HomeMy WebLinkAboutReview Checklist � .� � ! �� _.��
��'" TOWN OF YARMOUTH
i . _ SEWAGE PLAN REVIEW CHECKLIST
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' � Zone of Contribution: In Out� Acreage
� Location: A.M.�_ Lot , _
; • . Commercial: Residernial:
' Street: � G " �
j Village: ^ Floor Plan: (�_ #Bedrooms: � � �
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Owner: � Installer: d� 1�2G'�� �'�l�'1 R��
Address: � Phone: Z - - ��1�
Phone:
Builder: �� �{'/�� Engineer:
Address: Phone: - 7 /
Phone:�/-- 7 -�
N/A YES NO
1.R uired#of co ies received
2.Date of soils e�cam and ercolation test not older than 2 years �.,�'
3.4-5 ft of naturall occurrin ervious ma.terial,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 Vaz.:
6.Benchmark indicated and shown-NGVD if near wetlands
{ 7. S tic tanlc minimum 10 ft from founda.tion, deck Var.:
8.Leachin minimum 20 ft full, 15 ft cra.wl, 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.: �---�""
11. Tank/leachin minimum 10 ft from rop line Var.: i�
12. S stem meets all other setback r uirements Var.: �,/
13.Uses adjustment for maximum hi oundwater Var.: -
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.: �/
15. S stem not in to or subsoil A,B horizons)or 5'removal
16.Pro osed contours are suita.ble �f
17. S stem meets slo e r irements-min. 1/8", '/a" eferred
18. S stem meets breakout r uirements PVC liner: Wall:
i 19. S ified tee sizes are ro er, baffle an outlet tee t/
� 20. Sewa e is under 10,000 d far arcel �/
� � 21.No ba. e dis osal �./ �
' 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 cha.mber cover to de �/
25.Ins ection ort on la.stic chambers/leach field �/
� 26.Electrical ermit for um cha.mber/S arate meter for du lexes
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� 27.P stem-2"line,wee hole,check valve,tee in dbox, um size
� 28. S tic ta.nk/ um chamber to be facto wat roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buo ancy calculations for tank/ um cha.mber �.�
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surve ar stam s/si ture `.�
33.H-20 loadin is subject to vehiculaz traffic, oundwater ��
34.Title V A lica.tion and ermit fee, installer si ture ��" /
35.Founda.tion footin uiin. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow:
37.Check area lots for oundwater/Label oundwater in Assessor's Ma `-�
Plan reviewed by: ( (�1 �0��03