HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
��'"; ``- �VVAGE PLAN REVIEW CHECKLIST
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, Location A.M. L / Lot .Z q, Zone of Coirtribution: In Out�Acreage
� � Commercial: Residential:�_
Street: � /
Village: Floor Plan: (/ #Bedrooms: �
Owner: � l� Installer: 7"��
Address: (, v 3 S� D 2 6 Phone:
Phone: ,3 " ZL�7
Builder: C�vt�( Engineer:
Address:
J Phone: �t� - 2
Phone: � � ���{ � �����j.� �,�'
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N/A YES NO
1.Required#of co ies received �`
2.Date of soils exam and colation test not older than 2 ears �
3.45 ft of natura occurrin ervious mateaial,above water table
4.Foundation 2 ft above h� int of rpad H.P.: �o�j Fnd:/ � Var.: �
5.Water line 10 ft from s ic com onents Var.:
6.Benchmark indicated and shown-NGVD if near w�lands
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.Leachin minimum 100 ft from wetlands Var.:
10.Lea.chin minimum 150 ft from drinkin welU25 ft' ' tion well Var.:
11.Tanlr/leachin minimum 10 ft from line Var.:
12. S stem meets all other setback ' ements Var.:
13.Uses ad'ustment for maximum hi oundwater Var.:
14.Leachin set 4-5 ft above ad'.water�botto test Var.:
15. S tem no#in to or subsoil(A,B horizons 5'removal
16. ed contours are suitable ✓
17. S stem meets sl e irements-min. 1/8", '/a" errEd
18. S stem meets breakout r uiremeffts PVC liner: Wall:
19. S ified tee sizes aze r , s baffle an outlet tee
, 20. Sewa e is under 10,040 for arcel
2I.No ba. e dis al
22. S stem ad ua.tel sized for its intended use L/
23.Minimum 6"stone or com cted below tank and dbox ✓
24.Manhole cov�s within 6"of e, um chamber cover to ade L/
25. ion rt on lastic chambers/leach field
26. Electrical ermit for um chamber/� arate meter f�du lexes
27.Pum stem-2"1ine,w hole,check valve,tee in dbo� um size ✓
28. S tic tank/ um chamber to be facto wat roofed
29.Vern rovided if leachin below 3 feet,under drivewa / arkin
30. Buo anc calculations for tank/ u chamber `-�
31. E ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surv or s/si ture
33.H-20 loadin is subject to vehicular traffic, oundwater �-�-�
34.Title V A lication and ea�nit�ee,installer si ture �----
35.Foundation footin min. 2 fe,et above ad'usted ound water for new house �-'
36.Deed Restriction ired max. #bedrooms: max. flow:
37.Check azea lots for oundwater/Label ndwater in Ass�.ssor's Ma ��-_
Plan reviewe�i by: � wo�io�