HomeMy WebLinkAboutReview Checklist �- zz � �
TOWN OF YARMOUTH
� - SEWAGE PLAN REVIEW CHECKLIST
j Location: AM.�_ Lot /� b Zone of Co�bution: In_ Out�Acreage
� ' � ��(� Commercial: Residential: �-
S4�eet: / �
� Village: _ ,�'�/ Floor Plan: // #Bedrooms:
' Owner: ��!l��� �/� �� Installer:_ �
Address: Phone:
Phone:
B�ua�: ��o�
, En��:
Address: Phone: � 7�'�---rj 5�-
Phone:
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N/A YES NO
1.R ' ed#of co ies received
2. Date of soils exam and ercolation tsst not older than 2 years
3.4-5 ft of occurrin ervious maxerial, above water table
4.Foundation 2 ft above hi oi�of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onems Var.:
6.Benchmark indicated and shown-NGVD if near w�lands
, 7. S tic tank minimum 10 ft from foundation, deck Vaz.:
8•T.eac ' minimum 20 ft full, 15 ft crawl, 10 ft s]ab Var.:
9.Leachin minimum 100 ft from wet7ands Vaz.: • �°
10. Leachin min;mum 150 ft from drinkin we1U25 ft ' ' 'on well Vaz.: ���
1 L Tank/leachin minimum 10 ft from ]ine Vaz.:
12. S stem meets all other setback ' ements Var.: �
13. Uses ad' ent for maximum hi undwat� Var.:
14.Leachin set 45 1t above ad'. water or battom of test hole Vaz.: /
15. System not in or subso$(A,B horizons)or 5'removal
16.Pr ed co�ours aze suitable
17. S stem meets sl e r irements-min. 1/8", Ya" �red
18. System meets breakout ' ements PVC liner: Wall:
19. S ecified tee sizes are o er, baffle on outl�tee
20. Sewa e is und� 10,000 d for azcel
21.No ba e 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 cov�s within 6"of um chamber covea to ade
' 25. Ins ection ort on lastic chambers/leach field
26.Electrical ermit for chamb�/S ate meter for du lexes
27.P stem-2"line,w hole,check valve,tee in dboit, um size
28. S tic tank/ um chamber to be wa oofed ��
29.Vent rovided if leachin below 3 feet, unde,r drivewa / arkin
30.Buoyan calculations for tank/pump cLamb�
31.E ' eer to ' ect and soils: wall: commercial:
32.En ' eer/R ' ered Sanitarian and Land Surveyor s/si ture
33.H-20 loadin is sub'ect to vehicular ha�c, oundwata `/
34.Title V lication and ermit fee, installe�s' ture _
35.Foundation footm min. 2 fee[above ad'usted ound water for new house
36.Deed Restriction r ' ed max. #bedrooms: max, flow:
37.Check azea lots for oundwatea/Label oundwater ui Assessor's `J�- ,
Plan reviewed by: � '
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