HomeMy WebLinkAboutReview Checklist TOWN OF yARMOUTH
� SE�D1'AGE PL.�.N REVIEW CHECKLIST
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' Location: A.M. Z� Lot� Zone of Contribution: In_ Out� Acreage
Commercial: Residential: �
Street: �� l,/_�,l��o J[� - /
Village: ��� Floor Plan: V #Bedrooms: �3�
Own�: /��X%Gr/Ll� oU�`fi1�'iJ Installer: C� ��� o-,� �
Address Phone:�� Z�/�
Phone:
Builder: Engineer: ( GCL/O h'�
Address: Phone: �9�=�'�
Phone:
N/A YES NO
1.R ired#of co ies received
2.Date of soils exam and olation test not older than 2 years
3.4-5 ft of natura occurrin ervious mat�ial,above wate.r table
4.Founda6on 2 ft above hi i�of rqad H.P.: Fnd: Var.:
5. Water line 10 ft from s ic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S ric tank minimum 10 ft from foundation,deck Vaz.:
8.I,eachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9. Leachin minimum 100 ft from we[lands Var.:
10.I,eachin minimum 150 ft from drinkin weIU25 ft irri tion well Var.:
11. Tank/leachin minimum 10 ft from line Var.:
I?. S stem mcets all other setback uirements Vaz.:
13.Uses ad'ustment for maximum hi ndwata� Vaz.: ,
14. Leachin sex 4-5 ft above adj. water or bo m of test ho Vaz.:
15. S tem not in or subsoil A,B horizons or 5' removal
16.Pro ed coMours are suitable �
17. S meets sl e uirements-min. I/8", Y<" �red t
18. S stem meets breakout 'vemems PVC liner: Wall:
19. S ified tee sizes are ro e.r, baffle on outld tee ,/'
• 20. Sewa e is under 10,000 for arcel
21.No dis 1
22. S stem ad uatel sized for its intended use
� 23.Minimum 6"stone or com cted below tank and dbox
24.Manhole covers withiu 6"of chamber cover to e
25.Ins ion on lastic chambers/leach field
26. Electricat ermit for um chambedS ate metex for du lexes �/
27•Pum stem-2"line,w hole,check valve,tee in dbox, um size
28• S tic taok/ um chamber to be wat roofed
29.Vent rovided if leachin below 3 feet, und�drivewa / arkin
30. Buo anc calculations for tanW u chamb� `/
31.E ' eer to ins ect and c ' soils: wall: commercial:
32.Engineer/R ' tered Sanitarian and Land Surv or s/si ture �/
33. H-201oadin is sub'ect to vehicular traffic, undwater
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. Deed Restriction r 'ved rt�x. #bedrooms; maac, flow:
37. Check azea lots for oundwater/Label ndwat�in Assessor's Map
Plan reviewed by: � �mro3