HomeMy WebLinkAboutReview Checklist G-z-r�
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. /l5 Lot � / Zone of Contribution: In_ Out `�Acreage�
Commercial: Residential:
5��: z� Du��%�
Villag�� Floor Plan: /� #Bedrooms: -3
Own�: �� ,GC�� Installer: �
Address: Phone: •
Phone:
Builder: Engineer: `.l� �� G'%f.C!// �
Address: Phone:�� - 3 Z Z
Phone: /` ,Y�-,[ K-{.-� 5 y4'� 9 ���� ,��
/�,�/�/ /% .�',x.' � �iA�y �f(V%���/
N/A YES NO
1.R uired#of co ies received
2.Date of soils eacam and ercolation test not older than 2 ears
3.4-5 ft of naturall occurrin �vious material, above watea table l/
4.Foundation 2 ft above lil oint of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s tic com onents Vaz.:
6.Benchmark indicated and shown-NGVD if near wetlands �-�
7. S tic tank minimum 10 ft from foundation, deck Vaz.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9.Leachin minimum 100 ft from wetlands Vaz.:
10.Leaching minimum 150 ft from drinkin welU25 ft irrigation well Var.:
11.Tank/leaching iuinimum 10 ft from line Vaz.:
12. S stem meets all other setback r ' ements Vaz.:
13.Uses ad'ustmem for maximum hi oundwater Vaz.: --f
14.Leaching set 4-5 ft above adj. water or m of test hole �ar.: `
15. S stem not in to or subsoil(A,B horizo )or 5'remova
16.Pro osed contours aze suitable L�
17. S stem meets slo e r irements-min. 1/8", Yd' referred
18. System meets breakout re uirements PVC liner: Wall: ���
19. S �ed tee sizes are ro er, s baffle on outlet tee
20. Sewa e is under 10,000 for azcel
21.No ba e dis osal
, 22. S stem ad uatel sized for its intended use ��
23.Minimum 6"stone or com cted below tank and dbox �J
24.Manhole covers withiu 6"of grade, um chamber cover to ade ��
25.Ins ection ort on lastic chambers/leach field
26. Electrical ermit for um chamber/S azate meter for du lexes -�
27.Pum stem-2" line,w hole,check valve,tee in dbox, size
28. S tic tank/ um chamber to be factory waterproofed /"
29.Vent rovided if leachin below 3 feet, under drivewa / arkin i"
30. Buoyancy calculations for tank/ u chamber y%'
31. En ' eer to ins ect and soils: wall: commercial:
32.En ' eer/Registered Sanitarian and Land Surve or stam s/si ture
33.H-201oading is subject to vehicular traffic, goundwater
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 /1
36. Deed Restriction r ired max. #bedrooms: max. flow
37.Check azea lots for oundwater/Label oundwater in Assessor's Ma �
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Plan reviewed by: L�� � dnnro3