HomeMy WebLinkAboutReview Checklist ' : ` TOWN OF YARMOUTH
� SEi�VAGE PLAN REVIEW CHECKLIST
Y Location: A.M.�[[� Lot� Zone of Contribution: In Out C�. Acreage '
. Commercial: Residential:� �
Street: /
Village: F1oor Plan: I/ #Bedrooms:� '..
Owner: �C.�/G' �Gd���s[D//I Installer: 7�
�S� �� �� ,
Address: Phone:
Phone:
�/� / � / /A i
Builder: VAGliI�1GG1 �uG�i�'"�v� Engineer: ;
Address: Phone: S�
Phone: Sb�� �L� - /�- � �.e�.�'l C���`- �
N/A YES NO
1.R uired#of co ies received
2.Date of soils exam and ercolation test not older than 2 ears
3. 4-5 ft of natura occurrin ervious material, above water table l./'
4.Foundation 2 ft above hi oint of road H.P.:yQ,b Fnd: ,v Var.: N: i�.
5.Water line 10 ft from s tic corn onents Var.: i✓'
6.Benchmark indicated and shown-NGVD if near wetlands r�'
7. S tic tank minimum 10 ft from foundation, deck Var.: C/
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.I,eactun minimum 100 ft from wetlands Var.: ✓
10.Leachin minunum I50 ft from drinkin welU25 ft irri tion well Var.: I
11.Tank/leachin minimum 10 ft from ro line Vaz.: ��
12. S stem me,ets all other setback irements Var.:
13.Uses ad'ustment for maximum hi oundwater Var.: '
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.: ✓
15. S stem not in to or subsoil(A,B horizons)or 5'removal ';
16.Pr ed co�tours are suitable L/ '
17. S stem meets slo e r irements-min. 1/8", '/a" eferred '
18. S stem meets breakout r uirements PVC liner: Wall: �
19. S ified tee sizes are ro , baffle on outlet tee �/'
20. Sewa e is under 10,000 for arcei ✓ �
21.No ba e dis osal l�
22. S stem ade uatel sized for its intended use ;
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of ade, um chamber cover to ade
25. Ins ion rt on lastic chambers/leach field '
26.Electrical ermit for um chambez�/S arate meter for du lexes _� ;
27.Pum stem-2"line,w hole,check valve,tee in dbox, um size �
28. S tic tank/ um chamber to be facto wat roofed f
29.Vent rovided if leachin below 3 feet,under drivewa / arkin ;./ ',
30. Buo ancy calculations for tank/ um chamber _/
31. En ' eer to ins ect and cert' soils: wall: commerciaL• '
32.Engineer/Re 'stered Sanitarian and Land Surve or stam s/si ture
33.H-20 loadin is subject to vehicular traf�c, 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. Deed Restriction r uired max. #bedrooms: max. flow: d '
37. Check area lots for groundwater/Label oundwater in Assessor's Ma :
Plan reviewed by: //� ����