HomeMy WebLinkAboutReview Checklisti �' � J /� �
� TOWN OF YARMOUTH
SEWAGE PLAN REV�W CHECKLIST �
� Location: A.M. �� Lot� Zone of Contribution: In Out Acreage
Commercial: Reside �
Street: / ; ��'�
Village: �Z� Floor Plan: �L��edrooms:
,
Owner: Installer: ,� ' ��:-t�', �''',I2�'/�.-����
Address: Phone: --
Phone: �/J � � r�;�� C'��-��
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���'����� Builder: Engineer: �"�-� �t� ��GI.�C��
Address: Phone: - �'"
Phone: . (�='K,rS �� , C� ��„�'� �,,,'�J7r:Y l i.�r��.,
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N/A NO
l.Re uired#of co ies received
2.Date of soils exam and ercolation test not older than 2 ears
3.4-5 ft of natura occurrin ervious material,above water ta.ble
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.: ��_,..�
6.Benchmark indica.ted 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.Leachin minimum 100 ft from wetlands Var.: ��--�-��- �
10.Leaching minimum 150 ft from drinkin we1U25 ft irrigation well Var.: `--'��
1 l.Tank/leachin minimum 10 ft from ro line Var.: " �-�''
12. S stem meets all other setback r uirements Vaz.: ",�� �' ' f --�
13.Uses adjustment for ma�mum hi oundwater Var.:
14.Leachin set 4-5 ft above adj.water or bottom st-ho -�'Var.:
15. System not in to or subsoil(A,B horizons) r 5'remova� t_
16.Pro osed contours are suitable ;.,.�--�
17. S stem meets slo e r irements-min. 1/8", '/4" referred
18. S stem meets breakout r uirements PVC liner•l� ' � Wall: L�"
19. S ecified tee sizes are pro er, ba.i�le on outlet tee `.._.�
20. Sewa e is under 10,000 d for arcel �_
° 21.No garba. 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 grade �-
25.Ins ection ort on lastic chambers/leac f�e --�--,:�,
26.Electrical ermit for um chamber e m or du lexes
27.Pum stem-2"line,wee hole, eck v , ee in dboar, um size �
28.S tic tank/ um chamber to be fac ory wa roofed --�-''
29.Vent rovided if leaching below 3 feet,under driveway/ arkin '�---�
30.Buoyancy calculations for tank/ um cha.mber �.--�
31.En ' eer to ins ect and cert' soils: wall: commercial: ----�
32.En ' eer/Registered Sanitarian and Land Su.rve or s s/si ture
33.H-20 loading is sub'ect to vehicular trai�ic, oundwater
34.Title V A lication 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 ired m�. #bedrooms: 2-�ax. flow: % d `--''��
37.Check area lots for groundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ��' �03�03