HomeMy WebLinkAboutReview Checklist /D � Z ` ��
" TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CFIECKLIST
" Location: A.M.�_ Lot� Zone of Contribution: In_ Out�Acreage�/
� ����,/ � Commercial: Residential: L/
Street: Gttt
Village: ( �, Floor Plan: #g��oo�;�
Owner: JC6� i/d/Qit/l�iri�i� �� Installer: �
Address: Phone:
Phone:
Builder: Engineer:
Address:_ Phone: - �
Phone: ,(
- -�/l//� / ��'Zi � .�� �_ C`-� ��$%'''�
N/A YES NO
1.R uired#of co ies received
2. Date of soils exam and colation test not older than 2 ears
3.4-5 ft of natural occurrin ervious material, above watea table `�
4.Foundation 2 ft above hi int of road H.P.: Fnd: Var.:
5. Water line 10 ft from septic com onents Vaz.: `�i
6.Benchmark indicaxed and shown-NGVD if near wetlands `/
7. S tic tank minimum 10 ft from foundation, deck Var.:
8. Leaching minimum 20 ft ful1, I S ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Vaz.:
10. Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
1 I. Tank/leachin minimum 10 ft from ro line Var.:
12. S stem meets all other setback uirements Vaz.:
13.Uses adjustment for maximum hi oundwater Vaz.: / �
14. I,eachin 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 sed contours aze suitable
17. S meets slo e r irements-min. 1/8", Ya" ef�red
18. S stem meets breakout r uirements PVC liner: Wall: ��
19. S ecified tee sizes are ro , baffle on outlet tee `�
20. Sewa e is undet 10,000 d for arcel
21.No e dis osal ��
22. S m ad uatel sized for its intended use �f
23.Minimum 6"stone or com ed below tank and dbox
24. Manhole covers witivn 6"of e, um chamber cover to e
25. Ins ection ort on lastic chamb�s/leach field
' 26. Eleetrica] ermit por um chamber/S ate meter for du lexes
27.Pum stem-2"line,wee hole,check valve,tee in dboac, size
28. S tic tank/ chamber 4o be factory wa roofed
29.Vent rovided if leachin below 3 feet, under dtiveway/ azking
30. Buo anc calculations for tank/ u chamber
31.En ' eer to ins ect and cert soils: wall: commercial: �/
32.En 'needRe 'stered Sanitazian and Land Surv or s/si ture
33.H-201oadin is subject to vehicular traffic, undwater ��
34. Title V A lication and �mit fee, installer si ture
35.Foundation footin min. 2 feet above ad'usted ound watea for new house
36.Dced Restriction r uired ma�c. #bedrooms: ma�c, flow: a �-
37:Check azea lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �1
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