HomeMy WebLinkAboutReview Checklist � ��/ �
TOWN OF YARMOUTH
- SEWAGE PLAN REVIEW CHECKLIST ""� � �f��
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Location: A.M.�_ Lot__ ,/f� Zone of Contribution: In Out Acrea.ge
' � Commercial: Residential: c,.---�
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�� Street:
Village: G� Floor Plan: #Bedrooms:
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Owner: � � Insta.11er: � z�� '"�'
Address: Phone: � -�
Phone: /��l'� (/ !��G�l
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Builder: Engineer: �y�'�,.
Address: Phone: �'/ �- �j -
Phone:
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/A ` YES NO
1.Required#of co ies received .�--�
2. Date of soils�am and ercolation test not older than 2 years �-----"
3.4-5 ft of naturall occurrin ervious materia.l, above water ta.ble �f
4.Founda.tion 2 ft above hi oint of road H.P.: Fnd: Var.: �--^
5. Water line 10 ft from s tic com onents Var.: -� �n s
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.Leaching minimum 100 ft from wetlands Var.:
10.Lea.ching minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11. Tank/leaching minimum 10 ft from roperty line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum hi groundwater Var.: ___
14. Lea.ching set 4-5 ft above ad'. water or botto test ho�, ar.: �,..•�'
15. System not in to or subsoil(A,B horizons or 5' val
16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/4" eferred
18. S stem meets breakout r uirements PVC liner: " all•
19. S ecified tee sizes are ro , gas baffle on outlet tee �,�
20. Sewa e is under 10,000 for arcel
21.No gazba 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 ade �� ��
25.Ins ection ort on la.stic chambers/leach field �,.A
26.Electrical ermit for um chamber/S azate meter for du lexes
27•Pum system-2"line,wee hole,check valve,tee in dbo� um size �
28. S tic tank/ um cha.mber to be factory wat roofed �
29.Vent provided if leachin below 3 feet,under driveway/parkin �
30.Buo ancy calculations for tank/ um chamber �,.� i
31.En ' eer to ins ect and c ' soils: � wall: commercial: �- �
32.En ' eer/Registered Sanita.rian and Land Surveyor stam s/si ature
33.H-201oadin is subject to vehicular traffc, oundwater
34.Title V A lication and ermit fee, installer si ture i
35.Foundation footin min.2 feet above ad'usted ound water for new house i
36.Deed Restriction r ir� max. #bedrooms: max. flow: d '�
37.Check area lots for oundwater/Label oundwater in Assessor's Ma �
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Plan reviewed by: i j I� W03/03 �
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