HomeMy WebLinkAboutReivew Checklist �_` � �� y, TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M.� Lot�_ Zone of Comribution: In_ Out�Acreage
Commercial: Residerrtial: �-
Street: l - /
Village: - Floor Plan: 7/ #Bedrooms: 2-
Owner: �/�L15 ��G/.� Installer: ( (� � ��-C�Gf���
Address: Phone: �i /
Phone:
Builder: Engineer: 7A�/ �_ ��L� ^
Address: Phone: �� "
Phone:
N!A YES NO
1.R uired#of ies received
2.Date of soiLs exam and colation test not older than 2 ears
3.45 ft of na occurrin avious mataial,above water table
4.Foundation 2 ft above hi i�of r�d H.P.: Fnd: Var.:
5. Wat�line 10 ft from s 'c com nents Var.:
6.Benchmazk indicated and shown-NGVD if near wetlands
7. S ' tank minimum 10 ft from foundation,deck Var.:
8.Leachin minimum 20 ft full, I S ft crawl, 10 ft slab Var.:
9. L.eacUin minimum 100 ft from wetlands Var.:
10. Lxachin minimum 150 ft from drinkin welU25 ft ' ' tion well Var.:
1 l. Tank/leachin minimum 10 ft from line Vaz.:
12. S stem mcets all other setback uirements Var.:
13.Uses ad�ustment for maximum hi undwater Vu.:
14. Leachin set 45 ft above ad'. water or bottom of test hole Var.:
15. System not in t or subsoil A,B horizons or 5' removal
16. ed comw»rs are suitable
17. S stem meets sl e irements-min. 1/8", '/a" eated
18. S em meets breakwt r ' ements PVC liner: Wall:
19. S ified tee sizes are ro , baffle on ouUd tee
20. S e is under 10,000 for azcel
� 21.No ba dis osal
= 22. S em uatel sized for its i�ended use
23.Minimum 6"stone or com acted below tank and dbox
2A.Manhole covers within 6"of e, c6amba�cov�to e
25. ion on lastic chambers/leach field
26.Elactrical �mit for cLamba/S te m�a for du le2ces �
27.P stem-2"line,w hole,check valve,tee in dboac, size
28.S ' tanW chamb�to be f wa roofed �
29. Vent rovided if leachin below 3 fe�,unda driveway/ kin
30. Buo cy calculations for tank/ um chamb�
31. E ' cer to ios ect aad soils: wall: commercial:
32.E 'neer/R ' exed Sanitarian and Land Surv or si
33.H-201oadin is subject w vehicular trdfiic, dwater
34.Title V licarion and e�rmit fee, installer s' ture
35.Foundation foatin mia 2 fed above ad'usted ound watea for new house
36. Deed Restriction r ired ma7c. #bedrooms: max. flow:
37.Check area lots for dwatea/Label aundwatp�in Assessor's M
Plan reviewed by: �/� ��