HomeMy WebLinkAboutReview Checklist �/ //// �
� TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
' Locafion: A.M. f� � Lot �� Zone of Contribution: In_ Out �i' Acreage
Gv� � Commercial: Residential:__�
Street:
Village: � �i Floor Plan: #Bedrooms: Z S'S: �
owner: Je Ci �, ��G�s Installer: �D/// a G!'.�-s�( G�
Address: Phone:_ tt�7 �- ����
Phone: -
`/� � /� ��'�l�c��
Build�: ' Engincer:
Address:_ Phone: -
iPhone: . �G-��,� F ;rrl� Cc��j ��f
� - > >ir� � G�Y/ � ;L.
� � N/A S NO
1.R uired#of ies received ,.�
2.Date of soils exam and colation test not older than 2 ears
I 3. 4-5 ft of natura occurrin ervious material, above water table
� 4.Foundation 2 ft above hi int of road H_P.: Fnd: Vaz.:
5. Wat�line 10 ft from s tic com onents Var.:
6. Bencl�mazk indicated and shown-NGVD if near wexlands
7. S tic tank minimum 10 ft&om foundation, deck Vaz.:
S.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
� 9. Leachin minimum 100 ft from wetlands Var.: �_
10.I,eaching minimum 150 ft from drinkin welU25 ft irri 6on well Vaz.: ��
11. Tank/leachin minimum 10 ft from r line Vaz.:
12. S stem meets all other setback uirements Var.:
13.Uses ad'ustment for maximum h9 groundwater Vaz.: ; �
14.Leaching set 4-5 ft above ad'. water or botto of test r Var.: �
15. S stem not in to or subsoil(A,B horizons) r 5' remova
16.Pr sed contours are suitable �i
17. S stem meets slo e r irements-min. 1/8", '/<" referred
18. S stem meets breakout r iremenu PVC liner: Wall:
19. S ecified tee sizes aze ro er, bai�le on ouUet tee
20. Sewa e is under 1Q000 for arcel
21.No ba e dis osal
. 22. S stem ad uatel sized for its intended use �f
23.Mmimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of e, um chamb�cover to e
25.Ins tion ort on ]astic chambers/leach field
26.Electrical ermit for chamber/S ate meter for du lexes
27•Pum stem-2" line,wee hole,check valve,tee in dbox, um size i
28. S tic tank/ u chamber to be factory waterproofed
29.Vent rovided if leachin below 3 f�, under drivewa / azkin /
30.Buoyanc calcularions for tank/pu chamber /-
31.En ' eer to ins ect and soils: wall: commercial:
32.En 'ncer/Re 'st�ed Sanitarian and Land Surv or s/si ture
33.H-201oadin is subject to vehiculaz haffic, oundwater
34.Title V A lication and ermit fce, installer si ture
35.Foundation footin min. 2 feet above ad�usted ound wata for new house
36.Deed Resiriction r ired maY, #bedrooms: ma�c. flow: d �
37.Check azea lots for oundwat�/I,abel oundwater in Assessor's Ma
Plan reviewed by: �y� ��