HomeMy WebLinkAboutReview Checklist' / � �
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. TOWN OF YARMOUTH //�� � ,/�''���/�,��Z�21 �
SEWAGE PLAN REVIEW CHECKLIST L y
' Location: A.M. // � Lot Z � Zone af Contribution: In Out_ Acreage �• �" �� �
Commercial: ResidentiaL• �
Street: 7 /
Village: • Floor Plan: ✓ #Bedrooms: .�
Owner: � .�' Installer: �
Address: Phone: '
Phone:
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Builder: Engineer: .1/ ����� '
Address: Phone: -� ,
Phone: � k��. � �j� ��`Z
%
N/A YES NO
1.Re uired#of c ies received '
2.Date of soils e�m and ercolation test not older than 2 ears
3.4-5 ft of natural occurrin ervious material,above water table �=
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from septic com onents Var.: �--�
6.Benchmark indicated and shown-NGVD if near wetlands �-�'
7. S tic tank minimum 10 ft from founda.tion, deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �--J
9.Leachin minimum 100 ft from wetlands Var.:
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.: �� '
11.Tank/leachin minimum 10 ft from ro line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum hi oundwater Var.:
14.Leaching set 4-5 ft above ad'.water or bottom of test hole Var.:
15.System not in to or subsoil(A,B horizons)or 5'removal c,/�
16.Pro osed contours are suita.ble �
17.S stem meets slo e r uirements-min. 1/8", '/4" referred �
18. S stem meets breakout r irements PVC liner: Wall: "-.-�^
19. Specified tee sizes are ro er, gas baffle on outlet tee �---�
20. Sewa e is under 10,000 d for arcel t..---� ;
. 21.No arba e dis osal I
22. S stem ad ua.tel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox
' 24.Manhole covers within 6"of ade, um chamber cover to ade '
25.Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes �
27.Pump system-2" line,wee hole,check valve,tee in dbox, um size ��- I
28. S tic tank/pum chamber to be factory wat roofed ;
29.Vent rovided if leachin below 3 feet,under driveway/ arkin �/ �
30.Buoyanc calculations for tank/pump chamber
31.En ' eer to ins ect and c ' soils: wall: commercial: /�`
32.Engineer/Registered Sanitarian and Land Surveyor stam s/si ature ✓ I
33.H-201oadin is subject to vehicular traffic, groundwater
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 _...!-
37.Check area lots for oundwater/Label oundwater in Assessor's Map �
Plan reviewed by: ��J wo3ros ;
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