HomeMy WebLinkAboutReview Checklist i�- �� �i�
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST �
Location: A.M.� Lot�_ Zone of Contnbution: In_ Out� Acreage
�/� �/,.,� � Commer ' Residemial:�� �
Street: � 7� f'�/l� � �Y//� ,
Village�� ,dt �� Floor Plan: #Bedrooms:
Owner: �Je'�rri/ �S.�/D�b � Installer: �9'f ° f� �
Address: Phone: -� �y-�7- 7�L�
Phone:
Builder: Engineer: �� �, r/'���i/!Q
Address: Phone: �d=� ZZ.� -b�i�
Phone: ���V/S� �a ��` ..cz� � F-�ti'(�1^GC�
N/A YES NO
1.R ired#of ies received ,
2.Date of soils exam and ercolation test not older than 2 years
3.45 ft of natura occurrin ervious material, above water table
4.Foundation 2 8 above hi oint of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s ric com onerns Var.:
6.Benchwark indicated and shown-N �f near wetlands
7. S 'c tank minimum 10 ft from foundation, deck Vaz.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Vu.:
10.Leaclun minimum 150 ft from drinking welll25 ft irrigation well Var.:
1 I. Tank/leachin minimum 10 ft from line Var.:
12. S stem meets all other setback r uirements Vaz.: •
13.Uses ad' ent for ma�cimum hi undwater Vaz.: �, �
14.I.eaching s�4-5 lt above adj.water or te Var.:
15.System not in t or subsoil(A,B horizons)or 5'remova
16.Pr sed contours aze suitable c/
17. S em meets sl e irements-min. 1/8", Yd' erred
18. System meets breakout irements PVC liner: � 'Wall^
19. S ified tee sizes aze , baffie on oudet tee
20. S e is under 10,000 for azcel
21.No ' osal �
22. S stem ad tel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of cl�amber cover to de �/ �
25. Ins ection ort on lastic chambers/leach field
26. Electrical ermit for � chambea/S azate meter for du lexes
27.Pum system-2"line,w hole,check valve,tee in dbox, um size �,i
28. S 'c tank/ um chamber to be factory wa oofed �/
29.Vem avided if leachin below 3 feet,under drivewa / azldn
30.Buo anc calculations for tank/ cLamber ✓/
31.E ' e�to ins ect and c ' soiLs: wall: commercial:
32.E ' eeaB ' ered Sanitarian and Land Surv or stam s/si ture ✓-/
33.H-20 loadin is sub'ect to vehicular traffic, undwater --�'
34.Tifle V A lication and ermit fee, installer s' ture `�
35.Foundation footin min. 2 feet above ad'usted ound water for new house .i'
36.Deed Resh�iction ired max. #bedrooms: max. flow: `
37. Check area lots for oundwater/Label groundwater in Assessor's Ma
Plan reviewed by: �L�� dmro3