HomeMy WebLinkAboutReview Checklist '- � j � TOWN OF YARMOUTH
SEWAGE PLAN REVLEW CHECKLIST
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� Location: A.M. � 7 Lot � � Zone of Contribution: In� Out_ Acreage
�^ Commercial: Residential:�
Street: �-� � '7� Cs"��G'YJ � #Bedrooms: � � �� ��
Village: ����v' Floor Plan: i
-� � �
Ocvner: �ii./�t%Lf,e'/'�l// �yj6i//��a,� Installer: � ��F'�i3 ��
Address: �--_ Phone: S-�k' 'S�L -' 6 � 3 �
Phone:
$uilder: -- Engineer: ��-(UGy//�01�l� �/G-�u�
Address: Phane: C l�� ' ��i " �
Phone: -... .-
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NlA YES , NO
1.Re uired# of co ies received
2. Date of soils exam and ercolation test not older than 2 years �F
3.45 ft of natural occurrin ions material,abave water table
4.Foundation 2 ft above hi int of road H.P.: Fnd: Vaz.:
5. Water line ld ft from septic com onents Vaz.:
6.Benchrnark indicated and shown-I3GVI?if near wetlands
7. S ric tank minimum 10 ft from foundation, deck Vaz.:
8.Leachin minimum 20 ft full, I S $crawt, 10 ft slab Var.: ��"`-- U�
9.Leachin minimum lOQ ft frorn wetlands Vaz.: .--�`
10.Lkachin minimum 150 ft from drinkin welU25 ft irri tion well Vaz.: �._�-
11.Tanktleachin minimum 10 ft from r line Var.: .:.!
12_S stem meets all other setback r uirements Var.:
13.Uses adjustment for rtnaximum hi graundwater Vaz.. � .
14.Leachin sd 4-5 ft above adj.water or bottom of test hale Var.: t�
1 S. S stem not in ta or subsoil A,B horizons) or 5' removal
J 6.Pro osed contours aze suitable
17. S stem m�ts sla e r uirements-min. 11$", '/<" eferred ✓
18. S stem meets breakout re uirements PVC liner: Wall:
19.S ified tee sizes aze ro , baffle oa autlet tee �:.�
20. Sewa e is under 10,0�Q for cel
21.No ba e dis osal
22. S stem ad uate] sized for its intended use �..� -
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole cpvers within 6"of e, wn chamber cover to ade (;../
25.Ins tian on lastic chamberslleach field � /"
26. Electrical ermit for um chambedSe arate meker far du lexes
27.Pum stem-2" line,wee hole,check valve,tee in dboac, um size '^�-'
28.S tic tank! um chamber to be fac waterproofed *-�'
29. Vent rovided if leaclrin below 3 feet, under drivewa / arkin ✓
30. Baayancy caiculstiorvs far tankl um chamber �.�
31.En ' eer ta ins ect and c ' soils: wall: cammerciai: ti/
32.En ' eer/Registered Sanitarian and Land Surv or stam s/si ture --''
33.R-20 Ioadin is sub'ect to vehicuiar tra 'ffic, oundwater ✓
34. Title V A lication and ermit fee, installer si ature ✓"
35.Foundafion footin min. 2 feet above ad�usted ound water for new house
36.Lleed R.estrictian uired max. #bedrooms: mas. flow: l
3'I. Check area lots for oundwater/L,abel oundwater in Assessor's Ma
Plan reviewed by: {�.��_.�:` srozv3
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