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HomeMy WebLinkAboutReview Checklist � � -jF'/� _ TOWN OF YARMOUTH SEWAGE PLAN REVIEW CHECKLIST . Location: A.M. � Lot �� Zone of Contribution: In_ Out ( Acreage �,/ �, Commercial: Residemial:_� StrCCt: o /�� -- "" \ Village: L lG Floor Plan: �edrooms: 5 �;3'(,� - � � {�1 �,� , r. Owner: ���1� �� Install�: � /�Cl� (cy`��'1 Address: Phone: � Phone: Builder: Engineer: -S ^ � Y /LC�1�'" Address: Phone: �i� ' �- Phone: ��i'�- . G2n^2��F2 < ��� N/A YE NO 1.R ' ed#of co ies received 2.Date of soiLs e�cam and colarion test not older than 2 ears 3. 45 ft of natura occurrin ervious material,abwe water table 4.Foundation 2 ft above lti im of road H.P.: Fnd: Var.: 5. Water line 10 ft from s �c com one�s Var.: ,/ 6.Benchmark indicated and shown-NGVD if near wetlands 7. S tic tank minimum 10 ft&om foundation, deck Var.: � 8.I.eaclvn minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: 9.Leachin minunum 100 ft from 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 Vaz.: 13.Uses ad' stment for maximum hi oundwater Vaz.: 14.Leachin set 45 ft above ad'. water or bottom of le Var.: 15. S stem not in to or subsofl A,B horizons or 5'removal � 16.Pr sed comours aze suitable 17. S stem meets sl e r u ements-min. 1!8", '/," eferred 18. S stem meets breakout r ttements PVC liner: all: 19. S ecified tee sizes aze ro , baffle on outlet tee 20. Sewa e is under 10,000 for arcel 21.No ba e dis osal � 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 e, chamber covea to ade 25.Ins ion ort on lastic chambers/leach field 26.Electrical ermit for um chamba/S arate meter for du lexes 27.P stem-2"line,w hole,check valve,tee in dbo� um size 28. S 'c tank/ um chamber to be fact wa roofed �; � - 29.Vent rovided if leachin below 3 feet, under driveway/ arldn 30.Bu anc calculations for tank/ chamb� 31.En ' eer to ins ect and c ' soils: wall: commercial: 32.E ' cer/Re ' ered Sanitarian and Land Surv or s/si ture 33.H-201oadin is subject to vehicular traffic, oundwater 34.Title V A lication and �nit fce, install�si ture 35.Foundarion footin min. 2 feet above ad'usted ound water for new house 36.Deed Restricrion uued max. #bedrooms: max. flow: 37.Check azea lots for oundwater/L.abel oundwata in Assessor's Ma Plan reviewed by: �y�� �; � �o�� �� � �� � � � �� ��1 ��/�� �� ��% � � '���.��'� �