HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
� ' SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.�_ L.ot_� Zone of Contribution: In_ Out� Acreage
• Commercial: Residential:��
Street: 7 ^
Village: r � - Floor Plan: � � # Bedrooms: �
Owner: /��� /y{��/�S Installer: �
Address: Phone: [�-'�('� - Q
Ptwne:
Builder: Engiueer: �� ��;p/J/C�Lc�
Address: Phone: 5� � 3(�,L - �/3L�
Phone:
N/A YES NO
l.R u'ved#of ies received �
2. Date of soils eacam and oladon test not older than 2 ears
3.4-5 ft of natural occurrin ervious material,above water table `�
4.Foundatioa 2 ft above hi iirt of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Var.: ,�
6.Benchmark indicated and shown-NGVD if near w�lands ��
7.S tic tank minimum 10 ft from foundation,deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from w�lands Var.: ��
]0.LeacLin minimum 150 ft from drinkin weIV25 ft ' ' tion well Var.: `/
11.Tank/leachin minimum 10 ft from line Var.:
12. S stem meets all oth�sdback uirements Var.:
13.Uses ad' stmerrt for maximum hi dwat� Var.:
14.Leachin set 45 4t abave ad'.water�bottom of test hole Var.: i/'
15.S stem not in or subsoil A,B horizons)or 5' r�noval
16. cmrtours are suitable .��
17.S stem meets slo e uirements-min. 1/8", '/." �red
18. S em meets breakout iremenu PVC lin�: Wall: f/
19.S ified tee sizes are ro , bat�le on outl�tee t%
,' 20. Sewa e is under-10,000 for t ��
21.No dis osal �/
22. S stem ad uatel sized for its intended use
' 23.Minimum 6"stone or com below tank and dbox �/
24.Manhole cove�s within 6"of e, um chamber cover to ade �
25. Ins ion on lastic chambers/leach field �
26.Electrical exmit for um chamber/S mder fot du lex� ��
27.Pum stem-2"line,w hole,check valve,tee in dbox, um size �/'
28. S ic tanW u chamba to be f wat fed
29.VeM rovided if leachin below 3 feet, under drivewa / "n `/
30.Bu c calculations for tank/ m chamber
31.En ' e�to ins ect and c ' soils: wall: comm�cial:
32. En 'neer/R 'st�ed Sanitarian and Land Surv or s/si ture
33. H-201oadin is sub'ect to vehicular traffic, oundwater .
34. Title V A Iication and ertnit fee, installer si ture `�
35.Foundation footin min. 2 feet above ad'usted ound wat�for new house
36.Deed Restriction ired max. #bafrooms: max. flow: '
37.Check area lots for oundwatedLabel ndwater in Assessor's Ma
Plan reviewed by: � �,ro,
i
�