HomeMy WebLinkAboutReview Checklist �, �_� ��
TOWN OF YARMOUTH
_ SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot� Zone of Con�'bution: In Out�Acreage
, �,{ � �� _ /� Commercial: Residential: �
Street: U u 5J�1
Village: � _ _ /�. Floor Plan: #Be,drooms: 7�'
-7� � '7"'
Owner: J /1 P / �.�(�S Installa: �
Address: Phone: ' Z O
Phone: �i/� S ' �' �9 - /�o�i �
Builder: Engincer: �/.t S S i`� �.ZA/�y �
Address: Phone: � S(� -��
Phone:
;
�G� �
N/A YES NO
1.R uired#of ies received
2. Date of soils exam and olation test not olda t�an 2 ears �/
3.45 ft of natura occurrin ious mateaial, above water table �i
4.Foundation 2 ft abwe high oint of road H.P.: Fnd: Vaz.: `�
5. Water line 10 ft from s 'c com onents Vaz.: �i
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation,dack Vaz.:
$,Lea�]�in minimum 20$fiill, 15 ft crawl, 10 ft slab Var.: �/
9. I.eaching minimum 100 ft from wetlands Vaz.: �
10.I.eachin minimum 150 ft from drinkin welU25 ft irri 'on well Var.:
11. Tank/leachin minimum 10 ft from r erry line Vaz.:
12. S stem meets all otha setback r ' ements Var.:
13. Uses ad' stment for maximum hi oundwater Vaz.:
14. Leachin set 45 ft above ad'. water or bottom of test hole Vaz.:
15. S stem not in to or subsoil(A,B horizons)or 5'removal
16.Pr osed co�ours aze suitable
17. S stem meets sl e r ' ements-min. 1/8", '/a" ezred
18. S stem meets breakout r ' ements PVC liner: Wall:
19. S ified tee sizes are ro �, gas baffie on oufle�t tee
20. Sewa e is under 10,000 for azcel
21.No dis osal L/
- 22. S stem ad uatel sized for its imended use
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of e, cl�amber cover to ade
� 25. ion on lastic cbambas/leach field
26.Electrical ermit for um chamb�/S m�er for du lexes
27.P -2" line,w hole,check valve,tee in dbox, size ��
28. S tic tank/ ckiamba to be wa fed
29.Vent vided if leachin below 3 feet,under driveway/ arkin L�
30.Buoyancy calculations for tank/ cl�amba
31.E ' eea to ' ect and c ' soils: wall: comm�cial: `�
32.E ' eer/R ' ered Sanitarian and Land Surveyor s/si ture
33.H-201oadin is sub'ect to vehicular tcaffic, undwata
34.Title V lication and ermit fee,installer s' `�
35.Foundation footin min. 2 fcet above ad'usted ound wat�for new house
36.Deed Restriction r ired max. #bedrooms: max. flow: �-
37.Check area lots for undwater/Label oundwata in Assessor's
Plan reviewed by: � �