HomeMy WebLinkAboutReview Checklist �- �-�� ,���
TOWN OF YARMOUTH
• SEWAGE PLAN REVIEW CHECKLIST ���_/ %
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Location: A.M. �� Lot� Zone of Contribution: In�Out Acreage� '71J�S�
' G / / - /�, ��� Commercial: Residential:�
Street: '3 ( ���J`�,t�T �w/T,/
Village: _ ,et�y Floor Plan: • #Bedrooms:
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� Owner: �,(l�l ///�/ Installer: ��sv/ /'�f1�Cl�-" �
Address: Phone: S ���- � '/�
Phone:
Builder: Engineer: /-�'x�IiJ l�1 G7S1/f�/�
Address: Phone: �YJ � Z - ���
Phone:
N/A YES NO
1.R uired#of ies received
2.Date of soils eYam and ercolation test not older than 2 ears
3. 4-5 ft of natura occurrin ervious material, above water table
4.Foundation 2 ft above}ri i�of road H.P.: Fnd: Vaz.: �/
5. Water line 10 ft from s tic com onents Vaz.:
6.Benchmark indicated and shown-NGVD if near wexlands
7. S tic tank minimum 10 ft from foundarion, deck Vaz.:
8. Leac}rin minimum 20 ft fiill, 15 ft crawl, 10 ft slab Var.:
9. Leachin minimum 100 ft from wetlands Vaz.:
10.I,eaclrin minimum I50 ft from drinkin welU25 R irri tion well Vaz.:
11. Tank/leachin minimum 10 ft from ro line Vaz.:
12. S stem meets all other setback r irements Vaz.:
13.Uses adjustment for maximum hi oundwater Vaz.:
14. Leachin set 45 lt above ad'.water or bottom of test hole Vaz.:
15. S stem not in to or subsoil A,B horizons or 5' removal
16.Pr sed co�ours aze suitable ,
1'7. S stem meets sl e irements-min. 1/8", '/a" ferred
18. S stem meets breakout uirements PVC liner: Wall:
19. S ified tee sizes are r , baffie on outlet tee
20. Sewa e is under 10,000 d for arcei
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 e, um chamber cover to ade
25.Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S ate meter for du lexes
27. stem-2"line,w hole,check valve,tee in dbos, um size
28. S 'c tank/ chambe,r to be fact wa oofed
29.Vent ovided if leactrin below 3 feet, und�driveway/ kin
30. Bu c calculations for tank/pum chamber
31.En ' eer to ins ect and c " soils: wall: commercial:
32.E ' eedRe 'stered Sanitatian and Land Surv or s/si ture
33. H-20 loadin is sub�ect to vehicular haffic, oundwater
34. Title V A lication and ermit fee, installer si ture
35.Foundation footin min.2 feet above ad'usted ound wate�for new house
36.Deed Restriction ired max. #bedrooms: max. flow: d
37.Check azea lots for groundwater/Label oundwater in Assessor's Ma
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Plan reviewed bY: r����; �