HomeMy WebLinkAboutReview Checklist 7 �2 � � TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
I,ocaHon: A.M. �� I,ot � � Zone of Contribution: In_ Out� Acreage �r
� Commercial: Residemial: , ^ _
s��: C �'��-�'-�uv La.-� -r.--
Village:_ ��, q// Floor Plan: l� #Bedrooms: �
Owner: {�f � � �� Installer: �
Address: Phone:
� Phone:
�t ����",� �=����
: s„��a�: En��: S � G�
Address: Phone: Q -
Phone: " /, Sc 'G'C �
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N/ YES NO
1.R uired# of ies received
2.Date of soils exam and ercolation test not older than 2 ears ��
3. 45 ft of natwall occurrin ervious material, above water table ��,
4.Foundation 2 ft above hi irn of road H.P.: Fnd: Vaz.: �_
5. Water line 10 ft from s tic com onents Var.: ��'
6.Benchmark indicated and shown-NGVD if near w�lands �/
7. S 'c
tank minimum 10 ft&om foundarion, deck Vaz.: �/
8. L�chin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.: ;3 °
9.Leachin minimum 100 ft&om wetlands Vaz.:
10. Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.: --
11.Tank/leachin minimum 10 ft from r line Vaz.: �
12. S stem meets all other setback r ' ements Var.:
13.Uses adjustment for waxuuum hi oundwatea Vaz.: ��
14.Leachin set 4-5 ft above ad'.water or bottom est ho�, az.:
15. S stem not in to or subsoil(A,B horizons or 5'removal
16.Pro sed contours aze suitable
17. S meets slo e r irements-min. 1/8", '/d' erred
18. S stem meets breakout irements PVC liner: �� /alL• L�
19. S ecified tee sizes are ro er, baffle on outlet tee L f
20. Sewa e is und� 10,000 for arcel
- 21.No ba e dis osal
��
22• S stem ad uatel sized for its intended use `�
23.Minnnum 6"stone or com acted below tank and dbox
' 24.Manhole covers within 6"of ade, chamber cover to e `�.
25. ection rt on lastic chambe�rs/leach field �,
26.Electrical ermit for chamber/S azate meta for du lexes ��
27• stem-2" line,w hole,check valve,tee in dboic, um size
28. S tic tank/ um ctiamber to be facto roofed
29.Vent rovided if leaching below 3 feet,under drivewa / azkin
30. Buo c calculations for tank/ um chamber
31.En " cer to ias ect and c ' `�
soils: wall: commercial: ��
32.E ' eer/Re ' ered Sanitarian and Land Surveyor stam s/si ture .`�
33.H-20 loadin is sub'ect to vehicular iraflic, groundwater
34. TiUe V A licarion and ermit fee, installer si ture `J �
35.Foundation footin min. 2 feet above ad'usted ound water for new house �
36.Deed Restriction r uired max. #bedrooms: max, flow: �_-
37. Check area]ots for oundwat�/Label oundwater in Assessor's Ma �
Plan reviewed by: �,�
6Po3/03