HomeMy WebLinkAboutReview Checklist S��/�� TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot� Zone of Contribution: In_ Out�Acreage
' / Commercial: Residential:�
Street: 7 (�
Village: i AD Floor Plan: #Bedrooms:��
Owner: o�� !�/Q Installer: /� � _ �
Address: _ Phone: - - ;S�
Phone:
Builder: � Engineer: ��i//V/ ( �0 /'4/��t.�f"iy
Address: Phone: Z- �
Phone:
N/A YES NO
1.R uired# of co ies received
2. Date of soils eacam and ercolation test not older than 2 ears ��
3. 4-5 ft of natura occurrin ervious material, above water table
4.Foundation 2 ft above hi int of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s tic com onerrts Vaz.:
6. Bencl�mark indicated and shown-NGVD if near wetlands �/
7. S tic tank minimum 10 ft from foundarion, deck Vaz.:
8. Leachin minimum 20 ft full, I S ft crawl, 10 ft slab Vaz.:
9. Leaching minimum 100 ft from wetlands Vaz.:
10.Leachin minimum 150 ft from drinkin welU25 ft ' ' tion well Vaz.:
11. Tank/leachin minimum 10 ft from line Var.: .J
12. S stem meets all other setback r uirements Var.:
13. Uses adjustment for maximum hi goundwater Vaz.:
14.Leachin set 4-5 ft above ad'. water or bottom of test hole Vaz.:
15. System not in to or subsoil(A,B horizons)or 5'removal i�
16.Pro sed contours aze suitable
17. S stem meets slo e r irements-min. 1/8", Yd' referred �.�
18. System meets breakout r irements PVC liner: Wall: ��
19. S ecified tee sizes aze ro er, baffle on outlet tee ;�
20. Sewa e is under 10,000 for azcel
21.No ba e dis osal
_ 22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox
24.Manhole covers within 6"of ade, um chamber cover to e
• 25. Ins ection ort on lastic chamb�s/leach field
26. Electrical ermit for um chamber/S azate meter for du lexes ��
27.Pum stem-2"line,wee hole,check valve,tee in dbo�c, um size �i
28. S tic tank/ um chamber to be factory wat roofed ✓
29.Vem rovided if leaching below 3 feet,under driveway/ azkin
30. Buoyanc calculations for tavk/ chamber /
31. En ' eer to ins ect and cert soils: wall: commercial:
32.En ' eer/Re 'st�ed Sanitarian and Land Surv or s/sigoature �
33.H-201oadin is subject to vehicular traffiq oundwater �/
34.Title V A lication and ermit fee, installer si ture
35.Foundation footin min. 2 feet above adjusted ound water for new house
36.Deecl Restriction uired ma�c. #bedrooms: ma�c. flow:
37. Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �3�