HomeMy WebLinkAboutReview Checklist � � _� �� TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
" Location: AM. /0 -] Lot �3 Zone of Contribution: In_ Out�Acreage
Commercial: Residential:_ ,/�
Street: � �� T
Village:� Floor Plan: #Bedrooms:
Owner: %��t'�� ��.�ILE��r �X�t/CS Installer: �IGty, /�d�(i//J
Address: � Phone: � � (jd - 7j �j
Phone: ' °
Builder: Engineer: �v�G�
Address: Phone: �' - -
Phone: - � x � �,�`�
N/A YES NO
1.R uired#of ies received =-�
2.Date of soiLs exam and colarion test not older than 2 ears
3.4-5 ft of na.turall occurrin ervious material,above water table
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Vaz.: `�
5.Water line 10 ft from s 'c com onents Vaz.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S 'c tank nunimum 10 ft from foundation, deck Vaz.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaclvn minimum 100 ft from wetlands Vaz.:
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Vaz.:
11. Tank/leachin minimum 10 ft from ro line Vaz.: �i
12. S stem meets all other s�back r uirements Vaz.: (,/
13.Uses ad'ustment for maximum high groundwater Vaz.:
14. Leachin set 4-5 St above ad'.water or bottom of test hole Vaz.: ��
15. S stem not in to or subsoil(A,B horizons)or 5'removal �-�
16.Pro osed contours are suitable <�
17. S stem meets slo e r uirements-min. 1/8", '/<" erred C/
18. System meets breakout re uirements PVC liner: Wall:
19. S ecified tee sizes are ro et, baf�le on outlet tee
20. Sewa e is under 10,000 d for arcel
• 21.No garba 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 e, um ct�amber cover to ade L/
25. Ins ion on lastic chambess/leach field
26. Electrical ermit for um chamber/S arate meter for du lexes
27. stem-2" line,w hole,check valve,tee in dboic, um size
28. S tic tank/ chaznber to be facto wa roofed /
29.Vem rovided if leactrin below 3 feet, undex driveway/ azkin i
30. Buo ancy calculations for tank/ um chamber
31.E ' eet to ins ect and c ' soils: wall: corrunercial:
32.E ' �r/Re ' aed Sanitarian and Land Surveyor s/si ture � c �/
33.H-201oadin is sub'ect to vehiculaz trafIiq oundwater �
34.Title V A lication and ermit fee, installer si ture ✓
35.Foundation footin min. 2 feet above ad'usted ound water for new house _/
36.Deed Restriction ired max. #bedrooms: ma�c. flow: d
37.Check azea lots for oundwater/Label oundwater in Assessor's Ma
� Plan reviewed by: { � �,�