HomeMy WebLinkAboutReview Checklist �� �' � /� TOWN OF YARMOUTH
I ' SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. � Lot�� Zone of Contribution: In_ Out �O Acreage
� Commer ' Residential:��
Street:
Village: /�/ . � �//" Floor Plan: #Bedrooms:
o.�wer: �� �/.���GG� Instauer: � /��� ��� �'tStiS�. ��j �� /
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Address: Phone:
Phone:
Builder: Engineer: � � 0
Address: Phone: G �
Phone: ���G J� �
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"•e�','�' -%.�. " E�S
N/A NO
1.R uired#of copies received
2.Date of soils e�m and percolation test not older than 2 years Li
3.4-5 ft of naturall occurrin ervious material, above water table
4.Foundation 2 ft above lu int of road H.P.: Fnd: Vaz.:
5.Water line 10 ft from septic com onerns Var.:
6. Bencl�mark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation,deck Vaz.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: 7�, � �- ' `/
9.Leachin minimum 100 ft from wetlands Vaz.: ✓
10.Leaching minimum 150 ft from drinkin welU25 ft irri ation well Var.: ✓
11.Tank/leachin minimum 10 ft from ro erry line Vaz.: �
12. S stem meets all other setback r uirements Vaz.:
13.Uses adjustment for maximum hi oundwater Vaz.: ✓
14.I,eachin set 4-5 ft above ad'.water or bottom of test hole Vaz.: ��
15. S stem not in to or subsoil(A,B horizons) or 5'removal �/
16.Pro osed contours aze suitable
17. S stem meets slo e r irements-min. 1/8", '/a" fened �/
18. S stem meets breakout requuements PVC liner: Wall: ��
19. Spec�ed tee sizes aze ro er, gas baffle on outlei tee
20. Sewa e is under 10,000 d for parcel
_ 21.No ba e disposal ,/
22. S stem ad uatel sized for its intended use ��
23.Minimum 6"stone or com acted below tank and dbox L1
• 24.Manhole covers within 6"of ade, pum chamber cover to ade �./'
25.Inspection ort on plasric chambers/leach field `�
26.Electrical ermit for um chamber/S azate meter for du lexes
27.Pum stem-2" line,weep hole,check valve,tee in dboac, um size `/
28.Septic tank/pum chamb�to be factory wa roofed °✓
29.Vent rovided if leachin below 3 feet, under driveway/pazkin ',
30.Buo ancy calculations for tank/pump chamber ��
31.En ' eer to ins ect and cert soils: wall: commercial: �/
32.En 'neer/Re 'stered Sanitarian and Land Surve or stam s/si ture
33.H-201oadin is subject to vehicular traffic, oundwater I
34.Title V A lication and ermit fee, installer si ture �
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction uued maac. #bedrooms: max, flow: d �-
37.Check area lots for oundwater/Label groundwater in Assessor's Ma i
Plan reviewed bY� ( C111 rV dmro3 �
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