HomeMy WebLinkAboutReview Checklist � - zZ -� s- ,���-�
; - TOWN OF YARMOIITH � � ���
' SEWAGE PLAN REV�W CHECKI,IST � ��lC. i��'O��cu✓'�
• Location: A.M.�`� Lot �3 3 Zone of Contribution: In V Out Acreage ���� ���
�j�' ���:1�=f'T.�f/%%( !�/✓(0 �/�'/ Comm�ciaL• Residential:��
Street: -(
Village-� p Floor Plan: � #Bedrooms: �
Owner: - Ld���/J�/ Installer: /��/G-P,/�/ �'���
Address: Phone: � 0 `�' S��-
i Phonei
Builde,r: Engineer: J���F� v
Address: Phone:�= �Z
Phone: _ S�L� -
(/�U�( �r L�G�? li�` �
N/A YES NO
1.R ' ed#of ies received
2. Date of soiLs eltam and lation test not old�than 2 years .�
3. 45 ft of natura 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 neat wetlands L�
7. S 'c tank minimum 10 ft from foundarion, deck Vaz.:
8.Leaclvn minimum 20 ft fiill, 15 ft crawl, 10 ft slab Var.: �/'
9.I,eaching minimum 100 ft from wetlands Var.:
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Vaz.:
11. Tank/leachin mivimum 10 ft from ro line Vaz.: L/
12. S stem meets all other setback ' ements Var.: ��
13.Uses adjustmem for maxim�hi oundwater Var.:
14. Leaclun set 4-5 ft above ad'.water or bottom of test hole Var.:
15. S stem not in to or subsoil(A,B horizons)or 5'removal
16.Pr ed contours aze suitable
17.S stem meets slo e r irements-min. 1/8", '/," erted
18. S stem meets breakout r irements PVC liner: Wall: ��
19. S ified tee sizes are ro , bafflle on outl�tee
20. S e is under 10,000 for arcel ��
" 21.No ba e dis osal ��
22. S stem ad uatel sized for its intended use
_ 23.Minimum 6"stone or com cted below tank and dbox �/
24.Manhole covas within 6"of e, cl�amber cover to e
25. ion on lastic chambers/leach field `�
26.Electrical ermit for um chamber/S ate meter for du lexes
27• stem-2"line,wee hole,check valve,tee in dbox, pum size _�
28. S tic tank/ um chamb�to be factory wa roofed �
29.Vent rovided if leaching below 3 feet,under drivewa / arkin �
30.Buoyanc calculations for taok/ um chamber j
31.E ' eer to ins ect and soils: wall: commercial: /
32.En ' eer/Re ' ered Sanitarian and Land Surv or stam s/si ture r
33.H-201oadin is sub'ect to vehicular tra.ffic, oundwater
34.Title V A lication and ermit fee,installer si ture
35.Foundafion footin min. 2 feet above ad'usted ound water for new house
36.Deed Restricrion ired max. #bedrooms: max, flow;
37. Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �_ �