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HomeMy WebLinkAboutReview Checklist � /, � 7�- ` � /� TOR'N OF YARMOUTH ��� ���� - SEWAGE PLAN REVIEW CHECKLIST , I.ocation: A.M. �D� Lot� Zone of Contribution: In� Out Acreage �7� �� Commerci • Residential: 1/ Street: Village: Floor Plan: #Bedrooms: Owner: (/� G��it- Installer: � i Address: PhQne: - � " -���3 �c, � �'', � �w, _ . Phone: � �`�� ��,� , � -� Builder: Engineer: ' �i/ ' Address: Phone: - , Phone: � �/��C//��ii�'� C✓� v/ � - �� ' "� � /A NO , l.R uued#of ies received 2. Date of soils exam and colarion test not older than 2 years 3.45 ft of occurrin ious material, above water table i 4.Foundation 2 ft above lu int of road H.P.: Fnd: Var.: ! 5. Water line 10 ft from s tic com onents Vaz.: � 6.Benchmazk indicated and shown-NGVD if near wetlands ; 7. S 'c tauk minimum 10 ft from foundation, deck Vaz.: � 8. Leachin minimum 20 ft fiill, 15 ft crawl, 10 ft slab Var.: �/ ' 9.Leachin minimum 100 ft from wetlands Vaz.: 2� ' � i 10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.: j 11. Tank/leachin minimum 10 ft from r line Vaz.: � � 12. S stem meets all oth�setback ' ements Vaz.: I13.Uses ad'ustmerrt for roaximwn hi undwater Var.: I 14. Leachin set 451t above ad'. water or botto est o ar.: � 15. S stem not in to or subsoil � (A,B horizons) 5'r 16.Pr sed contours are suitable 17. S stem meets slo e irements-min. 1/8", '/<" eferred �� 18. System meets breakout irements PVC liner: Wall: 19. S ified tee sizes are ro s baffle on outlex tee 20. Sewa e is under 10,000 for cel . 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 witivn 6"of e, um chamber cover to e L/ 25.Ins ection on Iastic chamb�s/leach field 26.Electrical ermit for um chamber/S arate meter for du lexes `/ 27.P stem-2" line,w hole,check valve,tee in dbo�c, size �i 28. S tic tank/ um chamber to be factory wa roofed 29.Ve� rovided if leaclvn below 3 feet,under drivewa / kin 30.Bu anc calculations for tank/pum chamber 31.E ' e�to ins ect and cert soils: wall: commercial: 32.E ' cerBe 'stered Sanitarian and Land Surv or s/si ture �.� 33.H-201oadin is sub'ect to vehicular traffic, oundwater `� 34.Title V A lication and ermit fee, installer si ture 35.Foundation footin min. 2 feet above ad'usted ound wat�for new house 36. Deed Restriction r ired m�. #bedrooms: 'Zmax. flow: 7�y1'� 37.Check area lots for oundwatea/Label oundwater in Assessor's M Plan reviewed by: ?�` �