HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
`' SEWAGE PLAN REVIEW CHECKLIST �
Location: A.M. �� Lot� Zone of Contribution: In Out� Acreage _
Commercial: Residential:� �
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Street: (�G/^ /
Village: , Floor Plan: #Bedrooms:
Owner:�a%'lr2',(�(� ��<'' Installer: �/� /�,�/�=: '� ,`'�Li'�
Address: Phone:
Phone: �.,� { / � �y��'�
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Builder: Engineer: � G��PG�
Address: Phone: - 4
Phone: "` � f � '
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N/A ,,..� NO
1.R uired#of copies received
2.Date of soils e�m and ercolation test not older than 2 years 1.r/
3.4-5 ft of naturall occurrin ervious material,above water table
4.Foundation 2 ft above hi int 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. Se tic tank minimum 10 ft from foundation, deck Var.;
_ 8.Leaching minunum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.:
10.Leachin minimum 150 ft from drinking welU25 ft irrigation well Var.: - �
11.Tank/leaching minixnum 10 ft from ro erty line Var.: ��
12.S stem meets all other setback r uirements Var.: l��
13.Uses adjustment for maximum hi oundwater Var.: %
14.Leachin s+et 4-5 ft above ad'.water or bo of test a ar.: �
15.System not in to or subsoil(A,B horizo or 5'removal
16.Pro osed.contours are suita.ble
17. S stem meets slo e r irements-min. 1/8", '/4" referred
18. System meets breakout r uirements PVC liner: Wall: �/
19. S ecified tee sizes are ro ,gas baffle on outlet tee
20. Sewa e is under i 0,000 d for arcel �./
21.No ba. e dis osal
22. S stem ade 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 chamber/S arate meter for du lexes
27.Pum system-2"line,wee hole,check valve,tee in dboaz, um size
28.Septic Yank/ um chamber to be factory wat roofed
29.Vent rovided if leaching below 3 feet, under drivewa / arking
30.Buo ancy calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commercial: /
32.En ineer/Registered Sanitarian and Land Surve or stam s/si ature '"
33. H-201oadin is subject to vehicular traffc, oundwater �/
34.Title V A lication and ermit fee, installer si ature
35.Founda.tion footin min.2 feet above ad'usted ound water for new house --�
36.Deed Restriction r uired max. #bedrooms: max. flow: d `
37.Check area lots for oundwater/Label groundwater in Assessor's M
Plan reviewed by: � �o3io3
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