HomeMy WebLinkAboutReview Checklist �J--�Z i.�
TOWN OF YARMOUTH
� -_ SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.�_ Lot /r n Zone of Contribution: In_ Out 1 Acreage
S� � � �.,, CommerciaL• Residemial: �
Str�: �C-��i`����y
Village: �.(/ c�C/t/ Floor Plan: � #Bedrooms:�
Owner: }�/�� �1��/� Installer: � �l�'ri� / c- S S��
Address: Phone: -
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Phone: ,' ��/ �-3�9-�0�
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Builder: En ' eer:
Address: Phone: - g - � '
Phone: _ f����' �/��ri �zpG2C�i,1 �- L�
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N/A YES NO
1.R ' ed#of ies received
2.Date of soils exam and colation test not older than 2 ears
3.45 ft of occurrin ious material, abwe water table �/
4.Foundation 2 8 above hi oi�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 'c tank minimum 10 ft from foundation, deck Vaz.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9. I.eac ' minimum 100 ft from wetlands Vaz.: t/
10. Leaching minimum 150 ft from drinkin we1U25 ft irri tion well Var.:
11. Tank/leachin minim� 10 ft from r ea�ty line Vaz.:
12. S stem mcets all other setback r uirements Var.:
13.Uses ad' ent for max;m�]ll oundwat� Vaz.:
14.Leachin set 45 ft abwe ad'. water or battom o hale Vaz.: / /
15. S stem not in or subsoil A,B horizons 5'rem
16.Pr osed co�ours are suitable
17. S meets sl e r irements-min. 1/8", Yd' eared
18. S stem mcets breakout ' ements PVC liner: �" // all: �
19. S ecified tee sizes aze , baffie on outld tee
20. Sewa e is under 10,000 for azcel
21.No ba ' osal �/ '
- 22. S stem ad uatel sized for its intended use ��
23.Minimum 6"stone or com acted below tank and dbox �/ '
24.Manhole covas within 6"of , ck�amber cov�to e
25. ion on lastic chamb�s/leach field
26.Electrical ermit for chamber/S meter for du lexes
27•P stem-2"line,w hole,check valve,tee in dbmt, size
28. S tic tank/ ump chamber to be facto roofed �/
29.Vern rovided if leaclvn below 3 feex,under driveway/ azkin
30.Bu ancy calculations for tank/ chamb� ��
31.En ' eer to ins ect and c ' soils: wall: comm� ial: �'
32. ' eer/R ' ered Sanitarian and Land Surv or s/si e
33.H-20 loadin is sub'ect to vehicular traffic, undwat� �� �
34.Title V A lication and �mit fee, install�si ture '
35.Foundation footin min 2 feet above ad'usted ound watea for new house
36.Deed Restziction r ired max. #bedrooms: max. flow: �-
37.Check azea lots for oundwater/Label oundwata m Assessor's
�Plan reviewed by: � �
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