HomeMy WebLinkAboutReview Checklist� /0- `� � S � _�
- TOWN OF YARMOUTH �" �
� SEWAGE PLAN REVIEW CHECKLIST //�� � ���{{�✓/�
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. Location: A.M.� I,ot� Zone of Comribution: In�Out Acreage�� r�
Comm�cial: Residential: ��'
s��: �� ��l �� �
Village: �' Floor Plan: � #Bedrooms:
� ler:
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Owner: �77/I' � Instal
c G"� _ ���,��
Address: Phone: -
Phone:
Buildea: Enguteer: //// ��
Address: Phone: rQ � � 7 -a 7 �
Phone:
N/A YES NO
1.R uired#of ies received
�i 2.Date of soils e�sn and colation test not older than 2 ears
3.4-5 ft of naturall occurriu ervious material, above water table
4.Foundation 2 ft above]ri int of road H.P.: Fnd: Var.:
5.VJater line 10 ft from s tic com onents Vaz.:
6.Benchmark indicaked and shown-NGVD if near wetlands
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. I.eachin minimum 100 ft from wetlands Vaz.:
10. I,eaching minimum 150 ft from drinking welU25 ft irri rion well Var.:
11. Tank/leachin minimum 10 ft from r line Vaz.: �i
12. S tem meets all other s�back r irements Var.: ��
13.Uses ad'ustme�for maximum hi oundwater Var.:
14. LeacUin set 4-5 ft above ad'.water or bottom of test hole Vaz.: _ ��
15. S stem not in to or subsoil A,B horizons or 5'removal �_,
16.Pro osed contours aze suitable L�
17. S stem meets slo e r irements-min. U8" '/<" eferred
18. S stem meets breakout irements PVC liner: Wall:
19. S �ed tee sizes are r , gas baffle on outl�tee ;��
20. Se e is under 10,000 for arcel �.�
- 21.No e ' osal L�
22. S stem ad uatel sized for its intended use `1
23.Minimum 6"stone or com ted below tank and dbox
' 24.Manhole covers within 6"of ade, um chamb�cover to grade
25. 'on ort on lastic cliamb�s/leach field `�
26.Electrical ermit for um chamber/S ate meter for du lexes
27.P stem-2"line,w hole,check valve,tee in dbo� um size
28. S 'c tank/ um chamber to be facto wa roofed /'
29.Vent rovided if leaclrin below 3 feet,unda driveway! azlan �
30. Buoyanc calculations for tank/ um chamber
31.En ' eer to ins ect and c ' soils: wall: commaciaL•
32.En ' eer/Re ' ered Sanitarian and Land Surve or s/si ture
33.H-201oadin is sub'ect to vehicular tcaffic, grouadwater
34.Title V A lication and �mit fee, insffiller si ture
35.Foundation footin min. 2 feet above ad�usted ound water for new house
36.Deed Restriction uired max. #bedrooms: max. flow: d
37.Check azea lots for oundwater/Label oundwat�in Assessor's M
Plan reviewed by: / (,l� �mro3