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HomeMy WebLinkAboutReview Checklist - TOWN OF YARMOUTH SEWAGE PLAN REVIEW CHECKLIST , Location: A.M.� Lot �� Zone of Contribution: In_ Out Acreage Commercial: esidential:� Street: � / Village: Floor Plan: v # Bedrooms: �G Owner: �h9f�il .�0,//Il'�iQ Installer: �i"�� 4 _ A�X��/I.T" Address: Phone: ' -� Phone: ' Build�: Engineer: ���� •- - � Address: Phone: Phone: N/A YES NO 1.R uired#of co ies received , 2. Date of soils exam and olarion test n�older than 2 ears ✓ 3.45 ft of natural occurrin ious material,above wat�table �i` 4.Foundation 2 ft above lu int of road H.P.: Fnd: Var.: �-- 5. Water line 10 ft from s tic com onents Vaz.: c_� 6. Benchmark indicated and s6own-NGVD if near wetlands ��' 7.S tic tank minimum 10 ft from foundatio deck Var.: 8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �� 9. Leachin minimum 100 ft from wetlands Var.: -� 10.Leachin minimum 150 ft from drinkin weIV25 ft irri rion well Var.: 1 l. Tank/leachin minimum 10 ft from . line Var.: `i y �j� 12. S stem meets all other setback irements Vaz.: � � 13.Uses ad'ustment for maximum hi ndwater Var.: -�- 14. Leachin s�4-5 tt above ad'. water or om of test Var.: �/ �(�j � I5. S stem n�in or subsoil A,B ho ' ns)or 5'remova 16.Pro ed cotrtours are suitable �/ 17. S stem meets slo irements-min. 1/8", '/s" �red ✓ 18. S stem meets breakout r irements PVC liner: Wall: 19. S ified tee sizes are ro , baftle on outlet tee `� . 20. Sewa e is under 10,000 for arcel 21.No dis osal �/ 22. S stem ad uatel sized for its intended use • 23.Minimum 6"stone or com acted below tank and dbox 24.Manhole covers within 6"of e, um chambex cover to e 25. Ins ion on lastic chambers/leach field 26. Electrical it for um chambedS ate met�fa�du lexes ✓ 27. Pu stem-2"line,w hole,check valve, tee in dbox, size 28. S ic tank/ u chamb�to be wa roofed 29. VeM rovided if leachin below 3 feet, under drivewa / 'n 30. Buo c calculations for taok/ u chamber 31. En ' eer to ins ect and c ' soils: walL• commercial: 32. En 'ncer/R ' ered Saaitarian a�Land Surv or stam si ture �� 33. H-20 loadin is sub'ect to vehicular traffic, undwater _� 34. Title V A lication and �mit fee, installer si 35.Foundation footin min. 2 faet above ad'usted ound water for new house 36. I�CI Restriction ired max. #bedrooms: max. flow: 37. Check area lots fw oundwat�/Label oundwata in Assessor's � Plan review�by: (� �ro;