HomeMy WebLinkAboutReview Checklist �_ � / �� TOWN OF YARMOUTH ,
SEWAGE PLAN REVIEW CHECKLIST
I,oca6on: A.M.� Lot ��d Zone of Coirtribution: In_ Out� Acreage �
� A CommerciaL• ResidentiaL•�
Street: �,��� �
Village: p�.�C/(� Floor Plan: #Bedrooms:
Owner: ��(� Installer: �9�B�LG�/ �IS`Z�I.G)�
Address: Phone:�. �7i� � 7 - 77
Phone: �
Builder: Engineer: \7 � �/��'/�
Address: Phone: � �Z77� - 7 77
Phone: �/�� j ��p L, �;y(��
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N/A YES NO
1.R uired#of co ies received 7-
2.Date of soils exam and colation test not older than 2 years
3.4-5 ft of natura occurrin ervious material,above water table
4.Foundation 2 ft abwe hi oint of road H.P.: Fnd: Vaz.:
5.Water line 10 ft from s tic com oneirts Vaz.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation,deck Var.:
8.I,eachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9.Leachin minimum 100 ft&om wetlands Vaz.:
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Vaz.:
11.Tank/leachin minimum 10 ft from r erty line Vaz.:
12. S stem meets all other setback ' ements Vaz.:
13.Uses ad'ustment for maximum hi oundwater Vaz.:
14.Leachin set 45 ft above ad'.water or bottom of test hole Vaz.: �-�
15. S stem not in to or subsoil(A,B horizons) or 5' removal ��
16.Pro sed contours aze suitable
17. S stem meets slo e r irements-min. 1/8", '/<" eferred 4!
18. S stem meets breakout r irements PVC liner: Wall:
19.S ified tee sizes are rop�, gas baffle on oufld tee
20. Sewa e is under 10,000 for cel �/
21.No garba e dis osal -
22. S stem ad uatel sized for its intended use �.�
23.Minimum 6"stone or com ed below tank and dbox
24.Manhole covers within 6"of ade, um chamber cover to ade �
25.Ins tion on lastic chambers/leach field
26.Electrical eamit for um chamber/S arafe meter for du lexes
27.P em-2" line,w hole,check valve,tee in dbox, um size
28.S tic tank/ um chamber to be facto wat roofed
29.Vent rovided if leachin below 3 feet,under driveway/ azkin
30. Buoyancy calculations for tauk/ um chamber
31.En ' eet to ins ect and cert soils: wall: commercial:
32.E ' eer/Regist�ed Sanitarian and Land Surv or stam s/si hue �,f
33.H-20 loading 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 ued maY. #bedrooms: ma�c. flow: d �
37.Check area lots for oundwater/Label oundwater in Assess ' Ma
Plan reviewed by: � ' �,Po,