HomeMy WebLinkAboutReview Checklist 7��� -is
• TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
' I,ocarion: A.M.^� Lot� Zone of Contrbution: In_ Out ✓Acreage
Commercial: Residential: �
Su�eet: J�
Village: p�v' Floor Plan: ✓ #Bedrooms:
Owner:��//_'/�1f.� `/771LC�1 Installea: �.YI?.��t� �1�Y�S�/�1�1�
Address: Phone: -�7��77
Phone: _
Buildea: Engineer: G� Oy�s
Address: Phone: d - �
Phone: /,�� �+i '
� �. �' G�� 5
N/A YES NO
1.R ' ed#of co ies received
2.Date of soils e�casn and ercolarion test not older than 2 years
3.45 ft of na occurrin ervious material, above water table
4.Foundation 2 ft above lri oint of road H_P.: Fnd: Vaz.: ✓
5.Water line 10 ft from s tic com one�s Var.: C/
6.BencLmark indicated and shown-NGVD if near wetlands
7. S Hc tank minimum 10 ft from foundation, deck Var.:
8.I.esclvn minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Vaz.:
10.Ixachin m;n;mum I50 ft from drinking we1U25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from ro line Vaz.:
12. S stem meets all other s�back uirements Vaz.:
13.Uses ad' tme�rt for maximum hi oundwater Vaz.:
14.Leachin set 4-5 ft above adj.water or bottom of test hole Vaz.: ��
15.S stem not in t or subsoil A,B horizons)or 5'removal
16.Pr ed co�ours aze suitable
17.S stem meets slo e irements-min. U8", '/d' erred
18. S stem meets breakout r uirements PVC liner: Wall: �/
19. S ec�ed tee sizes are ro er, baffle on outlet tee
20. Sewa e is und� 10,000 d for azcel
21.No e dis osal
22. S stem ad tel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox ��
: 24.Manhole covers within 6"of e, chamba cover to e �i
25. ion on lastic chambers/leach field
26. Electrical ermit for chamb�/S arate meter for du lexes
27. stem-2" line,wee hole,check valve,tee in dbo�c, size
28. S 'c tank/ um chamber to be fact wa roofed /
29.Vern rovided if leachin below 3 feet, unde�drivewa ! azkin �
30.Buoyanc calculations for tank/ um chamb� �
31.En ' eer to ins ect and soils: wall: commercial: �
32.En 'ncer/Registered Sanitarian and Land Surv or stam s/si ture
33.H-201oadin is sub'ect to vehicular traffic,groundwater ..�
34.Title V lication and ermit fee, installer si
35.Foundation footin min. 2 feet above ad'usted ound water for new house l'
36.Deed Restriction uired ma�c. #bedrooms: max.flow: d
37.Check azea lots for oundwatea/Label oundwat�in Assessor's Ma
Plan reviewed by: / �' �,�