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HomeMy WebLinkAboutReview Checklist r..- G��,��' �- ���� � � TOWN OF YARMOUTH ' SEWAGE PLAN REV�W CHECKLIST ,� , � ' � ������ � Location: A.M. � Lot_�� Zone of Contribution: In '�nt Acreage �Y �� Commercial: Residential:-� Street: � f Village: Floor Plan: �/ #Bedrooms:� Owner: � Installer: �l �� Address: Phone: �� '" Phone: fr'i�-- / �z � �`L?��i���1� , � Builder: Engineer: Address: Phone: ' - Phone: � ��,��� _ . � � N/A YES NO 1.R uired#of copies received 2.Date of soils exam and percolation test not older than 2 years 3.4-5 ft of naturall occurrin ervious material,above water ta.ble 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. S tic tank minimum 10 ft from foundation, deck Var.: � 8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �_.__-- 9.Leaching minimum 100 ft from wetlands Var.: �--- f 10.Leaching minimum 150 ft from drinkin welU25 ft irri tion well Var.: 11.Tank/leachin minimum 10 ft from ro erry line Var.: 12.S stem meets all other setback r irements Var.: 13.ITses adjustment for maximum high oundwater Var.: 14.Leachin set 4-5 ft above ad'.water or bottom of t e` Var.: 15. System not in to or subsoil(A.,B horizons)or 5'remov 16.Pro osed contours are suitable �--�' , 17. S stem meets slo e r irements-min. 1/8", '/a" eferred -, ✓=--'' 18. S stem meets breakout re irements PVC liner: ��� all: 19.Specified tee sizes are pro er, as baffle on outlet tee '� 20. Sewa e is under 10,000 for arcel ' 21.No garba e disposal C..�-'�f ' 22. S stem ad ua.tel sized for its intended use � � �'� ��?'�� � 23.Minimum 6"stone or com acted below tank and dbox �'' 24.Manhole covers within 6"of ade, ump chamber cover to grade �...r--'" � 25.Ins ection ort on lastic chambers/leach field � 26.Electrical ermit for um cha.mber/S arate meter for du lexes �- I 27.Pum stem-2" line,wee hole,check valve,tee in dbo� um size 28. S tic tank/ um chamber to be factory wa roofed L.�''" ; 29.Vent provided if leachin below 3 feet,under driveway/ arkin `---�" 30.Buoyanc calculations for tank/ um cha.mber �--' ' 31.En ' eer to ins ect and cerf soils: wall: commerciaL• 32.Engineer/Re 'stered Sanitarian and Land Surveyor stam s/signature '-�""� ' 33.H-20 loading is subject to vehicular traffic, 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 uired ma7�. #bedrooms: max.flow: d � 37.Check area lots for oundwater/Label oundwater in Assessor's Ma ! Plan reviewed by: wo3�o3