HomeMy WebLinkAboutReview Checklist ,_ z3-� � ,���`
TOWN OF YARMOUTH
i SEWAGE PLAN REVIEW CHECKLIST j �����J
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� . Location: A.M. '`'/ /� Lot�_ Zone of Co�ribution: � Out Acreage�.�cij^P S
, Commercial: Reside�ial: � /
Street:
Village: Floor Plan: (� #Bedrooms:_�_
; Owner: � Installer: �(� Y�-f' ( D /1�"r.11��/!/
j Address: Phone: ��(J�- ^- ���
� Phone:
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I Builder: Engmeer: �/Y�
Address: Phone: '
Phone: _��� �,���'��
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N/A YES NO
1.R ' ed#of ies received
2.Date of soiLs e�cam and ercolation test not older than 2 ears L/
3.4-5 ft of occurrin ervious material,above water table
4.Foundation 2 ft above hi int of road H_P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Vaz.:
6.Benchmark indicated and shown-NGVD if near wexlands
7. S ic tank minimum 10 ft from foundatioq deck Vaz.:
8.Leaclrin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.I,eachin minimum 100 ft from wetlands Vaz.:
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
1 I.Tank/leachin minimum 10 ft from r erly line Vaz.:
12. S stem meets all other setback r irements Vaz.: �/
13.Uses ad'ustment for maacimum hi oundwater Var.:
14.Leachin set 45 it above adj.water or bottom of test hole Var.:
15. S stem not in to or subsoil(A,B horizons)or 5' removal �/
16.Pro sed contours aze suitable
17. S stem meets sl e r irements-min 1/8", '/," erred
18. S stem meets breakout r uirements PVC lin�: Wall:
. 19. S ified tee sizes aze r er, baftle on outl�tee
20. Sewa e is under 10,000 for arcel
21.No ba e di osal
' 22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or wm acted below tank and dbox
24.Manhole covers within 6"of ade, chamber cover to e
25.Ins ion on lastic chambers/leach field
26. Eleclrical ermit for um chamber/S arate m�er for du lexes
27•P stem-2" line,w hole,check valve,tee in dbox, um size
28. S tic tank/ chamber to be facto wat fed
29.Vent rovided if leachin below 3 feet, under driveway/ arkin
30. Buo an calculations for tank/ u chamba
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.En ' eer/Re ' �ed Sanitarian and Land Surv or stam s/si ture
33. H-201oadin is sub'ect to vehicular traffic, oundwater ✓
34.Title V A lication and e�rmit fee, installer si ture
35.Foundation footin min. 2 feet above ad'usted ound water for new house •✓
36.Deed Restriction r ired max. #bedrooms: max. flow: d .
37. Check azea lots for oundwatea/Label oundwater in Ass�sor's Ma
Plan reviewed by: �(j�'1 wo3ro3