HomeMy WebLinkAboutReview Checklist 4 -/� /� TOR'N OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
, Location: A.M.� Lot �� Zone of Co�nbution: In_ Out �Acreage
Commercial: Residemial:_�
sueec: � �(Dh�/'1,u� /J�i�P
Village: qGcGCGL i/ Floor Plan: � #Bedrooms: �
Owner: ��` 2 Installes: �
Address: Phone:
Phone•
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Builder: Engineer: -4v4 - GGlPG
Address: Phone: - 3 L - 7�
Phone: /�'�'/�^/�`�
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- � � ,v- ia,i� -t s- .�e� �
N A YES NO
1.R ' ed#of ies received
2. Date of soils exam and ercolation test not older than 2 ears �
3. 4-5 ft of occuain avious maxerial,abwe water table
4.Foundation 2 ft above]ri oint of road H.P.: Fnd: Var.:
5. Watea line 10 ft from s 'c com onents Var.: �/
6.Bencl�mazk indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Vaz.:
8.Leschin minimum 20 ft fiill, 15 ft crewl, 10 ft slab Vaz.: ✓
9. Leaching minimum 100 ft from we8ands Vaz.:
10. Leachin minimum 150 ft from drinkin weIU25 ft irri 'on well Var.:
11. Tank/leachin minimum 10 ft from r line Vaz.:
12. S stem meets all other sexback uirements Vaz.:
13.Uses ad' ent for maximum hi oundwater Vaz.:
14.I,eachin set 45 ft above ad'.water or botto of te Vaz.:
I5. System not in to or subsoil(A,B horizons) 5'remo
16.Pr sed co�ours are suiffible �1
17. S stem meets sl e uirements-min. 1/8", '/a" ef�red
18. S stem meets breakout r ' ements PVC liner: ("i' all:
19. S ecified tee sizes are baffie on outlet tee ✓
20. Sewa e is und�10,000 for azcel t�
21.No bage dis osal
' 22. S stem ad uatel sized for its i�ended use ��
23.Minimum 6"stone or com acted below tank and dbox
. 24.Manhole covers within 6"of grade, chamber cover to e
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25.Ins ection ort on lastic chambers/leach field
26.Electrical ermit for chamber/S meter for du lexes �
27.P stem-2"line,w hole,check valve,tee in dbox, um size
28. S 'c tank/ um chamba to be factory wa oofed
29.Vent ovided if leachin below 3 feet,under drivewa / azkin
30.Buoyan calculations for tank/ ump chamb�
31.En ' eer to ins ect and soiLs: wall: commercial:
32.En ' eerB ' ered Sanitarian and Land Surveyor stam s/si ture
33. H-201oadin is sub'ect to vehicular traffic, oundwater _1
34. Title V A lication and ermit fee, install�s' ture
35.Foundarion footin min. 2 f�above ad'usted ound water for new house �f
36.Deed Restriction r ired max. #bedrooms: max. flow:
37. Check area lots for oundwat�/Label oundwater in Assessor's
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Plan reviewed by: � �