HomeMy WebLinkAboutReview Checklist�
i �
TOWN OF YARMOUTH `��.� �
� SEi�VAGE PLAN REVIEW CHECKLIST l ��
a ���,�- _ �
' Location: A.M.�� Lot /� 3 Zone of Contribution: In�P Out Acreage l<�, �Q,
i ` � Commercial: Residential:p�_
! Street: �
Village: Floor Plan: C� #Bedrooms:
Owner: .�'�7'Y�� ��-�i � Installer: -
Address: Phon�: S��- .��..�" 4t!'/ '�
� Phone:
� r ,
� Builder:, Engineer:
Address: Phone: 7 6 - 2 tj
: Phone: - � -=�`(j,� f ��c.c��t d�<�
:
NIA YES NO
1.Re uired#of co ies received ��./
•2.Date of soils e�cam and ercolation"test not older than 2 ears
3.4-5 ft of naturall occurrin ervious material,above water table
4.Foundation 2 ft above h� int of rpad H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Var.: ✓
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation,deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �1
9.Leachin minimum 100 ft from wetlands Var.: r�.�
14.I,eachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11. Tank/leachin minimum 10 ft from ro line Var.:
12. S stem meets all other setback r uirements 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.Pro sed.contours are suita.ble
17. S s�em meets slo e r irements-min. 1/8", '/4" eferred ,/
18. S stem meets breakout r uirements PVC liner: Wall: G�-�
19. S �ed tee sizes are ro er, baffle on outlet tee ��
20. Sewa e xs under 10,000 for arcel �
21.No e dis osal
22. S stem ad uatel sized for its intended use
23.Minimurn 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of ade, um chamber cover to ade ��
25. Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes ,;_,�'
27•P stem-2"line,w hole,check valve,tee in dbo� um size �-�
28. S tic tank/ um chamber to be facto wa roofed ....�,
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.En 'neer/Re 'stered Sanitarian and Land Surveyor stam s/si ature /-
33.H-20 loading is sub'ect to vehicular tra�c, groundwater
34. Title V A lication and ermit fee, installer si ture f
35.Foundation footin min.2 feet above ad'usted ound water for new house . _/'
36. Deecl Restriction r uired max. #bedrooms: max, flow: �---
37. Check area lots for oundwater/Label oundwater in Assessor's Map
Plan reviewed by:_ �� �o3ios