HomeMy WebLinkAboutReview Checklist� z - z 3 -� � ���°�-/�
TOWN OF YARMOUTH
� - SEWAGE PLAN REVIEW CHECKLIST �X� � � ✓���z 2'Z���
Location: A.M. 7 G, Lot�_ Zone of Contribution: In� Out Acreage G� i'� ,
' /' Commercial: Reside�ial:�
� Street: � �7 Lt�' ���/G!'K �
Village: _ /,/p,Lll,iq9� Floor Plan: � #Bedrooms: �
c ;� - �
�oVRCC: �/�vw/� /C//J!���J IIISY8IlCf: (� � ,�GL(/J��'�J
Address: Phone: - �'"'z��y/l
Phone:
Buildez: Engincer: � � � � �
Address: Phone: - �.S 6
Phone: . ���',�. - S'CS�il2��CS
N/A YES NO
1.R uu�ed#of co ies received �
2. Date of soils e�cam and ercolarion test not older than 2 ears
3. 45 ft of natura occurrin ervious mat�ial,above water table
4.Foundation 2 ft above hi irn of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s 'c com onems Vaz.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundarion,deck Vaz.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9.I.eacUin minimum 100 ft from wetlands Var.: ��
10.Leachin minimum 150 ft from drinkin welU25 ft ' ' tion well Var.:
1 I.Tank/leachin minimum 10 ft from r line Vaz.:
12. S stem meets all otUer setback r uirements Vaz.:
13.Uses ad' stment for maximum hi oundwater Vaz.: •
14.I,eachin set 4-5 ft abrne ad'.water or bottom of test hole Vaz.:
15. S stem not in t or subsoil A,B horizons)or 5'removal
16.Pro ed contours aze suitable
17. S stem meets slo e irements-min. 1/8", Y." eferred i/
18. S stem meets breakout r uirements PVC liner: Wall: ��
19. S ified tee sizes are ro er, bag9e on ouflet tee
20. Sewa e is under 10,000 for arcel
21.No l� e dis osal
22. S stem ad uatel sized for its urtended use
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of ade, um chamber cover to e
25.Ins ion ort on lastic chambers/leach field
26.Electrical �mit for chambedS arate meter for du lexes
27•P stem-2" line,w hole,check valve,tee in dbox, um size
28.S tic tank/ chamber to be facto wa roofed ��
29.Ve� rovided if leachin below 3 feet,under drivewa / azkin ,�
30.Buoyanc calwlations for tank/ u ct�amber
31.En ' cer to ins eet and c ' soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surv or stam s/si hue �1
33.H-201oadin is subject to vehicular traf�ic, groundwater
34.Tide V A lication and ermit fee, install�si ture
35.Foundation footm min. 2 feet above ad�usted ound wata�for new house �'
36.Deed Restriction r ired ma�c, #bedrooms: ma�c. flow: d
37.Check azea]ots for oundwat�/Label oundwat�in Assessor's Ma
Plan reviewed by: � ��