HomeMy WebLinkAboutReview Checklist � Li - j�
' `y� TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M. �Z- Lot �l b � Zone of Contribution: In Out� Acreage
Commercial: Residential: �
Street: � ~
Village: Floor Plan: #Bedrooms:
Owner: �/�C Insta.11er: � '���� �('��/ ,�J�%�/�1 ,
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Address: Phone: ' ��`�-� '
Phone: 'i
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Builder: Engineer: � //�-�G l�c.x !/v�uS' .
Address: Phone: �G 7� '�' �
Phone: a - �vu��r� .< � ��lJ �t�., ,� �G� !'�"�
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N/A YES . NO
1.R uired#of copies received �--
2.Date of soils exa.m and ercolation test not older than 2 years
3.4-5 8 of naturall occurrin ervious material, above water tabie ��''
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.: '--''
5.Water line 10 ft from s tic com onents Var.: i-/
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.: =--��
9.Leachin minimum 100 ft from wetlands Var.: ;
10.Lea.ching minimum 150 ft from drinking welU25 ft irri tion well Var.: ---�-
11.Tank/leaching minimum 10 ft from roperry line Var.: ��
12. S stem meets all other setback r irements Var.:
13.Uses adjustment for maximum high oundwater Var.: �.�--�' '
14.Leaching set 4-5 ft above adj.water or bott '�e ar.: `-�"�� '
15. System not in to or subsoil(A,B horizon or 5'removal t�
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16.Pro osed contours are suitable
17. S stem meets slo e re irements-min. 1/8", '/a" eferred ��
18. System meets breakout r irements PVC liner: Wa1L• c._--� '
19. Specified tee sizes are ro , as ba$le on outlet tee �---�
20. Sewage is under 10,000 d for arcel �-�
• 21.No garba e dis osal •��
22. S stem ade ua.tel sized for its intended use �----�
23.Minimum 6"stone or com acted below tank and dbox �--''"
� 24.Manhole covers within 6"of grade, um chamber cover to grade v�
- 25.Ins ection ort on plastic chambers/leach field V'
26.Electrical ermit for um chamber/S arate meter for du lexes �
27.P system-2" li.ne,weep hole,check valve,tee in dbo� ump size
� 28. S tic tank/pum chamber to be factory waterproofed `�
� 29.Vent rovided if leaching below 3 feet,under driveway/ arkin �-�
30. Buoyancy calcula.tions for tank/pum chamber �f
31.En ' eer to ins ect and cert' soils: wall: commercial: �-/
32.Engineer/Registered Sanitarian and Land Surveyor stam s/si ture
33.H-20 loading is sub'ect to vehicular traffic, oundwater
34.Title V A lication and ermit fee,installer signature
3 5.Founda.tion footin min.2 feet above ad'usted ground water for new house
36.Deed Restriction re ired max. #bedrooms: max•flow: d
37.Check area.lots for groundwater/Label oundwater in Assessor's Ma
i Plan reviewed by: �." �ro3�o3
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