HomeMy WebLinkAboutReview Checklist� y- yz -�s� ��� -�
. TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST �' ��217/)p�
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• Location: A.M. �� Lot �� Zone of Corrtribution: In�t_ Acreage�tp-��
Commercial: Residential: .%
Street:y� . /
Village: sp GJ,� !i Floor Plan: t� #Bedrooms:�'7
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Owner: /�i�/�'a 1/ // /�✓/�/� Installer: �S'
� Address: Phone: � - �,� J - ,("�, �
� Phone:
iBuilder: Engincer: !/(pY
Address: Phone:
Phone: - �� �
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•- H C ' �'7 �
� N/ S � NO
i1.R uued#of co ies received
� 2. Date of soils e�m and ercolation test not older than 2 years
I 3. 45 ft of naturall occurrin ervious material, above water table L�
i 4.FoundaUon 2 ft above lu int of road H.P.: Fnd: Vaz.: ��
� 5. Water line 10 ft from s tic com onents Vaz.:
I6.Benchmark indicated and shown-NGVD if near wetlands �
i7. S fic tank minimum 10 ft from foundation, deck Var.:
i 8.Leachin �ninimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
i9.Leachin minimum 100 ft from wetlands Vaz.:
10. I,eachin minimum 150 ft from drinkin we1U25 ft ' ' tion well Var.:
11. Taak/leaching minimum 10 ft from ro line Vaz.:
12. S stem meets all other setback r irements Var.:
13.Uses ad'ustment for maximum hi oundwater Vaz.: '
14.I,eachin set 45 it above adj.watea or botto hole Var.: ��
15. S stem not in to or subsoil(A,B horizons)or ' remov
16.Pr sed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/a" eferred
18. S stem meets breakout r uirements PVC liner: �� all: c
19. S ecified tee sizes aze ro er, baffle on outlet tee L�
20. Sewa e is under 10,000 d 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 ade, um chamber cover to e ��
25.Ins ion rt on lastic chambers/leach field ��
26.Electrical ennit for um cLamber/S meter for du lexes
27.P system-2" line,w hole,check valve,tee in dbox, um size
28. Septic tank! um chamber to be fac waterproofed l
29.Vent rovided if leactung below 3 feet,under drivewa / arkin /
30.Buoyancy calculations for tank/ chamber �
31.En ' eer to ins ect and cert soils: wall: commercia l:
32.E ' eer/Re ' ered Sanitarian and Land Surv or s/siguature
33.H-20 loading is sub'ect to vehicular traffic, oundwater
34.Title V A lication and ermit fee, iastaller signature
35.Foundadon footin min. 2 feet above ad'usted ound wat�for new house �
36.Deed Restriction r ited ma�c. #bedrooms: ma�c. flow: d `
37.Check azea lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ( �5�" ���