HomeMy WebLinkAboutReview Checklist , ��"���� ����'-� �
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST �'�/� � j
Location: A.M. Lot �� Zone of Contribution: In� Out_ Acrea.ge 'I-� ����
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� - Commercial: Residential: C' I
Street: �� � !
Village: ' Floor Plan: �` #Bedrooms: 3 �
7 I
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Owner: �2���,�il�l/ Installer: ;
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Address: Phone:
Phone: I
Builder: Engineer: --�'/ � �C(
Address: Phone: �- -
Phone: �-�` �c` � �� � f
N/A YES NO
1.Re uired#of co ies received
2.Date of soils�a.m and ercolation test not older than 2 ears L/
3.4-5 ft of naxura occurrin ervious material,above water ta.ble �---''
4.Founda.tion 2 ft above hi oint of road H.P.: Fnd: Vaz.: '
5. Water line 10 ft from s tic com onents Var.: L� �
6.Benchmark indicated and shown-NGVD if near wetlands t/ f
7. S tic tank minimum 10 ft from foundation, deck Var.: !
8.Leachin minimum 20 ft full, 15 ft cra.wl, 10 ft slab Var.: i
9.Leachin minimum 100 ft from wetlands Vaz.: �-- '
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.: '
11.Tank/leaching minimum 10 ft from r line Var.: �',
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum hi groundwater Var.: '
14.Leachin set 4-5 ft above adj.water or bottom of test hole Vaz.: �"
15. S stem not in to or subsoil(A,B horizons)or 5'removal ��' !
16.Pro ed contours are suitable �� i
17. S stem meets slo e r irements-min. 1/8", '/<" eferred ;
18. S stem meets breakout re irements PVC liner: Wall: �
19. S ified tee sizes are o er, gas ba$le on outlet tee
20. Sewa e is under 10,000 d for azcel �1
21.No e dis osal ��
22. S stem ad ua.tel sized far its intended use
: 23.Minimum 6"stone or com acted below tank and dbox i
24.Manhole covers within 6"of grade, um cha.mber cover to ade �
25. ion ort on lastic chambers/leach field �t/
26.Electrical �mit for um chamber/S arate meter for du lexes � `
27. system-2"line,we hole,check valve,tee in dbo� um size
28. S tic tank/ chamber to be factory wa oofed
29.Vent rovided if leachin below 3 feet,under drivewa / arking
30.Buoyanc calcula.tions for tank/ ump chamber
31.En ' eer to ins ect and c " soils: wall: commercial:
32.En ' eer/Registered Sanitarian and Land Surve or stam s/si ture
33.H-20 loadin is sub'eot to vehicular traffic, groundwater
34.Title V lication and ermit fee,installer signature
35.Foundation footing min.2 feet above ad'usted ound water for new house
36.Deed Restrietion r' uired max. #bedrooms: max.flow: d �
37.Check area lots for oundwater/Label oundwater in Assessor's Ma �
Plan reviewed by: �� ���
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