HomeMy WebLinkAboutReview Checklist �' �� �� �� �r
TOWN OF YARMOUTH
SEWAGE PLAN'REV�W CHECKLIST /�, /��k�i'7�Y�
� L,ocation: A.M. �� Lot�_ Zone of Contribution: In � Out Acreag��7 �
g Q Commercial: Residential:�_
Street: /
Village: Floor Plan: V #Bedrooms:�
Owner: [/�4�L/� �,(/U�7Y� Installer: T��/l�/G�/S'O?�j
Address-� �- Phone: �dSr� ��iL -/�i-��
Phone:
Builder: Engineer: � kXQl2'/
Address: Phone: Z - 2 ��
Phone• � �i��tl"� � - �/,.� C
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N/ YES NO i
I.R uired#of ies received '
2.Date of soils�am and colation test not older than 2 ears (��
3.4-5 ft of natura occurrin ervious material,above water table i
4.Foundation 2 ft above hi irn of road H.P.: Fnd: Vaz.: '
5.Water line 10 ft from s 6c com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S 'c tank minimum 10 ft from foundarion, deck Vaz.:
8.Leaclrin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.: �/
9.I.eachin minimum 100 ft from wetlands Var.: •
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Vaz.:
11.TankAeachin minimum 10 ft from ro erry line Vaz.:
12. S stem meets all oth�setback r ' ements Var.: 4�
13.Uses ad' stmeiR for maY;mum lu oundwater Var.: I
14.I,eachin set 4-5 1t above ad'.water or bottom of test hole Var.: I
15. S stem not in or subsoil(A,B horizons)or 5'removal
16.Pr ed contours are suitable
17.S stem meets slo e irements-min. 1/8", '/a" referred
18. S stem meets breakout r irements PVC lin�: Wall:
19. S �ed tee sizes are r , baffle on outlet tee
20. Sewa e is under 10,000 for azcel �.i
21.No e dis osal
� 22. S stem ad uatel sized far its intended use
23.Minimum 6"stone or com ed below tank and dbox `/`
r 24.Manhole covers within 6"of , um chamber cover to e i
25.Ins ion on lastic chambers/leach field I
26.Elechical ermit for um chamb�/S te meter for du lexes I
27•P stem-2"line,wee hole,check valve,tee in dbo� um size I
28. S tic tank/ u cLamb�to be factory wa roofed `/ �
29.VeM rovided if leachin below 3 feex,under drivewa / azkin �� '
30.Buoyanc calcularions for tank/ um chamb�
31.En ' eer to ins ect and cert soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surv or stam s/si ture
33.H-20 loadin is subject to vehicular traffic, oundwat�
34.Title V A lication and ermit fee, installer si e
35.Foundation footin min.2 feet above ad'usted ound water for new house
36.Deed Restriction r ired ma�i. #bedrooms: ma�c.flow: ,�
37.Check area lots for oundwat�/Label oundwatea in Assessor's Ma
Plan reviewed by: � �