HomeMy WebLinkAboutReview Checklist i Z - ��" '�� �� 7T
i TOWN OF YARMOUTH �
� - SEWAGE PLAN REVIEW CHECKLIST ,,���!' `� ���`�'����
� Location: A.M.� Lot� Zone of Contriburion: In�Out Acreage %��/� 75�
Commercial: Resideirtial:�_
� Street: � �•�(�-��
� Village: �� Floor Plan: � #Bedrooms���� �
' Owner: (r-Pv�9,e° ����/l/�DYJ.S Install�: / �
,� Address: �- Phone: �l1�r ���2 � �Z "7 �
Phone:
j Builder: Engineer: �/�f��t��
i Address: Phone: �F ��¢ -Q� �'�
� Phone:
/l��t'' %��a�'�C S
N/A YES NO
i 1.R ' ed#of ies received
2. Date of soils e�cam and colarion test not older than 2 eazs L/
3. 45 ft of occurrin ervious mateaial, above water table L/
4.Foundation 2 ft above lv im of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s ric com onents Var.:
6. Benchmark indicated and shown-NGVD if near wdlands �/
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.I.eaclrin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �_
9.I.eachin minimum 100 ft from wetlands Vat.:
10.Leachin m;nimum 150 ft from drinkin welU25 ft irri tion well Vaz.:
11.Tank/leachin minimum 10 ft from r line Vaz.: �:/
12. S stem meets all other s�back r irements Vaz.: ���
13.Uses ad'ustment for maximum hi oundwater Vaz.:
14.Leachin sd 4-5 ft above ad'.water or bottom of test hole Var.: �/
15. S stem not in to or subsoil(A,B horizons)or 5' removal ��
16.Pr sed contours are suitable V
17. S stem meets slo e r irements-min 1/8", '/I' eferred
18. S stem meets breakout r ' ements PVC liner: Wall:
19. S ified tee sizes are ro , baffie on outl�tee ��
. 20. Sewa e is under 10,000 for azcel
21.No ba e dis osal
22. S stem ad uatel sized for iu intended use
• 23.Minimum 6"stone or com acted below tank and dbox E/
24.Manhole covers witUin 6"of ade, um chamber cover to ade
25. ion ort on lastic chambers/leach field
26.Electrical ermit for um ck�amber/S meter for du lexes
27. stem-2"line,w hole,check valve,tee in dbmc, um size
28.S 'c tank/ um ctiamber to be f wa roofed
29.Vern rovided if leachin below 3 feet,undea drivewa / azking
30.Buoyanc calculations for tank/ chamber
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.E ' eaBe ' ered Sanitarian and Land Surv or s/si e
33.H-201oadin is sub'ect to vehicular traffic, oundwated
34.Title V A lication and ennit fee,installer s' e
35.Foundarion footin min.2 feet above ad'usted ound water for new house
36.Dced Restricrion r ired max. #bedrooms: max. flow:
37.Check azea lots for oundwate,r/Label oundwater in Assessor's Ma
Plan reviewed by: � �
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