HomeMy WebLinkAboutReview Checklist ��-Z-� -�6 // /"'� � / r/J�-�
TOWN OF YARMOUTH �a�
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� SEWAGE PLAN REVIEW CHECKLIST
; Location: A.M. /Qr Lot / �o Zone ofContribution: In ut�creage
Commercial: Residential:��
Street: A��'/
Village: yg0 Floor Plan: � #Bedrooms: �
.�f �
Owner: �L�l'�SG' /%',��GZ�1/J Installer: �,/
Address: Phone: g � l -
Phone:
Builder: Engineer:
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Address: Phone: � �- Z
Phone:
N/A YES NO
l.R uired#of copies received
2.Date of soils exam and ercolation test not older than 2 years �-
3.4-5 ft of na.turall occurrin ervious material,above water ta.ble ��
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.: �
5. Water line 10 ft from s tic com onents Var.:
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.Leachin minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinkin welU25 ft irrigation well Var.: ��--'�""
11.Tank/leaching minimum 10 ft from property line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum hi oundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: ..��
15. System not in to or subsoil(A,B horizons)or 5'removal
16.Pro sed contours aze suitable
17. S stem meets slo e r irements-min. 1/8", '/4" referred
18. S stem meets breakout requirements PVC liner: Wall: �--�
' 19. S ecified tee sizes are ro er, as baffle on outlet tee �.�-
20. Sewa e is under 10,000 d€or arcel
, 21.No arba 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 cha.mber cover to grade
25.Ins ection ort on la.stic chambers/leach field �1
26.Electrical ermit for um chaxnber/S arate meter for du lexes ""'-"A
27.Pump system-2" line,wee hole,check valve,tee in dboa�, ump size
28.Septic tank/ um chamber to be facto wat roofed
29.Vent rovided if leaching below 3 feet,under driveway/parking
30.Buo anc calcula.tions for tank/ u chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surveyor stam s/si ture
33.H-201oading is subject to vehicular traffc, oundwater
34.Title V A lication and ermit fee, installer si ature
35.Foundation footin min. 2 fe�t above ad'usted ground water for new house "
36.Deed Restriction r uired max. #bedrooms: max. flow:
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: C�`'� 6/03/03