HomeMy WebLinkAboutReview Checklist �-/�-�� f
J TOWN OF YARMOUTH (
� SEWAGE PLAN REVIEW CHECKLIST
< Location: A.M. �1 Z` Lot� Zone of Contribution: In Out �ge
/, � Commercial: Residential: a--�- �
Street: ��`` � Gf� L"�' � • �
Village: � Floor Plan: #Bedrooms. �
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Owner: �Ql�l� r'���j� Installer: r�
Address: Phone: � -- '
Phone: �� /���f- � �
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Builder: � �
Engineer:
Address: Phone: '7r�- � � ^
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Phone: � ,?� /: �;�'�t'' , 2' �
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/A YES O i
1.Re uired#of copies received �
2.Date of soils exam and ercolation test not older than 2 years t�` �
3.4-5 ft of naturall occurrin ervious material, above water table �,.%
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. Se tic tank minimum 10 ft from foundation, deck Var.: �-.--
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: c/
9.Leaching minimum 100 ft from wetlands Var.:
10.Leachin minimum 150 ft from drinkin we1U25 ft irrigation well Var.: �-
11.Tank/leachin minunum 10 ft from rop line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum hi oundwater Var.: '� Z :G� ` t/'
14.Leachin 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 suita.ble
17. S stem meets slo e r uirements-min. 1/8", '/a" eferred �
18. S stem meets breakout r uirements PVC liner: Wall: •
19.S ec�ed tee sizes are ro , gas baffle on outlet tee
20. Sewage is under 10,000 d for arcel
' 21.No arbage dis osal
22. S stem ad ua.tel sized for its intended use
� 23.Minimum 6"stone or com acted below tank and dbox --j
24.Manhole covers within 6"of grade, ump chamber cover to ade
25.Ins �tion ort on plastic 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 dbo� ump size �
28.S tic tank/ um chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arkin t
30.Buoyancy calculations for tank/ um chamber ;
31.En ' eer to ins ect and cert' soils: wall: commercial: ,
32.Engineer/Registered Sanitarian and Land Surveyor stam s/signature
33.H-201oadin is subject to vehicular traffic, groundwater �� '
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34.Title V A lication and ermit fee, installer si ture �
35.Foundaxion footin min. 2 feet above ad'usted ound water for new house -
36.Deed Restriction r uired m�. #bedrooms: max.flow: d �
37.Check area lots for oundwater/Label oundwater in Assessor's Ma �
Plan reviewed b :
� 6/03/03
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