HomeMy WebLinkAboutReview Checklist 1 �'� /��/�
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TOWN OF YARMOUTH
; ` SEWAGE PLAN REV�W CHECKLIST
Location: A.M.� Lot �-��� Zone of Contribution: In Out.�Acreage
� Commercial: Residential:'�
Street: � /�
! Village: d Floor Plan: C/ #Bedrooms: ��
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owner: / C�/��(��.� Installer: } G
Address: Phone: 7 7l--,¢
Phone:
Builder: Engineer: L^
Address: Phone: - --,
Phone: �
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1.Required#of co ies received
2. Date of soils exa.m and ercolation test not older than 2 ears �"
3.4-5 ft of naturall occurrin ervious material, above wa.ter table
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.: �
5. Water line 10 ft from s tic components Var.:
6.Benchmark indicated and shown-NGVD if near wetlands �
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaclun minimum 100 ft from wetlands Var.: _
10.Leaching minimum 150 ft from drinking welU25 ft irri ation well Var.:
11.Tank/leaching minimum 10 ft from ro erty line Var.: .�
12. S stem meets all other setback r uirements Var.: �..�'
13.Uses ad'ustment for maximum high oundwater Var.: .
14.Leaching set 4-5 ft above ad'.water or bottom of test hole Var.:
15. System not in to or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", 1/4" eferred '
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes are ro er, as baffle on outlet tee
20. Sewa e is under 10,000 d 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 �J,
24.Manhole covers within 6"of gade, um chamber cover to grade
� 25.Ins ion ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes •
27.Pum stem-2" line,wee hole,check valve,tee in dbox, um size
28. S tic tank/ um chamber to be factory waterproofed �
29.Vent rovided if leaching below 3 feet, under drivewa / arkin
30.Buo ancy calculations for tank/pum chamber /--
31.E ' eer to ias ect and cert' soils: wall: commercial: � ,� �,��
32.Engineer/Registered Sanitarian and Land Surve or stam s/si ature � ��� _
33.H-201oadin is subject to vehicular tr�c, oundwater ,
34. Title V A lication and ermit fee,installer signa.ture
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max, flow: d _/ �
37.Ch�k area.lots for groundwater/Label groundwater in Assessor's a - �
� Plan reviewed by: � f
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� W03/03 �
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