HomeMy WebLinkAboutReview Checklist �--zz- , S
, TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECHI.IST
: Location: A.M.� Lot� Zone of Co�bution: In_ Out� Acreage.
Commercial: Residential: �
s�: �/ � /s�li /�-�c.' 3
Village: - .� � Floor Plan: � #Bedrooms:
-7-'
Owner: �i� ���� Installer: S �
Address: Phone: ' 9r�-'
Phone: � .�6 � /� � ' � o ������
Build�: Engineer:
Address: Phone: -
Phone: � Gj --�-� /��LY' �„'� �.�G�
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/ - .au�Cl�l�i:c' � S
N/A YES NO �' �
1. uired#of ies received ��L�
2.Date of soiLs exam and �colation test not older than 2 ears
3. 45 ft of na occuain �vious material,above water table
4.Foundation 2 ft above hi oi�of road H.P.: Fnd: Var.:
5. Wat�line 10 ft from s �c com onents Var.:
6.BencUmark indicated and shown-NGVD if near wdlands
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.I,eachin minimum 100 ft from wetlands Vaz.:
10.Leachin minimum 150 ft from drinkin we1ll25 ft irri tion well Var.: -
11.Tank/leachin minimum 10 ft from r line Var.: ✓
12. S stem meets all otha setback r ' ements Vaz.:
13.Uses adjustmetrt for maYimum hi oundwater Vaz.:
14.Leachin set 45 ft abwe ad'.water or bottom o le V .: --�
15. S stem not in to or subsoil(A,B horizons or 'r�ov
16.Pr ed co�ours are suitable
17. S stem meets sl e ents-min. 1/8", '/<" eferred
18. S meets breakout r irements PVC liner: Wall:
19. S ified tee sizes aze rop�, baffie on outlet tee
20. Sewa e is under 10,000 for cel
' 21.No e dis osal
22. S stem ad uatel sizsd for its i�ended use
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of chambe�cover to e
25. 'on on lastic chambess/leach fieid
26.Electrical ermit for chambea/S ate m��for du lexes
27.Pum stem-2"line,w hole,check valve,tee in dbox, size
28. S 'c tank/ chamber to be facto wa roofed
29.Vern rovided if leachin below 3 feet, und�drivewa / kin
30.Buo ancy calculations for tank/ chamber
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.E " eer/Re ' ered Sanitarian and Land Surv or s/si e
33.H-201oadin is subject to vehicular haffiq undwat�
' 34.Title V lication and amit fee, install�si
� 35.Foundation footin min. 2 feex above ad' ound wata for new house
' 36.Dced Restriction ' ed ma�c. #bedrooms: max. flow:
37.Check area lots for oundwata/Label oundwatea�in Assessor's Ma
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Plan reviewed by: �ro3
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