HomeMy WebLinkAboutReview Checklist � � k
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: "' ���/ TOWN OF YARMOUTH � ;
SEWAGE PLAN REY�W CHECKLIST ��/ �1�,�, � � ���� ;
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Location: A.M.� Lot� Zone of Contribution: In� Out_ Acreage �. �y�_ �
Commercial: ResidentiaL•
Street: UT/I
Village: Floor Plan: #Bedrooms:_�
Owner: ��4�'-�/ d�„2��/�Jj .�� Insta.11er: �
Address: Phone: ,
Phone: C�
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Builder: En ineer: � ` i
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i Address: Phone: � � - j
Phone: � � ��� '
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N/A YES NO '
1.Required#of co ies received Ll (
2.Date of soils e�m and reolation test not older than 2 years �✓ (
3.4-5 ft of naturall occurrin ervious material,above wa.ter ta.ble �
4.Founda.tion 2 ft above hi int of road H.P.: Fnd: Var.: L_/ I
5.Water line 10 ft from s tic com onents Var.: w '"-
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.: ��
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �_/
9.Leachin minimum 100 ft from wetlands Var.: �'� (
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.: '
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11.Tank/leaching minimum 10 ft from ro line Var.: � i
12. S stem meets all other setback r irements Var.: ;
13.Uses ad'ustment for maximum hi oundwater Var.: - ;
14.Leaching set 4-5 ft above ad'.water or bottom of test hole Var.: �i `
15.System not in to or subsoil(A,B horizons)or 5'removal �/
16.Pro osed contours are suitable � .�,zo2L ,.,. i
17. S stem meets slo e r uirements-min. 1/8", '/4" eferred �
18. S stem meets breakout r uirements PVC liner: Wall: i
19. S ecified tee sizes are ro er,gas baffle on outlet tee �
20. Sewa e is undex 10,000 for arcel
: 21.No ba e dis osal
22.S stem ade uatel sized for its intended use C_�. � �
23.Minimum 6"stone or com acted below tank and dbox i
24.Manhole covers within 6"of grade, um chamber cover to de �..�
25.Ins ection ort on la.stic chambers/leach field �--� '
26.Electrical ermit for um chaxnber/S ara.te meter for du lexes
27.Pum stem-2"line,w hole,check valve,tee in dbox, um size '
28. S tic tank/ um chamber to be factory wat roofed
29.Vent rovided if leachin below 3 feet,under drivewa / arkin
30.Buoyancy calculations for tank/ um chamber �
31.En ' eer to ins ect and cert' soils: wall: commercial: �--�" '
32.En ' eer/Re 'stered Sanitarian and Land Surve or stam s/si ture '
33.H-201oadin is sub'ect to vehicular traffic, groundwater �--��
34.Title V A lication and ermit fee, insta.11er si ture i
35.Foundation footin min. 2 feet above ad'usted ound water for new house �� �
36.Deed Restriction r uired max. #bedrooms: max.flow: d �
37.Check area lots for oundwater/Label oundwa.ter in Assessor's Ma i
Plan reviewed by: � �� �,o3io3 �
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