HomeMy WebLinkAboutReview Checklist �'���
� TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.�_ Lot� Zone of Contribution: In_ Out � Acreage
� / � Commercial: Residemial:_��
Street: �3 /G����'V� !�
Village: ��_/Jr/ Floor Plan: # Bedrooms:�,�
� _.
Owner:��//tia'�Gt� G�//% Installer: � c" ! ��'f���J
Address: Phone: S`� - � 7 7�-d6 �
Phone:
Builder: Engineer: /' �/�� ��///. ��<Z�S
Address: Phone: S�- � L�/ � 7
Phone:
N/A YES NO
1.R ired# of ies received
2.Date of soiLs e�cam and acolation test not older than 2 ears ✓
3.4-5 ft of natura occurrin ervious material,above water table
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Vaz.: -
5.Water line 10 ft from s ic com onents Vaz.: `�
6.Bencl�mark indicated and shown-NGVD if near wetlands �i
7. S 'c tank minimum 10 ft from foundation, deck Vaz.: ��
8.L,eachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minunum 100 ft from wetlands Vaz.: �-�
10.I,eachin minimum 150 ft from drinking welU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 8 from r erry line Var.: �/
12. S stem meets all other setback r uirements Vaz.: �-�'
13.Uses ad'ustment for maximum hi oundwater Vaz.: �
14.I,eachin set 4-5 ft above ad'.water or bottom of test hole Vaz.:
15. S stem not in or subsoil(A,B horizons)or 5' removal L�
16.Pr sed contours are suitable ��
17. S meets slo e r uuements-min. 1/8", '/a" erred `�
18. System meets breakout r uirements PVC liner: Wall: `�
19. S ified tee sizes aze r ea, gas baffle on outld tee
20. Sewa e is under 10,000 d for azcel
21.No ba e dis osal _�
22. S stem ad uatel sized for its intended use �1
. 23.Minimum 6"stone or com ed below tank and dbox ��
24.Manhole covers within 6"of grade, um chamber cover to e ✓
25.Ins ection on lastic chambers/leach field
26.Electrical ennit for chamber/S arate meter for du lexes
27.Pum system-2" line,w hole,check valve,tee in dboac, um size _�
28. S tic tank/ um chamber to be facto waterproofed
29.Vent rovided if leachin below 3 feet, under driveway/ arkin
30.Bu anc calculations for tank/ u chamber ��
31.En ' eer to ins ect and soils: wall: commercial:
32.En ' cedRe ' ered Sanitarian and Land Surve or stam s/si ture �
33.H-201oadin is sub�ect to vehicular traffic, oundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36.Dced Restriction r 'ved max. #bedrooms: ma�c. flow: d
37. Check azea lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �� vo�ro3