HomeMy WebLinkAboutReview Checklist� �_ �,�- ���r��'
- TOWN OF YARMOUTH 3 /r �
SEWAGE PLAN REV�W CHECKLIST ����l��c'����1 �'�� ���
• Location: A.M. ��6 I,ot �o Zone of Contribution: In�C�ut Acreage��/� '�
/ �/ Commercial: Residential:
Street: � G/ Ke/ �
Village: ' �`/ �i y.^ , Floor Plan: #Bedrooms: �_�)��f}�
/ �/� -' �.
Owner: J�Z � (l�llt�p%�'%1� Instauer: � ���v �/t/61 " ��-`{'�'-�`=�' �l'�"
Address: Phone:
Phone:
Builder: / Engineer: C./l/ �`!
Address: � Phone: L -z
Phone: - � r'f ' ' %���C'� ��/`P���4�
� � ��
N/A NO
l.R uired#of ies received
2.Date of soils exam and colarion test not older 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 tic com onents Vaz.:
6.Benchmark indicated and shown-NGVD if near w�lands
7. S ric tank minimum 10 ft from foundarion, deck Vaz.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9. Leachin minimum 100 ft from wetlands Var.: �/
10. Leachin minimum 150 ft from drinkin welU25 ft ' ' tion well Vaz.:
11. Tank/leachin minimum 10 ft from roperty line Vaz.:
12.S stem meets all other setback r ' ements Vaz.:
13. Uses ad'ustment for maximum hi oundwater Vaz.:
14.Leachin set 4-5 ft above ad'.watea or bo m of test hole\ Var.:
15. S stem not in to or subsoil(A,B horizo )or 5' remov ��
16.Pro osed contours aze suitable •
17. S stem meets sl e r irements-min. 1/8", '/." eferred ci
18. S stem meets breakout r irements PVC liner: Wall:
19. S ecified tee sizes aze ro er, gas baftle on outld tee �/
20. Sewa e is under 10,000 d for arcel ��/
' 21.No lra 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 covers within 6"of ade, chamber cover to ade
25. Ins tion on plastic chamb�s/leach field
26. Electrical ermit for um chambedS arate meter for du lexes `/
27.Pum system-2"line,w hole,check valve,tee in dbo� um size
28. S tic tauk/ um chamber to be factory wat roofed �� -
29.Vern rovided if leaching below 3 feet, under drivewa / arkin ��
30. Buoyanc calculations for tank/ um chamba� ✓
31. E ' eer to ins ect and c ' soils: wall: commercial: ��
32. E ' eer/Re 'stered Sanitarian and Land Surve or stam s/si ture •-�"
33. H-201oadin is sub'ect to vehicular traffic, oundwater - , ,� � �
34. Title V A lication and ermit fee, installex si ture
35.Foundarion footin min. 2 feet above ad'usted ound water for new house
36.Deed Restricrion r uired ma�c. #bedrooms: mau. flow: d
37.Check azea lots for oundwat�/Label ou�water in Assessor's Ma
�
Plan reviewed by: (�� NO3Po3