HomeMy WebLinkAboutReview Checklist i z � l�� i�
TOWN OF YARMOUTH
SEWAGE PLAN REV�W CHECKLIST
. Location: A.M. �4 � I,ot �� Zone of Cornribution: In_ Out�O Acreage
,p r / Commercial: Residential:
Strcet: �% � GCL1l�C( /yI�/ �'2
Village: G//' Floor Plan: �� #Bedrooms: �/
Owner: �T��r1 /�CX�Ii/ Installer: �
Address: Phone: `
Phone:
, Builder: Engineer: S'
Address: Phone: � Z- /
Phone: ✓�J�-�-� 5�.�',pt��,,�l� '
,
N/A YES NO
1.Re uued#of co ies received
2. Date of soils exam and colation test not older than 2 years
3. 4-5 ft of natural occurrin ervious material,abwe water table
4.Foundation 2 ft above lu oint of road H.P.: Fnd: Var.:
5. Water line 10 ft&om s Uc com onents Vaz.: ,L7 G�� " ` ��
6. Benchmark indicated and shown-NGVD if near wetlands
7. S 'c tank minimum 10 ft from foundation, deck Vaz.:
8.L�chin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9.Leachin minimum 100 ft from wetlands Vaz.:
10. I,eachin minimum I50 ft from drinkin welU25 ft irri rion well Vaz.:
1 I. Tank/leachin minimum 10 ft from o erty line Vaz.: �
12. S stem meets all other setback r uirements Vaz.:
13.Uses ad'ustme�rt for maximum hi oundwater Vaz.:
14.Leachin s�4-5 ft above ad".water or bottom of test hole Vaz.: ✓/
15. System not in to or subsoil A,B horizons)or 5'removal
16. ed cornours aze suitable ✓
17. S meets sl e irements-min. 1/8", '/<" efe�red
18. S stem meets breakout r ' ements PVC liner: �' �Wall:
19. S ified tee sizes aze ro er, gas ba$ie on outlet tee
20. Se e is under 1Q000 for azcel
�21.No ba e ' osal
22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of e, chamber cover to e
25. Ins ion ort on lastic chambers/leach field
26. Electrical ermit for um chamber/S azate meter for du le�ces
27. stem-2" line,wee hole,check valve,tee in dbo�c, um size
28. S ric tank/ um chamber to be facto wat roofetl �/
29.Vent rovided if leachin below 3 feet,under drivewa / azkin
30.Buo anc calwlations for tank/ ump chamber ✓
31. E ' eer to ins ect and c ' soils: wall: commercial:
32. En ' eer/Re 'stered Sanitarian and I.and Surv or stam s/si ture
33. H-201oadin is sub'ect to vehicular traffic, oundwater
34.Title V lication and ermit fee, installer si ture
35.Foundarion footin min. 2 feet above ad'usted ound water for new house t/
36.Deed Restriction r ired ma�c. #bedrooms: ma�c. flow:
37. Check area lots for oundwater/Label oundwater in Assessor's Ma �
Plan reviewed by: ��,�+ �,