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HomeMy WebLinkAboutReview Checklist ��- s�-��- �c��% TOWN OF YARMOUTH 1 t SEWAGE PLAN REV�W CHECKLIST - � d�n/ !�%� . Location: A.M. �/� Lot �� Zone of Coirtnbution: In�Out Acreage � ���� Commercial: Residential: � str�: � 6 �� Village: 1i Floor Plan: �� #Bedrooms: Z- Owner: �"CI-P1� �it 1LF�J�'�L.( Insta.11er: �L�� Sr Address: , Phone: � • �. Phone: Builder: Engineer: � Address: Phone: ' -- / Phone: - �/�f �' It� ���PC��� N/A YES NO 1.R uired#of co ies received 2.Date of soils exa.m and ercola.tion test not older than 2 years v'' 3.4-5 ft of natural occurrin ervious ma.terial, above water ta.ble �� 4.Founda.tion 2 ft above high urt 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 tank minimum 10 ft from foundation, deck Vaz.: 8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft sla.b Var.: ��' 9.Leaching minimum 100 ft from wetlands Var.: 10.Leachin minimum 150 ft from drinkin we1U25 ft irri tion well Var.: 11.Tank/leachin minimum 10 ft from r erry line Var.: �� 12. S stem meets all other setback r ' ements Vaz.: 13.Uses adjustment for maximum hi oundwater Var.: 14.Leachin set 4-5 ft above ad'.water or bottom le V .: ' 15.System not in t or subsoil(A,B horizons)0 5'remova 16.Pro ed contours are suita.ble �/ 17.S stem meets sl e r irements-min. 1/8", '/4" eferred 18. S stem meets breakout irements PVC liner: Wall: 19. S ified tee sizes are ro er, baffle on outlet tee _ 20. Sewage is under 10,000 d for azcel 21.No e dis osal � 22. S stem ade ua.tel sized far its intended use : 23.Minimum 6"stone or com acted below tank and dbox 24.Ma.nhole covers within 6"of e, um chamber cover to ade 25.Ins ion ort on lastic chambers/leach field 26.Electrical ernut for um chamber/S e meter for du lexes 27.P stem-2"line,wee hole,check valve,tee in dbox, ump size �� 28. S tic tank/ chamber to be fa.ctory roofed �,�-� 29.Vern rovided if leachin below 3 feet,under driveway/ arking 30.Buo ancy ca.lculations for tank/ ump cha�ber 31.En ' eer to ins ect and c ' soils: wall: commercial: ----� 32.En ' e,er/Re ' ered Sanitarian and Land Surv or stam s/sigoature vi ; 33.H-201oadin is sub'ect to vehicular traffic, oundwater ,�i � 34.Title V A lication and ermit fee,installer si e � 35.Founda.tion footin min.2 feet above adjusted ound water for new house � 36.Deed Restriction r uired max. #bedrooms:li max. flow:`7�- d ' 37.Check azea lots for oundwater/Label oundwater in Assessor's Ma C I Plan reviewed by: �� �� ' � � f