HomeMy WebLinkAboutReview Checklist ��,.. z _�--��,-
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. TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
` Location: A.M. /Z� Lot 9S Zone of Contriburion: In_ Out � Acreage /L, 3 7� 5�
Commercial: Residetrtial:_�L
Street: I �/ �6
Village• liJ� Floor Plan: ✓ #Bedrooms:�_
o��: G L �c�u�: �� C�uy
Address: �t 2�� Phone: 77�'� � -���
Phone: � - `-�'"
Builder: �.c'12-.� Engineer: /�G'r r�i1 a-t/✓ �/<(l��
Address: Phone: SCr�n' ' 3� -h 9'��
Phone:
N/A YES NO
1.R uired#of co ies received v
2.Date of soils�am and colation test not older than 2 ears �-�
3.4-5 ft of natural occnrrin ervious material, above water table ��
4.Foundation 2 ft above hi int of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onetrts Vaz.: �/
6.Benchmark indicaxed and shown-NGVD if near wetlands e/'
7. S 'c tank minimum 10 ft from foundation, deck Vaz.: ��
8.I.eachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �.�
9. Leachin minunum 100 ft from wetlands Vaz.:
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Vaz.:
11. Tank/leachin uiinimum 10 ft&om r line Vaz.:
12. S stem meets all other setback uirements Vaz.: �/
13.Uses adjustmeirt for maximum hi oundwater Vaz.: ✓
14.Leaching set 4-5 4t abrne ad'.water or bottom of test hole Vaz.:
I5. S stem not in to or subsoil(A,B horizons) or 5' removal �
16.Pr sed contours aze suitable �
17. S stem meets slo e r irements-min. 1/8", Yd' eferred ✓
18. System meets breakout r uirements PVC liner: Wall: �/
19. S ecified tee sizes are ro er, gas baffle on outlet tee
20. Sewa e is under 10,000 d for azcel
21.No ba e dis osal L�
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 ct�amber cover to ade
25.Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chaznber/S arate me[er for du lexes
27. stem-2" line,wee hole,check valve,tee in dbox, um size ✓
28. S tic tank/ um cliamber to be facto wa roofed
29. Vent rovided if leachin below 3 feet,under driveway/ azkin
30.Buoyanc calculations for tank/ ump chamber �--�"
31.En ' eer to ins ect and c ' soils: wall: wmmercial:
32.Engineer/Re ' tered Sanitaria.n and Land Surveyor stam s/si ture
33.H-201oadin is subject to vehiculaz trat�ic, oundwater -_
34.TiUe V A lication and ermit fee, installer si ature
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36.Dced Restriction r ired max. #bedrooms: max. flow: d
37. Check area lots for oundwater/L,abel oundwater in Assessor's Ma
Plan reviewed by: � 1c� �3