HomeMy WebLinkAboutReview Checklist �E�.. ,� -/ �'
TOWN OF YARMOUTH
' SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. � � Lot � Zone of Co�ribution: In_ Out� Acreage
� Commercial: Residential:��
Street: Q �
Village: � � ( /✓ Floor P1an: � #Bedrooms:�
Owner: � vu�'�- ! '�/" Installer: �J
Address: � Phone: �
Phone: 7'>� - Z
Builda: �J(yLf 1!I /..L1�7/I� Engineer: �
Address: � Phone:
Phone: ��Cc'���� -��1� ��
N/A S , NO
1.R ired#of ies received
2.Date of soils exam and lation test not oldea than 2 ears L`
3.45 ft of occisrin ious mat�ial, above water table
4.Foundation 2 ft above hi oint of road H.P.: nd: �S.�Var.:d )
5.Wat�]me 10 ft from s 'c com onents Var.:
6.Benchmazk indicated and shown-NGVD if near w�lands
7. S tic tank minimum 10 ft firom foundation, deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9.Leachin minimum 100 ft&om wetlands Vaz.: �-�
10.Leac ' minimum 150 ft from drinkin welU25 ft" ' 'on well Var.: '
11. Tank/leachin minimum 10 ft from ary line Vaz.:
12. S stem meets all other setback r ' ements Var.: I
13. Uses adjustme�for m�imum hi oundwater Vaz.: • I
14.I,eachin sd 45 ft above ad'.wata or bottom of test hole Var.: �� '
15. S stcm not in or subsoil(A,B horizons or 5'removal i
16.Pr osed co�ours are suitable , �i
17. S meets sl e irements-min. 1/8", '/a" e,rred t/ '
18. S stem meets breakout r ' ements PVC linea: Wall: �/
� 19. S ecified tee sizes aze ro er, ba87e on outld tee
20. S e is unda 10,000 for arcel '
21.No ba e ' osal
22. S ad uatel sized for its intended use
23.Minimum 6"stone or com ed below tank and dbox
24.Manhole covers within 6"of e, chamba cover to
25. 'on on lastic chamb�s/leach field
26.Electrical �mit for chambe�r/S meter for du le�c� L�
27. -2"line,w hole,check valve,tee in dbox, um size �i
28. S 'c tank/ um chamba to be wa oofed ��
29.Vem ovided if leachin below 3 fe�,under driveway/ kin
30.Buoyan calculations for tank/ chamba �
31.E ' eer to ins ect and c ' soils: wall: commercial:
32. ' e�/Registaed Sanitatian and Land Surv or s/si
33.H-201oadin is sub'ect to vehicular haffic, undwat�
34.Title V A lication and �mit fee,instalier s'
35.Foundation foatin min. 2 feet above ad' ound wata for new house ��
36.Deed Restriction ired max. #bedrooms: max. flow: d
37.Check area lots for oundwater/L.abel oundwate,r in Assessor's
Plan reviewed by: �(ILY� �, '
c�
, .. ,�..,.,.� .. .. I