HomeMy WebLinkAboutReview Checklist r-�r� �
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. � L,ot /�� Zone of Comribution: In_ Out�/Acreage
� � !� �/ Commercial: Reside�rtial: �
� Stieet: °!(/j (//� �
Village:_� �v Floor Plan: #Bedrooms: Z-
Owner: � tiC�L✓l/1 ��A�/�>" Install�: !f�
Address: ' Phone: � - Z
Phone:
Builder: Engineer: �el./�i� 5 %r'�'� .
Address: Phone: �,�i° ���0'-���-
Phone:
N/A YES NO
1.R ired#of ies received
2.Date of soils exam and lation test not older than 2 ears
3.45 ft of natural occurrin ervious material, above water table
4.Foundation 2 ft above hi im of road H.P.: Fnd: Vaz.:
5.Water line 10 R from s 'c com onents Var.: �`
6. Benchmark indicated and shown-NGVD if near w�lands ,L�
7. S tic tank minimum 10 ft from foundation, deck Var.: ,��
8. I,eachin minimum 20$full, 15 ft crawl, 10 ft slab Var.: �
9.I.eachin minimum 100 ft from wetlands Vaz.: �_
10. Leachin minimum 150 ft from drinkin welU25 ft irri 'on well Var.:
11.Tank/leachin minimum 10 ft from line Vat.: ��
12. S stem meets all oth�s�back r ' ements Var.: `�
13.Uses ad' stment for maximum hi oundwatea Var.:
14.Leachin set 45 it above ad".water or bottom of test hole Var.:
I5.S stem not in or subsoil A,B horizons)or 5'removal �„
16.Pr sed co�ours aze suitable
17. .S St61T1 D1CCtS S� 6 1TC111CDtS-IIILI. l�g"� ���4" �7'2S� �/ . .
18. Systetn meets breakout r ireme�s PVC liner: Wall: ��
19. S ified tee sizes ate r , baffie on outld tee
20. Sew e is under 10,000 d for I
21.No dis osal
- 22. S stem ad uatel sized for its mtended use �_
23.Minimum 6"stone or com ed below tank and dbox �
24.Manhole covers within 6"of e, ck�amb�cover to e t/
' 25.Ins ion on lastic chambers/leach Seld
26.Electrical ' for chamber/S meter for du l�es
27. em-2" line,w hole,check valve,tee in dbox, size
28. S 'c tank/ chamber to be factory wa oofed
29.Vent rovided if leachin below 3 fe�,und�drivewa / azkin
30.Buo c calculations for tank/ chamb�
31.E ' eer to ins ect and soils: wall: commacial:
32.E ' eea�/Re ' ered Sanitarian and I.and Surv or s/si e ��
33.H-201oadin is sub'ect to vehicular�c, undwater
34.Title V A lication and 't fee, installer si ture
35.Foundation footin min.2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max, #bedrooms: ma�c, flow:
37.Check azea lots for oundwater/Label oundwat�in Assessor's �
Plan reviewed by: �'Q �C, ��