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HomeMy WebLinkAboutReview Checklist �z =Z�-j¢ TOWN OF YARMOUTH � SEWAGE PLAN REVIEW CHECKLIST . Location: A.M.�_ Lot a Zone of Comnbution: In_ Out�Acreage � � /,� � Commerciali Res�d rial: �� Street: � /�Y � � Village: � Floor Pl : #Bedrooms: � �� �y�CC�I r �.� Owner: ����� Installer: C s(� 7 Address Phone: �� -3 9� -1./ ;� Phone: Bu��d�: � ���: P��, ��.S Address: Phone:� - 3 Phone: N/A YES NO 1.Re uued#of co ies received 2. Date of soils elcam and colarion test not older than 2 ears L/ 3.4-5 ft of natural ocwrrin ervious material,above water table ✓ 4.Foundation 2 ft above hi oi�of road H.P.: Fnd: Vaz.: 5. Water line 10 ft from s 'c com onents Vaz.: �/ 6. Benchmazk indicated and shown-NGVD if near wetlands c�� 7. S ric tank minimum 10 ft from foundation, deck Var.: 8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.: -� 9.Leachin minimum 100 ft from wetlands Vaz.: `-- 10.I.eachin minimum 150 ft&om drinking we1ll25 ft irri rion well Vaz.: `� 11.Tank/leachin minimum 10 ft from r line Vaz.: �/ 12. S stem meets all other setback irements Vaz.: �/ 13. Uses ad'ustment for max;m�hi oundwater Vaz.: 14.Leachin set 4-5 ft above adj. water or bottom of test hole Vu.: 15. System not in or subsoil(A,B horizons)or 5'removal 16.Pr sed contours aze suitable 17. S stem meets slo e r uirements-min. 1/8", %<" eferred `/ 18. S stem meets breakout uirements PVC liner: Wall: 19. S ified tee sizes aze o er, baffle on outlet tee 20. Sew e is under 10,000 d for arcel 21.No ba dis osal 22. S stem ad uatel sized for its intended use 23.Miuimum 6"stone or com cted below tank and dbox 24.Manhole covers within 6"of grade, um ct�ambet cover to ade 25. Ins ection on lastic chambers/leach field 26. Electrical ermit for um chamber/S arate meter for du lexes 27.Pum stem-2"line,wee hole,check valve,tee in dboa�, um size 28. S tic tank/ um chamber to be factory wat oofed 29.Vent rovided if leachin below 3 feet, under drivewa / azkin 30.Buo anc calculations for tank/ ump chamber 31.En ' eer to ins ect and c soils: wall: commercial: 32. En ' eer/Re ' ered Sanitarian and Land Surve or stam s/si ture 33. H-201oadin is subject to vehicular traffic, groundwater 34.Title V A lication and ermit fee, installer si hve 35.Foundation footin min.2 f�t above ad'usted ound water for new house f 36.Deed Reshiction r uired max. #bedrooms: max. flow: � 37. Check azea lots for groundwater/Label oundwater in Assessor's � Plan reviewed by: ��U �,�