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HomeMy WebLinkAboutReview Checklist 3'3zi -�5� �p�Ct� � . TOWN OF YARMOUTH SEWAGE PLAN REVIEW CHECKLIST ��� '� ����� : Location: A.M.� Lot� Zone of Contribution: In ✓ Out Acreage_L� c�� - Commercial: Reside�rtial: Street: Village: ,��/, Floor Plan: �� #Bedrooms:3 Owner: �Gr�r�1 ��e���� Installer:�� ��sll/Lla/� Address: ' Phone: c-t��?�i2-- � Phone: Build�: Enguteer: �/J!i/ �T"!{��✓Ylv7 Address: Phone: � 9?y SS�C Phone: - N/A YES NO 1.R 'ved#of ies received 2.Date of soils exam and lation test not older than 2 ears 3.4-5 ft of na occurtin �vious material,abwe water table 4.Foundation 2 ft above hi i�of road H.P.: Fnd: Vaz.: 5.Water line 10 ft from s 'c com onents Var.: 6.Benchmark indicated and shown-NGVD if near wetlands 7. S tic tank minimum 10 ft from foundation, deck Vaz.: 8.I.eaclrin minimum 20 ft fiill, 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 ' ' tion well Var.: 11. Tank/leachitt minimum 10 ft from r line Vaz.: 12. S meets all other setback r ' ements Var.: 13.Uses ad' stme�for maximum hi oundwater Var.: 14.Leachin set 45 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. ed contows are suitable 17. S meets sl e irements-min. 1/8", Yd' ferred 18. S stem meets breakout r uirements PVC liner: Wall: 19. S ecified tee sizes are , baffie on outlet tee `/ 20. Sewa is und� 10,000 for azcel 21.No e dis osal � 22. S em ad uatel sized for its intended use �/ 23.Minimum 6"stone or com cted below tank and dbox • 24.Manhole cov�s within 6"of e, cbamb�cover to e ' 25. ion on lastic chambers/leach field I 26.Elec,trical ermit for chamber/S meter for du le�ces 27.P stem-2"line,w hole,check valve,tee in dbox, um size 28.S 'c tank/ um chambea to be roofed ' 29.Ve� rovided if leaclvn below 3 feet, under drivewa / kin i 30.Buo ancy calcularions for tank/ chamb� 31.E ' ea to ins ect and c ' soils: wall: commercial: 32.E ' eer/Re ' ered Sanitarian and Land Surv or s/si ture ' 33.H-201oadin is sub'ect to vehicular tiaffic, dwate,r , 34.Tide V lication and ermit fee,installer s' � 35.Foundation foatin min. 2 fest above ad'usted ound water for new house i 36.Deed Restriction ired maac. #bedtooms: ma�c.flow: �/' 37.Check area lots for oundwata/Label undwater in Assessor's � Plan reviewed by: � � �