HomeMy WebLinkAboutReview Checklist �-z �-�S 7
TOWN OF YARMOUTH
• SEWAGE PLAN REVIEW CHECKLIST ��/_' �� ���
Location: A.M.� Lot_� Zone of Conlribution: In�Out_ Acreag�7���
� Commercial: Residential:J�
Street: Z
Village: , Floor Plan: � #Bedrooms: J
Owner: /� �[�Q�� Installer: �GGs��Q',�J _ �
Address: Phone: - z-' �
Phone: �
Builder: Engineer: ''
Address: Phone: � � -
Phone: , �e� � ������
N/A YES NO
1.R ired#of co ies received
2.Date of soils exam and colation test not older than 2 ears �
3.4-5 ft of natura occurrin ervious material, above water table �-
4.Foundation 2 ft above lu oint of road A.P.: Fnd: Vaz.:
5.Water line 10 ft from s tic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands L�
7. S tic tank minimum 10 ft from foundation, deck Vaz.:
8.Leachin minimum 20 ft fiill, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Vaz.:
10.Leachin minimum 150 ft from driukin welU25 ft ' ' tion well Var.:
1 I.Tank/leaching minimum 10 ft from ro line Var.:
12. S stem meets all other setback ' ements Vaz.:
13.Uses ad' stment for maximum high oundwater Vaz.:
14.Leachin set 4-5 it above ad'.water or bottom of test hole Vaz.:
15. S stem nM in to or subsoil(A,B horizons)or 5'r�oval L�
16.Pro sed contows aze suitable
17. S mcets sl e r irements-min. 1/8", Yd' ef�red ✓
18. S stem meets breakout ' ements PVC liner: Wall: ✓i
19. S ecified tee sizes are ro , bat�le on ouUet tee L�
20. Sewa e is undef 10,000 d for arcel
. 21:No t� e dis osal
22. S ad uatel sized for its intended use
23.Minimum 6"stone or com ted below tank and dbox
` 24.Mauhole covers witUin 6"of e, chambea cover to e
25. Ins ection ort on lastic chambers/leach field
26. Electrical ermit for um ct�amber/S md�for d lexes �_
27.Pum system-2"line,w hole,check valve,tee in dbo� ump size `_.
28. S tic tank/ chamber to be facto wa roofed �'
29.Ve� rovided if leachin below 3 feex,undea drivewa / arkin �-�'
30. Buoyancy calculations for tank/ u chamber
31.En ' eer to ins ect and c ' soils: wall: comm�cial:
32.En ' eer/Re ' ered Sanitazian and Land Surv or s/si ture /
33.H-20 loadin is sub'ect to vehicular traffic, undwater
34.Title V A lication and �mit fee, iasffiller si ture
35.Foundarion footin min. 2 feet above ad'usted ound water for new house
36. Dced Restrietion r ued maac. #bedrooms: max. flow:
37. Check area lots for oundwater/Label oundwater m Assessor's Ma
\
Plan reviewed by: C�=1:'� dmro3