HomeMy WebLinkAboutReview Checklist� z � �i�
� TOWN OF YARMOUTH
� � SEWAGE PLAN REVIEW CFIECKLIST
, Location: A.M.� Lot � Zone of Contribution: In Out�Acreage
Commercial: �Residential: �
Street: `� �
Village: Floor Plan: #Bedrooms:�_
' Owner: � � + �t G S Installer: �, �
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l Address-�� Phone: Z.. - V'�
i Phone: /,� � �`� -�'�- ' �J �
..�jl�' `7 J__
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Builder: Engineer: �'"�L
Address: Phone: a -
Phone: •,� � � ," ���
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N/A YES NO
1.R uired#of co ies received +
� 2.Date of soils exam and ercolation test not older than 2 ears
� 3.4-5 ft of na.turall occuirin ervious material, above water table
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.: �
5.Water line 10 ft from s tic com onerns Var.:
6.Benchmark indica.ted and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.: C�'
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: L�
9.Leachin minimum 100 ft from wetla.nds Var.:
10.Leachin minimum 150 ft from drinkin we1U25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from ro line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum hi oundwater Var.:
14.Leachin set 4-5 ft above adj.water or botto f t e Vaz.: �:,- p� '° ''
15. S stem not in to or subsoil(A,B horizons) r 5'remo 1
16.Pro sed contours are suitable •,
17. S stem meets slo e re uirements-min. 1/8", '/a" eferr '
18. S stem meets breakout re uirements C liner: � � all:
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 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 ade
25.Ins ion ort on lastic chambers/leach field
26.Electrical ermit for um cha.mber/S arate meter for du lexes �:/ -
27.Pum s stem-2"line,w hole,check valve,tee in dbo� um size
28. S tic tank/ um chamber to be facto wa roofed
29.Vent rovided if lea.chin below 3 feet,under drivewa / arkin
30.Buo ancy calcula.tions for tank/ um cha.mber
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.En ' eer/Re ' ered Sanita.rian and Land Surve or stam s/si ture
33.H-20 loadin is subject to vehicular tra.ffc, oundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundation footin min.2 feet above ad'usted ound water for new house
36.Deed Restriction r ired max. #bedrooms: max. flow: d
37.Check area lots for oundwater/Label oundwater in Assessor's Ma. .
Plan reviewed by: '`� � bro3io3
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