HomeMy WebLinkAboutReview Checklist - ' TOWN OF YARMOUTH ��� -�
- SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot Z Zone of Contribution: In� Out Acreage
' Commercial: Residential:�_
Street: � 1GGfp
Village: C�U / _ Floor Plan: ,� #Bedrootns: Z
Owner: ��/ipil { �2Lt�/�L1/e �4��P/L Installer: /"/l/�Gf ���
Address: Phone: ('p� -7�-
Phone:
Builder: Engineer: /��/'1 �l/I�//!`!i/�Z
Address: Phone: �- -Q �
Phone: � �9�C ��+'ot�'" ' �-l�
N/A YES NO
1. R uired#of c ies received
2. Date of soils exam and colation test not older than 2 ears
3. 4-5 ft of natural cecurrin ervious material, above water table ✓
4. Foundation 2 ft above hi im of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Var.:
6. Benchmark indicated and shown-NGVD if near wetlands
7. S ic tank minimum ]0 ft from foundation,deck Vaz.:
8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9. Leachin minimum ]00 ft from wetlands Var.:
10. L,eachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
I 1. Tank/leachin minimum 10 ft from r line Vaz.:
12. S stem meets all other setback r u'vements Var.:
13. Uses ad'ustment for maximum hi oundwater Var.:
14. Leachin set 4-5 ft above ad'. water or bottom of test hole Var.: ✓.
I5. S stem not in t or subsoil(A,B horizons)or 5' removal L/
16. Pro ed contours are suitable ��
17. S stem meets slo e r uirements-min. 1/S", '/d' eferred ✓
18. S stem meets breakout uirements PVC liner: Wall: �.�'
19. S ified tee sizes are ro s baftle on oudet 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 L/
` 23. Minimum 6"stone or com cted below tank and dbox `/
24.Manhole covers within 6"of de, um chamber cover to ade l.i
25. Ins tion rt on lastic chambers/leach field ��
26. Electrical ermit for um chamber/S ate meter for du lexes /
27. Pum s stem-2" line,wee hole,check valve,tee in dbox, um size /�
28. S tic tanW um chamber to be facto wa roofed
' 29. Vent rovided if leachin below 3 fcet, under drivewa / arkin
30. Buo anc calculations for tanW um chamber `
31. En 'neer to ins ect and certi soils: wall: commercial:
32. En 'neer/Re 'stered Sanitarian and Land Surv or stam s/si ture ✓
33. H-20 loadin is sub'ect to vehicular traffic, oundwater `/
34.Title V A lication and a�mit fee, installer si ature
35. Foundation footin min. 2 fcet above ad'usted ound water for new house
36. Deed Restriction r uired max. #bedrooms: max. flow:
37. Check area lots for oundwat�/Label oundwater in Assessor's Ma
Plan reviewed bY: I �fi�i� . doaioa