HomeMy WebLinkAboutReview Checklist , j� ��� ��C' ' TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
• Locatioa: A.M.� I.ot ��� Zone of Comribution: In_ Out � Acreage
� � � /� Commercial: Reside�iaL• ��
Street: t /
Village: �!�• Floor Plan: �/ #Bedrooms: Z
Owner: ��G�ll/�//� � �'"'�����//�C Installer: �
Address: Phone: z �rT�E���
Phone: ��'�j�� � �����7�5�
Builder: Engineer: Gt�AGi �/GC����ZP
Address: Phone:-� ' �j' �- Z¢r��
Phone: �til��� ����i9I`��
..� LL � /�'C
/A YES NO
l.R ired#of c ies received
2.Date of soiLs eicam and colation test not older than 2 ears
3.4-5 ft of naturall occurrin ervious maxaial, above water table �./
4.Foundation 2 ft above lri int of road H.P.: Fnd: Vaz.:
5.Water line 10 ft from s 'c com onents Vaz.: �/
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation,deck Vaz.: (/
8.Leachin m;nimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.: ��
9.I.eachin minimum 100 ft from weNands Vaz.:
10.I.eachin m;n;mum 150 ft from drinkin we1U25 ft irri tion well Vaz.:
11.Tank/leachin minimwn 10 ft from r line Vaz.: ✓�
12. S stem meets all oti��s�back r uirements Vaz.:
13.Uses ad' ent for maximum hi groundwater Vaz.: �
14.Leachin set 45 tt above ad'.water or bottom of test hole Vaz.:
15. S stem not in to or subsoil(A,B horizons or 5' removal l../
16.Pro osed contours are suitable ✓
17. S em meets sl e r irements-min. 1/8", '/<" erred �l
18. S tem meets breakout r ' ements PVC liner: Wall: ✓/
19. S ified tee sizes are m , ba$le on outlet tee L�
20. Sewa e is under 10,000 d for arcel
21.No e dis osal
• 22.S stem ad uatel sized for its i�ended use
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of um chamber cov�to ade i.i-
� 25.Ins ion ort on lasric chamb�s/leach field �/
26.Electrical ermit for um chambea/S arate meter for du lexes
27. stem-2" line,w hole,check valve,tee in dbox, um size
28.S tic tank/ chamber to be facto wa oofed
29.Vent rovided if leachin below 3 feet, under drivewa / arkin
30.Buoyanc calculations for tank/ u cl�amber `�
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surv or stam s/si ture
33.H-201oadin is sub'ect to velucular haffic, oundwater ��
34.Title V A licarion and ermit fee, installea si ture
35.Foundarion footin min. 2 feet above ad'usted ound water for new house �
36.Deed Reshtiction r ired ma�c. #bedrooms: max. flow:
37.Check azea lots for oundwater/Label oundwater in Assessor'sMa
Plan reviewed by: (_ �1" dmms