HomeMy WebLinkAboutReview Checklist i �
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�'� ��`�`f' TOWN OF YARMOUTH
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_ SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.� Lot /�1� Zone of Contribution: In Out� Acreage
. � CommerciaL• Residential:��
Street:
Village: !/• Floor Plan: �#Bedrooms: �
� �e�o�►�: �5�11�:
Address: Phon�: - �j,�-
Phone:
Builder: Engineer:
Address: Phone: 3�. -
Phone: ��v� ��
N/A YES NO
1.R uired#of co ies received
2.Date of soils exam and colation test not older than 2 ears �-�
3.4-5 ft of naturall occurrin ervious material,above water table
4.Foundation 2 ft above hx int of rpad H.P.:� Fnd: Var.: c--
5.Water line 10 ft from s tic com onents Var.: �/�
6.Benchmark indicated and shown-NGVD if near wetlands L....--�
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. Leachin minimum 150 ft from drinkin we1U25 ft irri ation well Var.:
11.Tank/leachin minimum 10 ft from r erty line Var.: L��
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum hi oundwater Var.: , L
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.:
15. S stem not in to or subsoil(A,B horizons)or 5'removal '�--'
16.Pro osed.contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/a" referrEd
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ified tee sizes are ro er, as baffle on outlet tee ��
20. Sewa e is under 10,000 for arcel
21.No ba 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 ✓
25. Ins ection ort on lastic chambers/leach field �.._--
26.Electrical ermit for um chamber/S arate meter for du lexes ✓
27.P stem-2" line,wee hole,check valve,tee in dbo� um size
28. S tic tank/ um chamber to be facto wat roofed ,/
29.Vent rovided if leachin below 3 feet,under drivewa / arkin ,/�
30. Buoyanc calculations for tank/ um chamber /�
31. En ' eer to ins ect and cert' soils: wall: commercial:
32.En 'neerlRe ' tered Sanitarian and Land Surv or s/si ature
33.H-20 loadin is sub'ect to vehicular traffic, groundwater
34. Title V A lication and ermit fee, installer si ture
35.Foundation footin min. 2 feet above adjusted ound water for new house �
36. Deed Restriction r uired max. #bedrooms: max. flow: d • '
37.Check area lots for oundwater/Label oundwater in Assessor's Map
Plan reviewed by: �o3io3
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