HomeMy WebLinkAboutReview Checklist � � � �`� /n��i�- a'�`"l
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot�_ Zone of Contribution: In Out � Acreage
Commercial: Residenfial: l�-
Sh�eet: 2 �
Village: (�(j / G�f./ � Floor Plan: #Bedrooms:
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Address: � Phone: '
Phone: �
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Builder: `� Engineer: /ti s �i S
Address: Phone: � ^ - ��,.1
Phone: �
�ILeFlyf a-.Lf%'G�.SjL;���� � �t��Z.tLGEC!'-
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, N/A YES NO
I.R uired#of c ies received �'
2.Date of soils exam and etcolation test not older than 2 years
3.45 ft of natuta occurrin ious material,above water table L/
4.Foundation 2 ft above hi im of road H.P.: Fnd: Vaz.:
5.Water line 10 ft&om s 'c com onents Vaz.:
: 6.Benchmark indicated and shown-NGVD if near wexlands �/'
; 7. S 'c tank uminimum 10 ft from foundation, deck Vaz.:
i 8. Leachin minimum 20 ft fiill, 15 ft crnwl, 10 ft slab Var.:
9.I,eachin minimum 100 ft from wetlands Vaz.:
i 10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Vaz.:
11.Tank/leachin minimum 10 ft from r line Vaz.: �
12. S stem meets all other setback r uirements Vaz.:
13.Uses adjustment for maximum hi oundwater Vaz.:
14.I,eachin set 4-5 it above adj. water or bottom Vaz.: T�.;'�p� , >,'s >
15. S stem not in t or subsoil A,B horizons) ' rem
16.Pr sed cotrtours aze suitable
17. S stem meets slo e irements-min. 1/8", '/d' eferred ;�
18. S meets breakout r irements PVC lin • Wall:
19. S ified tee sizes aze ro , baffle on outlet tee �
20. Sewa e is under 10,000 d for cel
21.No ba e dis osal
22• S ad tel sized for its intended use ��
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of e, um chambe,r cover to de -
25.Ins ion on ]astic chambers/leach field
26. Electrical ermit for um chamber/S meter for du lexes �/
27. stem-2" line,w hole,check valve,tee in dbo�c, um size ��
28. S tic tank/ um chamber to be fac,�to wa fed
29. Vern rovided if leachin below 3 feey under driveway/ kin
30. Buo anc calculations for taok/ u cbamber
31. En ' eer to ins ect and c ' soils: wall: commercial:
32.E ' eer/Re ' ered Sanitarian and Land Surv or s/si ature �/
33.H-201oadin is sub'ect to vehiculaz traffic, oundwater
34. Title V lication and ermit fee, installer si ture
35.Foundation footm min.2 feet above ad'usted ound water for new house _/
36.Deed Restriction ired max. #bedrooms: max. flow:
37.Check azea lots for oundwata/L,abel undwater in Assessor's M
Plan reviewed by: ��n}
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