HomeMy WebLinkAboutReview Checklist TOWN OF Y'ARMOUTH �
SEWAGE PLAN REVI�W CHECKLIST ;
�
. Location: A.M. � Lot�_ Zone of Contribution: In Out� Acreage
4 Commercial: Residential: �-
Street: O � / �
Village: G/Aic Floor Plan: V #Bedrooms:
Owner: /�(� �-�sG'/�// Installer: ���
Address: � Phone: `� - S _ .
Phone: I
Builder: Engineer: /T/, �(l
Address: Phone: -L Z
Phone: -_ l0 (�irj �,p n o�„�
� � �
N/A YES NO
1.R uued#of ies received �
2.Date of soils exam and colation test not older than 2 ears
3.45 ft of natural occurrin ervious�terial,above wat�table ��
4.Foundation 2 ft above hi int of road H.P.: Fnd: Vaz.:
5.Water line 10 ft from s iccom oneirts Vaz.: '
6.Benchmazk indicated and shown-NGVD if near wetlands I
'7. S tic tank minnnum 10 ft from foundarion,deck Vaz.:
8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.: y
9.I,eachin minimum 100 ft from wetlands Vaz.:
10.LeacLin minimum I50 ft from drinkin weIU25 ft irri tion well Var.: �
11.TanWleachin minimum 10 ft from r line Vaz.:
12. S stem m�ts all other setback r uirements Var.: i
13.Uses ad' stment for maximum hi undwater Var.: '.
14.I,eaching set 4-5 ft above ad'.water or bottom of test hole Var.:
15. S stem not in t or subsoil(A,B horizons or 5' r�oval :� ;
16.Pro ed contours aze suitable l� '
17. S stem meets slo e uirements-min. 1/8", '/<" eferred c�
18. S stem meets breakout uirements PVC liner: Wall:
� 19. S ecified tee sizes are o baffle on outlet tee
20. Sewa e is under 10,000 for arcel ✓/
21.No ba e dis osal `./
22. S stem ad uatel sized for its intended use ✓ i
23.Minimum 6"stone or com cted below tank and dbox
24.Manhole covers within 6"of ade, um ct�amber cover to ade
25. ion ort on lastic chambers/Ieach field
26.Elec;trical ermit for um chambedS ate mder for du lexes
27. stem-2"line,w hole,check valve,tee in dboac, um size �
28. S tic tank/ um chamber to be fa wat oofed i
29. Veut rovided if leachin below 3 feet,under drivewa / kin �
i
30.Buo anc calcularions for tank/ u chamber �' �f
31.E ' cer to ins ect and c ' soils: wall: commerciaL• -/ I
32.En ' eer/Re 'stered Sanitarian and Land Surv or si ture `� �
33. H-201oadin is sub'ect to vehicular trafFc, undwater _�
34.Title V lication and ermit fee,installer si ture �/
35.Foundation footin min.2 feet above ad'usted ound water for new house
36.Deed Restriction uired max. #bedrooms: ma�c. flow:
37.Check azea lots for oundwat�/Label oundwater in Assessor's Ma ��
Plan reviewed by: ( ,a v' �mim I