HomeMy WebLinkAboutReview Checklist � �.- ��-��
��"„'': TOWN OF YARMOUTH
` SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. ��� Lot � Zone of Contriburion: In_ Out � Acreage
' / Commercial: Residential:�
Street: ��
Village: //,7 Floor Plan: #Bedrooms:
Owner: O.L�o�E��g IOG�� Installer: l7� L�G
Address?� Phone: '77 - � -
Phone: �
Builder: �� Engineer: �Gf/�Q��L/i ��`7/�i�
Address: Phone: ' - �
Phone: � ��%'�v �u'� Gsut�'`� �
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N/A YES NO
1.R ired#of co ies received
2.Date of soils exam and percolarion test not older than 2 years
3.4-5 ft of natural occurriu ervious material,above water table
4.Foundaiion 2 ft above lvgh point of road H.P.: 6 Fnd: .' Vaz.: L
5.Water line 10 ft from s tic com one�rts Var.: �-
6.Benchmark indicaxed and shown-NGVD if near wetlands �/
7. S ric tank minimum 10 ft from foundation, deck Vaz.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9.Leaching minimum 100 ft from wetlands Var.: �-
10.Leachin minimum 150 ft from drinkin we1U25 ft irri arion well Var.:
1 l.Tank/leachin minimwn 10 ft from roperty line Vaz.:
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum high groundwater Var.:
14.I,eaching set 4-5 ft above ad'.water or botto test o e �--"�
15. System not in to or subsoil(A,B horizons)or 'remov
16.Pro osed contours aze suitable V.--�'
17. S stem meets slo e r uuements-min. 1/8", '/d' eferred `�
18. System meets breakout r uirements PVC liner: f ("76' all: ��
19. S ec�ed tee sizes aze roper, gas baftle on outlet tee �
20. Sewa e is under 10,000 for azcel ✓"
21.No ba e dis osal lf
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 ade, um chamber cover to grade ✓
25.Ins ection on lastic chambers/leach field L/
26.Electrical ermit for um chamb�/S ate meter for du lexes -
27.Pum s stem-2" line,wee hole,check valve,tee in dbox, um size
28. S tic tank/ um chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet,under driveway/pazking
30.Buoyanc calculations for tank/pum chamber
31. E ' eer to ins ect and cert soils: wall: commercial:
32. E ' eer/Re ' ered Sanitarian and Land Surv or stam s/si ture
33. H-201oadin is sub'ect to vehicular traffic, oundwater ✓
34.Title V A lication and ermit fee, installer si ature
35.Foundation footing min. 2 feet above ad'usted ound water for new house �/
36.Deed Restriction r uued ma�c. #bedrooms: max. flow: d �
37.Check azea lots for oundwater/Label groundwater in Assessor's Ma
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Plan reviewed by: `-�^-' sm3ro3