HomeMy WebLinkAboutReview Checklist r �� � Z ' � 7
TOWN OF YARMOUTH
' SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M.� I,ot� Zone of Contribution: In_ Out 't' Acreage
Commercial: Residential:�_
Street: �� l4 rs 8r/I �G�i2P
Village: �j ,/ GN ✓/ Floor Plan: � #Bedrooms: Z--
Owner: !/�(�l�Jt`�l�L' Insraller: / P� � �'�/ � '�� U'7�
Address: Phone: ' �,� %
Phone: �S� �
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Builder: Engineer: � � �/f.��"'�
Address: Phone: - - - , _>
Phone: � , � ; �� .�,✓ � ��c'� '.y�ec�"�.
� �2L�sC qvJr ���
N/A YES NO
I 1.R uired#of ies received
2.Date of soils exam and ercolation test not older than 2 ears
� 3.4-5 ft of naturall occurrin ervious material, above watex table ��
{ 4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.:
i 5.Water line 10 ft from s tic com onents Vaz.: ��
i6. Benchwark indicated and shown-NGVD if near wetlands �/
� 7. S 'c tank minimum 10 ft from foundation, deck Vaz.: ��
� 8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
' 9.Leachin minimum 100 ft from wetlands Var.: • �
� 10.I,eachin minimum 150 ft&om drinkin we1U25 ft ' ' tion well Var.:
11.Tank/leachin minimum 10 ft from r erty line Var.: �/
; 12. S stem mcets all other setback ' ements Var.:
i13. Uses adjustmem for maximwn hi oundwater Var.: (J L�
14. I.eachin set 4-5 ft above ad'.water or bottom of test hole Var.: ��
� 15. S stem not in to or subsoil(A,B horizons)or 5'removal
i16.Pro osed co�ours aze suitable
17. S stem meets slo e r irements-min. 1/S", '/a" efeared
! 18. S stem meets breakout r uirements PVC liner: Wall:
19. S ified tee sizes are ro , battle on outle,t tee
20. Se e is under 10,000 for azcel
- 21.No tra e dis osal
i 22. S stem ad uatel sized for its intended use
� 23.Minimum 6"stone or com ed below tank and dbox �/
� � 24.Manhole covers within 6"of e, um chamber cover to e
I25.Ins ion rt on lastic chamb�s/leach field `�
26.Electrical ermit for um chamber/S arate m�a for du lexes
27. system-2" line,wee hole,check valve,tee in dbox, um size `.�
28. S 'c tank/ um chamb�to be wa roofed ✓
29.Vent rovided if leachin below 3 fee�, under drivewa / arkin ��
30. Bu c calculations for tank/ um chamber _�
31. En ' eer to ins ect and c ' soils: wall: commercial:
i32. En ' eer/Re ' ered Sanitarian and Land Surv or stam s/si ture
33. H-201oadin is subject to vehiculaz haffic, oundwater
34. Title V A lication and ermit fee, installer si ture ,�
j 35.Foundation footin min. 2 feex above ad'usted ound water for new house
j 36. Deed Restriction r ired max. #bedrooms: � max. flow: 7,� d
37.Check azea lots for oundwat�/L.abel undwater in Assessor's
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Plan reviewed bY: � ��3 �