HomeMy WebLinkAboutReview Checklist � � �/���' TOWN OF YARMOUTH
' SEWAGE PLAN REVIEW CHECHI.IST
Location: A.M.� Lot� Zone of Contribution: In Out� Acreage
Commeacial: Residential: Z
Sh�eet: ��'"
Village: f • Floor Plan: #Bedrooms: �
Owner: �� i�f/ Installa�: CCG?✓�GC''%
Address: Phone: - '7 --/7 7 '7
Phone: -
Buildea: Enginetx: ^�
Address: Phone: -
Phone: /
����� �i' "�G/ U'�'- /�
G( %/�i
N/A S NO �
1.R ited#of ies received
2.Date of soiLs exam and ercolation test not older tUan 2 years
3.45 ft of natura occurrin ervious mateiial,above water table
4.Foundation 2 ft above lu i�of road H.P.: Fnd: Var.: • I
5.Wat�Ime 10 ft from s 'c com one�s Var.:
6.Benchmark indicated and shown-NGVD if near w�lands
7. S tic tank minimum 10 ft from foundation, deck Vaz.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9.Lea.chin minimum 100 ft&om wetlands Vaz.: ---
10.Leaching m;n;mum 150 ft from drinkin well/25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from r erry line Var.: ��
12. S stem meets all other setback ' ements Vaz.: ,
13.Uses adjustme�for maximum hi undwatea Vaz.: ',
14.I,eachin s�4-5 ft above ad'.water or bottom of test hole Vaz.:
15. System not in or subsoil(A,B horizons) or 5'removal �
16.Pr osed w�oiss aze suitable �
17. S stem meets sl e r ' ements-min. 1/8", '/d' efeared
18. S meets breakout r ' ements PVC liner: Wall:
19. S ified tee sizes aze o et,gas ba.ffle on oufld tee
20. Se e is unda 10,000 d far azcel
21.No e dis osal
22. S stem ad uaiel sized for its intended use
23.Minimum 6"stone or com ed below tank and dbrnt
• 24.Manhole covers within 6"of grade, chamba cover to e
25. 'on on lastic chambers/leach field
26.Electrical �mit for chamb�/S arate metea for du lexes
27. em-2"line,w hole,check valve,tee in dboic, size ;
28. S tic tank/ cbamba to be facto wa roofed I
29.Ve� ovided if leaclrin below 3 feet,under drivewa / arkin
30.Bu c calculations for tank/ chamber '
31.En ' eer to ' ect and c ' soils: wall: comm�cial:
32. ' eer/Re ' eaed Sanitarian and Land Surv or s/sigoature
33.H-201oadin is sub'ect to vehicular ttaffic, undwater
34.Title V A lication and ermit fee, installer s' e
35.Foundation footin min. 2 fcet above ad' ound water for new house
36.Deed Restriction ' ed max. #bedrooms: max. flow: d
37.Check area lots for oundwat�/fabel groundwater in Assessor's Ma
/'�>
Plan reviewed by: l v1."" ��
0