HomeMy WebLinkAboutReview Checklist �- /�
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST '
I.ocation: A.M. ZZ Lot Z7� Zone ofCorrtnbution: In_ Out `�c Acreage
S ����eo Commercial: Residential: �-
Street: `/�O /
Village: t i(/ � 2v- Floor Plan: L/ #Bedrooms:_�
I Owner: /'�U�4IG4�i1 � �F�ic� �GACYf/l Installer: �
Address: �� Phone: '
Phone:
Builder: � Engineer: � d'C� �,n,�
Address: Phone: Q�_77_�{ �jy�
Phone: ,- �%� fD /«��' �/�d'!r�''�/
N/A YES NO
1.R uired#of c ies received
2. Date of soils ercam and ercolation test not older than 2 ears ✓
3. 4-5 ft of natura occumn ervious material,above water table ��
4.Foundation 2 ft above lri oint of road H.P.: Fnd: Vaz.: ✓
5.Water line 10 ft from s tic com onents Var.: �
6.Benchmark indicated and shown-NGVD if near wetlands
7. S 'c tank minimum 10 ft from foundation,de�k Vaz.:
8.Leachin minimum 20 ft fiill, 15 ft crawl, 10 ft slab Vaz.:
9.Leachin minimum 100 ft from wetlands Vaz.: _
10. L,eaclvn minimum 150 ft&om drinkin welU25 ft irri tion well Vaz.:
1 I.Tank/leaching minimum 10 ft&om o line Var.:
12. S stem meets all other setback uirements Vaz.: c,i
13.Uses ad'ustme�for maximum hi groundwater Vaz.:
14.I,eachin set 4-5 4t above ad'.water or bottom e Var.:
15. S stem not in to or subsoil(A,B horizons or 5'removal �/
16.Pr ed contours are suitable
17. S stem meets slo e irements-min. 1/8", %d' ferred _�
18. S em meets breakout uirements PVC liner: Wall:
19. S ified tee sizes are ro er, l�le on outlet tee
20. Sewa e is under 10,000 for 1
21.No ba e dis osal -
22. S em ad uatel sized for its intended use ��
23.Minimum 6"stone or com ed below tank and dbox �/
24.Manttole covers witlun 6"of e, um chamber cover to ade '
25.Ins ion on lastic chambers/leach field
26. Electrical ermit for um chamb�/S e meter for du l�es
27.Pum stem-2"line,w hole,check valve,tee in dbo�c, um size
28. S 'c tank/ chamber to be facto waterproofed
29.Vern rovided if leachin below 3 feet, under driveway/
30. Bu anc calculations for tank/ um chamber
31.E ' eer to ins ect and c ' soils: wall: commercial:
32. En ' eedRe ' ered Sanitarian and Land Surv or stam s/si e
33. H-201oadin is subject to vehiculaz traffic, undwata
34.Title V A lication and ermit fce, installer si ture
35.Foundation footin min.2 feet above ad'usted ound water for new house �/
36.Deed Restricrion ired max, #bedrooms: max.flow:
37. Check area lots for oundwata�/Label undwater in Asse.ssor's M
Pl�reviewed by: ��,, �
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