HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
' SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. �/ Lot �� � Zone of Contribution: In_ Out�Acreage
�i �� � ^�� � Commercial: Res�dential:�
Street: 6 /GG
Village: � �G . Floor Pl #Bedrooms:
Owner: I��G(J� � Installer: (�}p��
Address Phone: S-�g - 4&- ZS'- 4/J 1R
Phone:
Builder: Engineer: (,EG/�(.P,N ��lcv.�-�
Address: Phone: ��� S�jg'�7 g(
Phone:
N/A YES NO
1.R uired#of copies received
2. Date of soils exam and colation test not old�than 2 years
3.4-5 ft of naturall occurrin ervious material,above water table
4.Foundation 2 ft above hi int of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s ic com onents Vaz.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Vaz.:
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: J.i�
9. Leachin minimum 100 ft from wetlands Vaz.: c �
10. L,eachin minimum 150 ft from drinkin welU25 ft irri tion well Var.: //
11. Tank/leachin minimum 10 ft from ro erty line Vaz.:
12. S stem meets all other setback uirements Vaz.:
13.Uses ad'ustme�for ma�cimum hi oundwater Vaz.: _i
14.Leachin set 4-5 ft above ad'. water or bottom of test hole Var.: ✓
15. S stem not in to or subsoil'(A,B horizons)or 5'removal
16.Pro ed contours aze suitable
17. S stem meets slo e r uirements-min. 1/8", '/." referred �/
18. S stem meets breakout r uirements PVC liner: Wall: �,�
19. S ecified tee sizes aze r , baf�le on ouU�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
23.Minimum 6"stone or com acted below tank and dbox ✓
. 24.Manhole cov�s within 6"of ade, um chamber cover to gade Li
25. Ins tion on lastic chambers/leach field ��
26.Electrical ermit for chamb�/S arate meter for du lexes �
27. stem-2" l'me,w hole,check valve,tee in dbox, um size /
28. S tic tank/ um chamber to be factory waterproofed /
29.Vent rovided if leaclvn below 3 feet, under drivewa / azkin /
30. Buo anc calculations for tank/ u chamber �
31. En ' eer to ins ect and certi soils: wall: commercial:
32. E 'neer/Re 'stered Sanitarian and Land Surveyor stam s/si ture /
33. H-20 loadin is subjact to vehiwlaz traffic, oundwater /
34.Title V A lication and ermit fee, installer si hve
35. Foundation footin min. 2 feet above ad'usted ound water for new house
36. Deed Restricrion r uired maac. #bedrooms: maac. flow: d
37. Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ' (✓`' s�o3ro3