HomeMy WebLinkAboutReview Checklist 3-zS i.�` ,�P� �
TOWN OF YARMOUTH i
SEWAGE PLAN REVIEW CHECKLIST ��Pl��>77 I
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; I.ocation: A.M.� Lot �� Zone of Co�nbution: In�Out_ Acreage_�7,�' �
Commeacial: Reside�ial: ✓ (
s�: /� ��� .�da�� �
Vi(lage: G/bGL"�� Floor Plan: � #Bedrooms: -3 I
-7
Owner: /.(lG�/71�� Installer: � � �� �Y'Gb,eA-ri7/�Yl i
Address: Phone: - �77 �'(' 3 ,
Phone: '
Builder: Engine�: /��IGI` ��tfl ,
Address: Phone: -a �
Phone: � �'1i.� � � / �Ld�/Q�
N/A YES NO
1. ' ed#of ies received
2.Date of soils exam and �colation test nat older than 2 ears t/
3.45 ft of natura occwrin ervious material,above water table
4.Foundation 2 ft above lri i�of road H_P.: Fnd: Vaz.:
5.Wata line 10 ft from s 'c co oneMs Vaz.: �
6.Benchmark indicated and shown-NGVD if near wexlands I
7. S 'c tank minimum 10 ft from foundation, deck Vaz.: '
8.Leachin minimum 20 ft fiill, 15 ft crawl, 10 ft slab Var.: ',
9.Leachin minimum 100 ft from wetlands Var.:
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
I 1.Tank/leachin minimum 10 ft from line Var.: L/ �
12.S stem meets all other setback irements Var.: l� ',
13.Uses ad' em for maximum hi dwater Var.:
14.Leachin sei 4-S lt above ad'.water or bottom ole Var.: �
15.S stem not in or subsoil(A,B horizons) 5'remova
16.Pr ed contours are suitable �/ ,
17.S stem mcets sl irements-min. 1/8", '/." erred
18.S stem meets breakout ' ements PVC liner: Wall:
19. S ified tee sizes are r , baffie on outl�tee
20.Sewa e is under 10,000 for arcel I,
21.No dis osal ✓ i
� 22. S stem ad uatel sized for its intended use I
23.Minimum 6"stone or com acted below tank and dbrnc �II
24.Manhole covers within 6"of chamb�cov�to e
' 25. ion on lastic cl�ambers/leach field �
26.Electrical ermit for um chamba�/S mder for du lexes !
27. stem-2" line,w hole,check valve,tee in dbox, size '
28.S tic tank/ chambea to be fad wa fed '
29.Vem mvided if leachin below 3 feet,und�drivewa / arkin �'
30.Buo c calculations for tank/ chamber
31.En ' eer to ' ect and soils: wall: commercial: .l
32.En ' e�/R ' aed Sanitarian and Land Surv or s/si
33.H-201oadin is sub"ect to vehicular traffic, undwater ;
34.Title V lication and ermit fee, installea si ture ��
35.Foundation foot' min 2 feet above ad' ound wate.r for new house ._� '
36.Deed Restriction ired max, #bedrooms: ' maac.flow: '
37.Check azea lots for dwater/Label oundwat�in Assessar's M
Plan reviewed by: \(�J vovm '
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