HomeMy WebLinkAboutReview Checklist �/i�is'
TOWN OF YARMOUTH
• SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. � / Lot� Zone of Contribution: In_ Out�Aereage
i . Commercial: es�dential:�
Street:
Village:_ /�i!/ Floor Plan: � � #Bedrooms: �
Owner: ��� �Q',� Install�: �
Address: Phone:
Phone:
Build�: Engineer: S'
Address: Phone: '� - - �
Phone: _ il'C�G ,' � ?. a' ��
� s�� ���
N/A YES NO
1.R ' ed#of ies received
2.Date of soils e�cam and colation test not older than 2 years
3.4-5 ft of natura occurrm �vious material,above wat�table `f
4.Foundation 2 ft above]ri i�of road H.P.: Fnd: Var.:
5.Watu line 10 ft from s tic com onents Vaz.: L/
6. Benchwark indicated and shown-NGVD if near wetlands
7. S 'c tank minimum 10 ft from foundation, deck Vaz.: t�
8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ,�
9.Leachin minimum 100 ft from wetlands Var.: `_
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from r line Vaz.:
12. S m meets all other setback r ' ements Var.: �- � �
13.Uses ad' ent for maximum hi oundwater Vaz.:
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Vaz.: `�
15. S stem not in to or subso$(A,B horizons)or 5'removal `�
16.Pro ed contours aze suitable
17. S meets slo e uirements-min 1/8", '/d' eferred
18. S stem meets breakout r irements PVC liner: Wall: ✓
19. S ecified tee sizes are r er, baffle on outl�tee
20. Sewa e is under 10,000 for arcel
Z 1.No e dis osal ��
22. S stem ad uatel sized for its irnended use
23.Minimum 6"stone or com cted below tank and dbox L`
. 24.Manhole covers within 6"of ct�amber cover to e `�
25. tion on lastic chamb�s/leach field
26.Electrical ermit for chamber/S arate m�er for du lexes
27. -2" line,w hole,check valve,tee in dboit, um size
28. S 'c tank/ um chamber to be wa oofed ��
29.Vem rovided if leachin below 3 feet,under drivewa / arkin `�
30.Buo c calcularions for tank/ cl�amber '
31. E ' eer to ins ect and cat soils: wall: commerciai: '
32.En ' eer/R 'stered Sanitarian and Land Surv or stam s/si ture `�
33.H-201oadin is subject to vehicular traffic, oundwater
34. Title V A lication and ermit fee,installer si ture �
35.Foundarion footin min. 2 feet above ad'usted ound water for new house
36. Deed Restricrion ired maac, #bedrooms; maac, flow: �
37.Check area lots for oundwat�/Label groundwater in tlssessor's Ma ---
Plan reviewed by: �, � �