HomeMy WebLinkAboutReview Checklist 6 � �--��
TOWN OF YARMOUTH
• SEWAGE PLAN REVIEW CHECKLIST
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Location: A.M. � Lot ��3 Zone of Contribution: In Out� Acreage '
' � Commercial: Residential`.��
Sfreet: Gri�
Village: � Floor Plan: #Bedrooms: i
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Owner: �QS///�LJ ���� � Installer: ��.( �' � �;
Address: Phone: - �
Phone:
Builder; Engineer: � Gl�
Address: Phone: - �-
Phone:
N/A YES NO
l.R uired#of ies received
2.Date of soils exam and ercolation test not older than 2 years ,
3.4-5 ft of naxura. occurrin ervious ma.terial,above water ta.ble L�
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Vaz.:
5.Water line 10 ft from s tic components Vaz.: ;
6.Benchmark indicated and 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 slab Var.: ;
9.Lea.chin minimum 100 ft&om wetlands Var.: � ;
10.Lea.chin minimum 150 ft from drinking 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'ustmeirt for maximum hi oundwater Var.: . `
14.Leaching set 4-5 ft above ad'.water or bottom of test hole Var.: vi
15.S stem not in to or subsoil(A,B horizons)or 5'removal �.✓
16.Pro sed contours are suita.ble ��
17. S stem meets slo e r irements-min. 1/S", '/4" eferred �/ i
18. S stem meets breakout r irements PVC liner: Wall: �� �
19. S ecified tee sizes aze ro er, s ba$le on outlet tee ;
20. Sew e is under 10,000 d for azcel �
21.No garb e dis osal
22. S stem ad 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 e
, 25.Ins ection on la.stic chambers/leach field '
26.Electrical ermit for chamber/S arate meter for du lexes �
27.Pum system-2"line,w hole,check valve,tee in dbox, um size
28.S tic tank/ chamber to be factory wa roofed ;
29.Vent rovided if leaching below 3 feet,under driveway/ arkin `./
30.Buoyancy ca.lculaxions for tank/ u chamber �
31.En ' eer to ins ect and c ' soils: wall: commerciaL• I�
32.En ' eer/Re ' ered Sanitarian and Land Surve or s/si ture L/
33.H-20 loadin is subject to vehicular traffc, oundwater f
34.Title V A lication and ermit fee, installer si e ;
35.Founda.tion footin min.2 feet above ad'usted ound water for new house ;
36.Deed Restriction r ired max. #bedrooms: max. flow: d �
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37.Check area.lots for oundwater/Label oundwater in Assessor's Ma �
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Plan reviewed by: �ro3 ;
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