HomeMy WebLinkAboutReview Checklist � 1��/6�-/�
TOWN OF YARMOUTH
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SEWAGE PLAN REVIEW CHECKLIST
. Location: A.M. � Lot �� Zone of Contribution: In Out � Acreage
Commercial: Residential: ,�
Street: (�j/
Village: Floor Plan: #Bedrooms: 3
Owner: ��,�1�- Installer: �
Address: Phone: '
Phone: � � � � c� __ �
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Builder: Engineer:
Address: Phone: �- -- �j
Phone: � ���� � / ,
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N/ S O
1.R ired#of co ies received
2.Date of soils e�m and ercolation test not older than 2 years ��
3.4-5 ft of na.tura occurrin ervious material, above water table ��'
4.Foundation 2 ft above hi int of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.: L/
6.Benchmark indica.ted and shown-NGVD if near wetlands .
7. S tic tanlc 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 drinicing welU25 ft irri tion well Var.:
1 l.Tank/leachin minimum 10 ft from ro line Var.:
12. S stem meets all other setback r uirements Var.: �/
13.Uses ad' stment for maximum high groundwater V .: `--s
14.Leachin set 4-5 ft above adj.water or bottom est ho Var.: ,
T5. S stem not in to or subsoil A,B horizons) 5'remov
16.Pro osed contours are suita.ble
17. S stem meets slo e r irements-min. 1/8", '/a" eferred
18. System meets breakout r uirements PVC liner: Wall: ;
19. S ified tee sizes are ro er, as baffle on outlet tee '
20. Sewa e is under 10,000 d for arcel ��. i
2 i.No ba e dis osal
' 22. S stem ad uatel sized for its intended use
23.Mmimum 6"stone or com acted below tanlc and dbox
. 24.Manhole covers within 6"of ade, ump chamber cover to grade �
25.Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes
27.P stem-2" line,w hole,check valve,tee in dbo� um size �---
28. S tic tank/ um chamber to be factory wa roofed `�-
29.Vent rovided if leachin below 3 feet,under driveway/ arkin �„
30.Buoyancy calcula.tions for tank/ um chamber '
31.En ' eer to ins ect and cert' soils: wall: commerciaL•
32.E ' eer/Re ' tered Sanitarian and Land Surv or sta;n s/si ture � '
33.H-201oading is subject to vehicular traffic, oundwater �
34.Title V A lication and ermit fee, installer si ture '
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow: d '
3T.Check area lots for oundwater/Label aundwater in Assessor's M i
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Plan reviewed by: _ � 6l03/03 �
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