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HomeMy WebLinkAboutReview Checklist /p-z -� S� TOWN OF YARMOUTH • SEWAGE PLAN REVIEW CHECKLIST Location: A.M.� Lot � Zone of Contribution: In Out Acreage ' � - Commercial: Residential: �� ; Slreet: l i Village: Floor Plan: � #Bedrooms:�_ Owner: ��1�!/S�i�-� Insta.11er: � Address: Phone: � �� ` Phone: `���'�Z� ���'�� �J �'��' �� Builder: Engineer: - �� � Address: Phone: - �- � Phone: `f� Qi�S�i� �,� /��".�"�' C c' �. � ���j N/A YES NO 1.R ired#of co ies received � 2.Date of soils exam and colation test not older than 2 years �� 3.45 ft of natura occurrin ervious material,above water table L� 4.Founda.tion 2 ft above hi oint of roa.d H.P.: Fnd: Var.: 5.Water line 10 ft from septic com onents Var.: �.i 6.Benchmark indicated and shown-NGVD if near wetlands 7. S tic tank minimum 10 ft from foundation, deck Var.: (,� E� 8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft sla.b 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 ro erty line Var.: L/' 12.S stem meets all other setback r uirements Var.: 13.Uses ad'ustment for maximum hi oundwater Var.: 14.Leachin set 4-5 ft above adj.water or botto t h Var.: �,- 15. S stem not in to or subsoil(A,B horizo )or 5'r 16.Pro osed contours are suitable 17. S stem meets slo e r uirements-min. 1/8", '/4" eferred 18. S stem meets breakout r uirements PVC liner: Wa1L• -�' 19. S ecified tee sizes are ro er, gas baffle on outlet tee 20. Sewa e is under 10,000 for arcel �,, : . 21.No garba e dis osal ,.�� 22.S stem ad ua.tel sized for its intended use . `f 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•Pum stem-2" line,wee hole,check valve,tee in dbox, um size `L_� 28. S tic tank/ um chamber to be fa.ctory waterproofed � ; 29. Vent rovided if leaching below 3 feet, under driveway/ arking 30. Buoyancy calculations for tank/ um chamber L� 31.En ' eer to ins ect and c ' soils: wall: commercial: L/ , 32.En ' eer/Re 'stered Sanitarian and Land Surve or stam s/si ture � 33.H-20 loadin is sub'ect to vehicular traffic, oundwater � 34.Title V A lication and ermit fee, installer si ture �� ; 35.Foundation footing min. 2 feet above ad'usted ound water for new house 36. Deed Restriction r uired max. #bedrooms: maac. flow: d 37.Check area lots for oundwater/Label oundwater in Assessor's Map. �, Plan reviewed by: �03�03 i I i � s