land Surv or s/si ture 2
33. H-201oadin is sub'ect to vehiculaz traffic, oundwater
34. Title V A lication and ermit fee, install�si _�
35.Foundation footin min. 2 feet above ad'usted ound water for new house �
36.Deed Restriction r ua�ed mvc. #bedrooms: ma�c. flow: �-
37.Check area lots far oundwat�/I,abel oundwates in Assessor's Ma
Plan reviewed by: ��' �rova�