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HomeMy WebLinkAboutReview Checklist � ����� TOWN OF YARMOITTH ,�"��;'�� -�_ SEWAGE PLAN REVIEW CHECKLIST C�'. , ��� ��r � � � � � _ Location: A.M. �� Lot � Zone of Contribution: In C�9uf�� Acreage�,�� �� Commercial: Residential: �- Street: / Village: Floor Plan: ✓ #Bedrooms: � � , . o��: �S�.11�: � Address: Phone: '"� -' Phone: � Builder: Engineer: Q � Address: Phone: '- Phone: N/A YES NO 1.Required#of co ies received 2.Date of soils exam and colation test not older than 2 years �-�'" 3.4-5 ft of naturall occurrin ervious material, above water table 4.Founda.tion 2 ft above hi int of road H.P.: Fnd: Var.: 5. Water line 10 ft from s tic com onents Var.: (_.,,,._---" 6.Benchtnark indicated and shown-NGVD if near wetlands 7. S tic tank minimum 10 ft from founda.tion, 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.chin minimum 150 ft from drinkin welU25 ft irri ation well Var.: 11.Tank/leaching minimum 10 ft from ro line Var.: 12. S stem meets all other setback r uirements Var.: 13.Uses adjustment for maximum hi groundwater Var.: 14.Leachin set 4-5 ft above adj.water or bottom of test hole Var.: 1.....--- 15. System not in to or subsoil(A,B horizons)ar 5'removal �,___-- 16.Pro sed contours are suitable �_� 17. S stem meets slo e r uirements-min. 1/8", '/a" eferred �.r--' 18. S stem meets breakout r uirements PVC liner: Wall: 19. S ecified tee sizes are ro er, gas ba.ffle on outlet tee 20. Sewa e is under 10,000 d for arcel L� 21.No arba 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 chamber cover to ade t....----' ' 25.Ins tion ort on plastic chambers/leach field �� , 26.Electrical ermit for um chamber/S azate meter for du lexes 27.Pum stem-2"line,wee hole,check valve,tee in dbox, ump size 28. S tic tank/ um chamber to be facto wat roofed ' 29.Vent rovided if leaching below 3 feet,under driveway/ arkin �'" 30.Buoyancy calculaxions for tank/ um chamber ; 31.En ' eer to ins ect and c ' soils: wall: commercial: 32.En ' eer/Re 'stered Sanitarian and Land Surve or stam s/signature �� 33.H-201oading is sub'ect to vehicular traffic, oundwater 34.Title V A lica.tion and ermit fee, insta.11er si ture 35.Foundation footin min.2 feet above ad'usted ound water for new house - 36.Deed Restriction r uired ma.x. #bedrooms: max. flow: d 37.Check area lots for oundwater/Label oundwater in Assessor's Ma Plan reviewed by: h' � �o3io3