HomeMy WebLinkAboutReview Checklist / S� �nZr--� ,
' / 7� TOWN OF YARMOUTH � /
. SEWAGE PLAN REVIEW CHECKLIST ���j� � ���"���/��Z�12/
I,ocafion: A.M. �'` Lot /� ZoneofContribuUon: In� Out Acreage-���
• q Commercial: Residential:
Street: / � ����i�G����2- -�
Village: �j� Floor Plan: #Bedrooms: �
Owner: ( O��//i"> Install�: /r-11'i/i/C2���=C
Address: Phone:
Phone:
Builder: Engineer: �c
Address: Phone: - �� -
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Phone: � . � Jj �C�� '2 � � .�Yr�' �Z
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A YE NO
1.R uired#of ies received
2.Date of soiLs exam and colation test not older than 2 years
3.45 ft of na occurrm ervious matetial,above water table ��
4.Foundation 2 ft above]v irn 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 foundatioq deck Vaz.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �/
9.Leachin minimum 100 ft from wetlands Var.:
10.Izaching minimum 150 ft from drinkin welU25 ft irri rion well Var.:
11.Tank/leachin minimum 10 ft from line Vaz.: �-
12.S stem meets all other setback ' ements Vaz.: � �-eze.� ' '
13.Uses ad' stmeirt for maximum lu undwater Vaz.:
14.I,eachin set 4-5 ft abwe ad'.water or bottom of test hole Var.:
15. S stem not in to or subsoil(A,B horizons or 5' removal
16.Pro sed co�ours are suitable
17. S stem m�ts sl e r irements-min. 1/8", '/a" eferred
18. S stem meets breakout r ' ements PVC liner: Wall: -
19. S �ed tee sizes aze ro , baffle on ouU�tee ��
20. Sewa e is under 10,000 for azcel L�
� 21.No e ' osal
22. S stem ad uaYel sized for its intended use `/
_ 23.Minimum 6"stone or wm acted below tank and dbox
24.Manhole cov�s within 6"of e, um chamber cover to ade
25. Ins ion rt on lastic chambers/leach field
26.Electrical ermit for um chambedS ate meter for c}u lexes •�
27.P stem-2"line,w hole,check valve,tee in dboac, um size
28. S 'c tank/ um chamber to be fact wa roofed
29.Vent rovided if leachin below 3 feet,under drivewa / azkin
30.Buo anc calwlations for tank/ um chamber
31. E ' e�to ins ect and cert soils: wall: commercial:
32.E ' eedRe 'steaed Sanitarian and Land Surv or stam s/si hue
33.H-201oadin is subject to vehicular traffic, oundwata
34.Title V A lication and ermit fee, installer si ..
35.Foundation footin min. 2 feet above ad'usted ound wat�for new house
36.Deed Restriction r a�ed ma�c. #bedrooms: mvc. flow: d �
37.Check azea lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �� } srovo3