HomeMy WebLinkAboutReview Checklist l'����
TOWN OF YARMOUTH
" SER'AGE PLAN REVIEW CHECKLIST
Location: A.M.�_ I,ot /�C� ZoneofCon�bution: In_ Out� Acreage
� / If �/� /_ Commercial: Residenrial: �
Street: �a /� �Lv'��
Village: Floor Plan: � #Bedrooms: �
Owner: ��!/(i� �K.�� Installer: /' � _�����'��''��
Address: Phone:
Phone:
Builda: Engincer: � � �
Address: Phone: -
Phone: ` /
l��e'C� `� �Ql�i G' �--
N/A YES NO
1.R ' ed#of c ies received
2.Date of soils exam and colation test not older than 2 ears
3.4-5 ft of natura occurrin ervious material, above wat�table
4.Foundation 2 ft above hi int of road H.P.: Fnd: Vaz.:
5.Water line 10 ft from s 'c com onents Var.:
6.Benchmark indicated and shown-NGVD if near w�lands
7. S tic tank minimum 10 ft from foundation, deck Vaz.:
$.Leaching minimtuun 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9.L,eachin minimum 100 ft&om wetlands Vaz.:
10.Leachin m;n;mum 150 ft from drinkin weIU25 ft irrigation well Var.:
11.Tank/leachin minimum 10$from r ]ine Var.:
12.S stem meets all other setback r ' ements Var.: `/
13.Uses adjustment for maximum hi oundwater Vaz.:
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.:
15.System not in or subsoil(A,B horizons)or 5'removal
16.Pr sed contows are suitable
17. S stem meets slo e irements-min. 1/8", '/d' eferred
18. System meets breakout r ' ements PVC liner: Wall:
19. S ified tee sizes aze r er, baffle on ouflet tee
20. Sew e is undea 10,000 d for arcel
21.No e dis osal
22. S m ad uatel sizxd for its intended use
23.Minimum 6"stone or com acted below tank and dbox
' 24.Manhole covers within 6"of ade, um chambea cover to ade
25. 'on on lastic chambers/leach field �/
26.ElecUrical ermit for um chamber/S arate meter for du lexes
27.P stem-2"line,w hole,check valve,tee in dbox, size �-�
28.S tic tank/ chamba to be facto wa roofed �"
29.Vent rwided if leachin below 3 feet,under driveway/ arkin
30.Buoyancy calculations for tank/ chamber
31.En ' eer to ' ect and soils: wall: commercial:
32.E ' cer/Re ' aed Sanitazian and Land Surv or s/signature
33.H-20 loading is sub'ect to vehicular traffiq oundwater �
34.Title V A lication and ermit fee, installer si e
35.Foundation footin min. 2 feex above ad'usted ound water for new house
36.Deed Restriction r ired max. #bedrooms: max.flow:
37.Check azea lots for oundwater/Label oundwat�in Assessor's
Plan reviewed by: C'.i.? �