HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
� SE�VAGE PLAN REVIEW CHECKLIST
;Location: A.M._� Lot Z'3� Zone of Coutribution: In Out C� Acreage
Commercial: Residential:�_
Street: ,, /� .2
Village: Floor Plan: (:/ #Bedrooms: �
Owner: !?9 `l Insta.11er: �~Z� S
Address: Phone: � - ,2,.
Phone: �
Builder: Engineer:
Address: Phone:
Phone:
N/A YES NO
l.R uired#of ies received __ __ _---
2.Date of soils exam and lation test not older than 2 ears
3.4-5 ft of natural occurrin ervious matea�ial,above water table
4.Founda.tion 2 ft above hx int of rQad H.P.: Fnd: Vaz.:
5. \1Vater line 10 f�from s 'c com nents Var.:
6.Benchmark indicated and shown-NGVD if near wexlands
7. S tic tank minimum 10 ft from foundation,deck �Var.:
8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.:
10.Leachin minimum I50 ft from drinkin welU25 ft irri tion well Var.:
�I
11.Tank/leachin minimum 10 ft from line Var.:
12. S stem meets all other setback irements Var.:
I� 13.Uses ad'ustment for ma�cimum hi oundwater Var.:
14.Leachin set 4-5 ft above ad'.water or botto ' Var.:
15. S stem not in or subsoil(A,B horizons) 5'remova
I' 16.Pro osed cotrtours are suitable ,
17. S stem meets slo e r irements-min. 1/8'; '1+" eferr�d
_ _
18.S stem meets breakout r ' emeirts PVC lin�: Wall:
l9. S ified tce sizes are o , baffle on outlet tee
_ 20..Se e is und� 10,000 for arcel _
21.No e dis osal _
22.S stem ad uatel sized for its i�ended use ,
"�3:Minimum 6"stone or com acted below tanlc and dbox
�4.Manhole covers within 6"of e, um chamber covex to e
i25.Ins ion ort on lastic chambers/leach field
26. Electrical ermit for um chamber/S ate me�for du le�ces , ; ; ,
27. tem-2"line,w hole,check valve,tee in dbox, um size
28. S ic tank/ um chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet,under drivewa / arkin
30.Buo anc calculations far tank/ um chamber `
31.En ' eer to ins ect and cert' soils: wall: commerciaL•
32.En 'neer/Re " ered Sanitarian and La.nd Surveyor stam s/si ture
33.H-201oadin is sub'ect to vehicular tr�c, oundwater
34. Title V A lication and �mit fee,installer si ature
35.Foundation footin min. 2 fe�et above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow:
37.Check area lots for oundwaterJLabel oundwater in Assessor's Ma
Plan reviewed by: l�" wo3�o�
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