HomeMy WebLinkAboutReview Checklist ..w>r'w�r*.«';: . � / /�/ .
I � TOWN OF YARMOUTH '
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. /(�i Lot� Zone of Contribution: In_ Out � Acreage
�- Commercial: Reside�ial:�_
Street: /� ( OG�i 4(n� � ` /
Village:_(�� Floor Plan: i / #Bedrooms:��'�Y�e
Owner: �� Installer: ��0� �i�.� �
Address: /� 6 >6 7� Phone: �6$� 3�R� z S}`�
Phone: - 3�S - F(�
Builder: �,.��l�DT``' Engineer: �v� ��//LF�1�
Address: 51�� S� Z Phone: S�/�Dk' ' �iF,'? -9-T`�/
Phone: - �ilJ- 3 _ /,�e F� 7v //Jb¢,¢.!� ��:r� /i°t;`%yliii�
N/A YES NO
1.R uued#of ies received '
2. Date of soils exam and ercolation test not older than 2 ears
3.45 ft of natura occurrin ervious mateaial, above water table
4.Foundation 2 ft above Iv int of road H.P.: Fnd: Vaz.: �f
5.Water line 10 ft from s 'c com onents Var.: `/
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft&om foundation,deck Var.:
8.L.eachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft&om wetlands Var.:
10.Leachin minimum 150 ft from drinkin weIU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from o line Var.:
12. S stem meets all other setback r irements Var.:
13.Uses ad'ustment for maximum hi undwater Var.:
14.I.eaclrin set 451t above ad'.water or botto test hole Var.:
15. S not in to or subsoil(A,B horizons or 5'r�ova
16.Pro osed co�ours are suitable
17. S meets slo e r uirements-min. 1/8", '/a" ef�red
18. S stem meets breakout r irements PVC liner: Wall:
19. S ified tee sizes are ro baffie on ouU�tee
20.Sewa e is under 10,000 for arcel t/
21.No 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 e, um chamber cover to ade
25. ion on lastic chamb�s/leach field
26.Electrical �mit for chamber/S ate meter for du lexes
27.P system-2"]ine,w hole,check valve,tee in dbox, um size
28. S tic tank/ um chamber to be factory wa roofed
29.Vent rovided if leaching below 3 fe�,under drivewa / arkin
30.Buo ancy calculations for tank/ u chamber
31.E ' eea�to ins ect and c ' soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surveyor s/si ture
33.H-20 loadin is sub'ect to vehicular traffic, undwater
34.Title V lication and ermit fee, installer si ture
35.Foundation footin min.2 feet above ad'usted ound water for new house
36.Deed Restriction r ired ma�c. #bedrooms: max. flow:
37.Check area lots for oundwat�/Label undwater in Assessor's Ma
Plan reviewed by: �1 v�ro�