HomeMy WebLinkAboutReview Checklist I - � '/I /� TOWN OF YARMOIJTH����j�(� �`�U �,���,/� ���
� SEWAGE PLAN REVI�W CHECKLIST /����, � �y��'y�"',.y I
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I • Location: A.M. /�� Lot� Zone of Contribution: In_ Out_ Acreage !v /
Commercial: Residential:
Street:
; Village: Floor Plan: #Bedrooms:�
Owner: //G7� Installer: /� � �
� Address: � Phone: �� 7 ��J��
� Phone:
Builder: Engineer: //T
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Address: Phone: ' -
Phone: _ /� �
�J a� F {�� ^
� N/A YES NO
1.R ired#of ies received
i2.Date of soils e�cam and ercolation test not older than 2 ears ��
I 3.4-5 ft of natura occunin ervious material,abwe water table
4.Foundation 2 ft above lu im of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s 'c com one�s Var.: �,�
6. Benchmark indicated and shown-NGVD if near wetlands L/
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
I 9.Leachin minimum 100 ft from wetlands Vaz.: -
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
' 11.TanWleachin minimum 10 ft from r line Var.:
� 12. S stem meets all other setback r uirements Vaz.: ✓
� 13.Uses ad'ustrnent for max;mum]v undwater Vaz.:
i14.I,eachin set 45 ft above ad'.water or bottom of test hole Var.:
� 15. S stecn not in to or subsoil(A,B horizons)or 5'removal
16.Pro sed contours aze suitable
i17. S stem meeLs slo e r u�ements-min. 1!8", '/a" efetred
18. S stem meets breakout irements PVC liner: Wall:
i 19. S ified tee sizes aze r , baffle on outle,t tee
20. Sewa e is under 10,000 for arcel
I - 21.No ba e dis osal
22. S stem ad uatel sized for its intended use ��
� 23.Minimum 6"stone or com ted below tank and dbox
� 24.Manliole covers within 6"of e, um chamb�cover to e ���
25.Ins ion ort on lastic chambeis/leach field
, 26. Eleclrical ermit for um chamber/S afe meter for du lexes
27.Pum system-2"line,w hole,check valve,tee in dbox, um size
28. S 'c tank/ um chamber to be factnry wa oofed -
29.Vent rovided if leachin below 3 feet,under drivewa / azkin
', 30.Buo ancy calculations for tauk/pum chamber
31.En ' eer to ins ect and c ' soils: wall: commercial: /
32.En ' eer/Re 'stered Sanitarian and Land Surv or stam slsi ture
33.H-20 loadin is sub'ect to vehicular traffic, oundwater
34. Title V A lication and ermit fee, installer si ture
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36.Dced Restriction r ired max. #bedrooms: max. flow:
37.Check azea lots for groundwat�/Label onndwata in Assessor's
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Plan reviewed by: �