HomeMy WebLinkAboutReview Checklist /i-l�� � T-
� TOWN OF YARMOUTH � �/c�, �/��„
. SEWAGE PLAN REVIEW CHECKLIST �f T.! � /�l� �
p �
Location: A.M. /Q7 I,ot�_ Zone of Co�n'bution: In� Out Acreage /�•�SaL
� / Commercial: Residemial:_�
Street: d /
� Village: ��� Floor Plan: ✓ #Bedrooms:_�
Owner: /IUQ� ING�'� Installer:
; Address: Phone: L- �
I Phone:
� � �� �� �������
, Builder: Engineea: / 4'GG/��fQ
Address: Phone: �"id - -
Phone: �
' N/A YES NO
1.R uired#of ies received
I 2. Date of soiLs e�cam and ercolation test not older than 2 years
3.45 ft of na occ�srin ervious material, above water table L/'
j 4.Foundation 2 ft abwe]ri oint of road H.P.: Fnd: Vaz.:
5. Watcx line 10 ft&om s 'c com ne�s Vaz.:
6.Benchmark indicated and shown-NGVD if near wetlands
!� 7. S tic tank minimum 10 ft from foundation, deck Vaz.:
I 8.I.eaclrin minimum 20 ft fiill, 15 ft crawl, 10 ft slab Var.:
i9.Leaclvn minimum 100 ft from wetlands Vat.: ✓
10.Leachin m;n;mum 150 ft from drinkin welU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from r erry line Var.:
12. S stem mcets all other setback ' ements Var.: �/
13.Uses ad'ustment for max;m�� undwater Vaz.:
14.Leachin set 45 tt above adj.wata or bottom of test hole Var.:
15. System not in t or subsoil(A,B horizons)or 5'removal
16.Pro ed co�ours are suitable
17. S meets slo e r a�ements-min. 1/8", '/d' erred
18. S stem meets breakout uirements PVC liner: Wall:
19. S ecified tee sizes are ro �, ba$le on ouflet tee L�
20. Sewa e is und� 10,000 d for arcel
-21.No ba e ' osal '
22.S stem ad tel sized for its intended nse- �� ' ���i �
� o^ z �
23.Minimum 6"stone or com cted below tank and dbox � � �- . <� � �/ . �
24.Manhole covers witlun 6"of e, um c6amb�cover to e L/
25. ion ort on lastic chambers/leach field
26.Electrical �mit for um chamber/S ate meter for du lexes
27•P system-2"line,w hole,check valve,tee in dboic, size
28. S tic tank/ um chambea to be factory waterproofed
29.Ve� ovided if leaclvn below 3 feet,under drivewa / azkin
30.Buayanc calculations for tank/ chamber
31.E ' eer to ins ect and c ' soils: wall: commercial:
32.E ' eer/Re ' ered Sanitarian and Land Surveyor s/si
33.H-201oadin is sub'ect to vehicular traffic, groundwater ��
34.Tit1e V A lication and �mit fee,instalier si ture `f
35.Foundation footin min.2 feet above ad' ound wata for new house
36.Deed Restriction r ired maaL. #bedrooms: Z max. flow: Z�7'(, d
37. Check area lots for oundwatedLabel oundwater in Assessor's
Plan reviewed by: � �