HomeMy WebLinkAboutReview Checklist �_ �� �� �-�..�
TOWN OF YARMOUTH ,/��; � � .��'��'Zi/ -
SEWAGE PLAN REV�W CHECKLIST I�'`� '��� � �
Locarion: A.M. 7� Lot ZZ� Zone of Co�riburion: In�Out Acreage/�/ �L� �/"
� Commercial:� Resideutial:
Street:
Village: Floor Plan: #Bedrooms: ��
Owner: � �'o�` Installer: ( ��� ���!?-ri�'�
Address: Phone:-� 7 � ��7
Phone: � � a � . ��'� ' �y �
Builder: / Engineer: �'
Address: Phone: - L
Phone: �� ,/, �� .i/�" �
�
N/A YES NO
1.R ired#of ies received
2.Date of soiLs exam and olation test not older than 2 years
3.4-5 ft of natura occurrin ervious material, above water table
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from tic com one�s Var.:
6.Benchmark indicated and shown-NGVD if near wdlands c.�.-s
7. S tic tank minimum 10 ft&om foundarion, deck Var.:
8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: `/
9.I.eaching minimum 100 ft from wetlands Vaz.:
10.Leachin minimum 150 ft from drinkin welll25 ft irri tion well Var.:
11.Tank/leachin mivimum 10 ft from ro erry line Var.: c:,/
12. S stem meets all other setback ' ements Vaz.: �--�
13.Uses adjustment for maximum lu oundwater Vaz.: •
14.I,eachin set 45 it above ad'.water or bottom of test hole Var.: �
15. S stem not in to or subsoil(A,B horizons)or 5'removal L/
16. sed contours are suitable ��
17. S stem meets sl e r irements-mia 1/8", '/d' eferred
18. S stem meets breakout r irements PVC linet: Wall: � -
19. S ified tee sizes are ro , s baffle on ouUet tee
20. Sewa e is und� 10,000 d for arcel (;_� .
21.No e dis osal L!
22. S stem ad uatel sized for its 'vrtended use L/
23.Minimum 6"stone or com ed below tank and dbox Li `
24.Manhole covers within 6"of ade, chamb�cov�to e
25. ection rt on lastic chambers/leach field ��
26.Electrical ermit for chamber/S arate meter for du lexes
27. stem-2" line,w hole,check valve,tee in dbo�c, size �-
28. S tic tank/ um chamber to be facto wa roofed
29.Vent rovided if leachin below 3 feet,under drivewa / arkin
30.Buo ancy calculations for tank/ um chamb�
31.En ' eer to ins ect and c ' soils: wall: commercial: /"
32.En ' eer/Regist�ed Sanitazian and Land Surve or s/si ture
33.H-201oadin is sub'ect to vehicular traffc, oundwater
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 a�ed ma�c. #bedrooms: . flow: � � d
37. Check area lots for undwater/Label oundwater in Assessor's Ma
Plan reviewed by: w.\ �,