HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH � ��� � � /
SEWAGE PLAN REVI�W CHECKLIST �'�I/l� l ���_G�
� Location: A.M._�� Lot �� ZoneofContribution: In�Out_ Acreage��/ �
Commercial: Residential:�
�s��: a9 �
Village:��i Floor Plan: �/ #Bedrooms:�
Owner: �j,,2^�.�Of �f.GGG�' Installer: l�1�`'� ���!'�
Address: � Phone: � � �
Phone:
Builder: Engincer: ��////�PG� �
Address: Phone: - 1- ' Z L
Phone: �� %� ✓y.� 5 -�e<�,.�t e�-�-G"��
--� �/� '� �� >' ��i �. �� Fz21 9`P Gl�°Zff�
N/A YES NO
1.R uued#of copies received
2. Date of soils e�cam and ercolation test not older than 2 ears l�
3. 4-5 ft of natural occurrin ervious material, above wat�table ��
4.Foundation 2 ft above hi int of road H.P.: Fnd: �ar.:'
5. Water line 10 ft from s tic com onents Vaz.: �1
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.: ✓
8. I.eachin minimum 20 ft fiill, 15 ft crawl, 10 ft slab Var.:
9.I.eachin minimum 100 ft from wetlands Vaz.:
10. Leachin minimum 150 ft from drinkin we1U25 ft irri tion well Vaz.: ✓�
11. Tank/leachin minnnum 10 ft from line Vaz.: C/
12. S stem meets alt other setback r uirements Vaz.:
13. Uses ad'ustment for maximum hi undwater Vaz.: ✓/
14. Leachin set 4-5 lt above ad'.water or bottom of test hole Vaz.:
15. S stem not in t or subsoil(A,B horizons or 5' removal l�
16.Pro sed contours aze suitable C�
17. S stem meets sl e r irements-min. 1/8", '/d' ef _ ��
� 18. S stem meets breakout uirements C liner: Wall: ?
19. S ecified tee sizes are ro , gas baffle on outlet tee
20. Sewa e is und� 10,000 for arcel ✓
.21.No ba e dis osal
22. S stem ad uatel sized far its intended use
23.Minimum 6"stone or wm acted below tank and dbox �/
24.Manhole covers within 6"of de, um chamber cover to ade
25.Ins ection ort on lastic chambers/leach field
26. Electrical ermit for um chamber/S arate meter for du lexes
27.Pu stem-2"line,w hole,check valve,tee in dbox, um size ��
28. S ric tank/ um chamber to be factory wat roofed
29. Vent rovided if leachin below 3 feet,und�drivewa / arkin
30. Buoyancy calculations for tank/ u chamber
31. En ' eer to ins ect aud cert soils wall: commercial: `_
32. En 'neer/Re 'stered Sanitarian and Land Surv or stam s/si ture _�
33. H-201oadin is sub'ect to vehiculaz haiiic, 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.Deed Restriction r ired max. #bedrooms: ma�c. flow:
37. Check azea lots for oundwater/Label oundwater in Assessor's Map
Plan reviewed by: � ��o;
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