HomeMy WebLinkAboutReview Checklist� / -' r� �I �
{ TOWN OF YARMOUTH
I SEWAGE PLAN REV�W CHECKLIST
Location: A.M. Z Z- Lot� Zone of Contribution: In Out�Acrea.ge
-7 - /� /' Commercial: Residential: �
Street: 7 / �� �l.( l�l� �
Village: �!/ Floor Plan: `� #Bedrooms:
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i Owner:�/Ji,/rf��V Installer: •
Address: Phone:
Phone: �
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Builder: Engineer: �.� /
Address: �' Phone: � S�
Phone: .- /l �- s� � �-
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N/A YES NO
� 1.R uired#of co ies received
2.Date of soils exaxn and ercolation test not older than 2 years
3.4-5 ft of natural occurrin ervious ma.terial, above water table
4.Founda.tion 2 ft above hi oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.: �!
6.Benchmark indicated a.nd 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 sla.b Var.:
9.Leachin minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from ro erty line Va.r.:
12. S stem meets all other setback r irements Var.:
13.Uses ad'ustment for maximum hi oundwater Var.:
14.Leachin set 4-5 ft above ad'.water or bottom e hole ar.:
15. S stem not in to or subsoil(A,B horizons)o 'removal ,
16.Pro sed contours are suitable
; 17. S stem meets slo e r uirements-min. 1/8", '/4" eferred (,/
18. S stem meets breakout re uirements PVC liner: Wall: t,,,/
19. S ified tee sizes are ro er, as baffle on outlet tee v�� �' S
; 20. Sewa e is under 10,000 d for arcel
; 21.No arba e dis osal
� ' 22. S stem ade uatel 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
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� 25.Ins tion ort on la.stic chambers/leach field
i 26.Electrical ermit for um chamber/S arate meter for du lexes c.�
27.P system-2" line,wee 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 driveway/ arkin
30.Buoyancy calculations for tank/ um chamber
i 31.E ' eer to ins �t and c ' soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surv or stam s/si ture
33. H-201oadin is subject to vehicular tra.ffic, oundwater /
34. Title V A lication and ermit fee, installer si ture
3 5.Foundation footin min.2 feet above ad'usted ound water for new house l�'
36.Deed Restriction r uired max. #bedrooms: max.flow: d
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �� �o3�os
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