HomeMy WebLinkAboutReview Checklist lo-/6 �r�'
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECHI.dST '
Location: A.M. � Lot l V � Zone of Con�'burion: In_ Out� Acreage
Commercial: Residenrial: � '
Street: �
Village: _ Floor Plan: #Bedrooms:
Owner: Installer: ��l�CG
Address: Phone: - �� - �}
Phone: "
Builder: � Engineer: �k,2� ��// ►���/-�AG' �/�
Address: Phone: - - �L� � -/
Phone: // � 6'� !�% �t � G-� ljl//
' h",N C
� N/A YES NO
1.R ired#of ies received
2. Date of soils exam and acolation test not older than 2 ears
3.45 ft of na occi¢rin �vious mat�ial,above water table `�-
4.Foundation 2 ft above hi im of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s tic com nems Vaz.: c
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft&om fommdation, deck Vaz.:
8.I,eaching minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.: � �
9.Leachin minimum 100 ft from wetlands Vaz.: �_
10.I,eachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11. Tank/leaching minimum 10 ft from r erty line Var.:
12. S stem m�ts all other setback r ' ements Vaz.: �,��
13.Uses ad' stment for maicimum lu oundwater Vaz.: �
14.Leachin set 451t abwe ad'.wata or bottom of test hole Var.:
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15. System not in or subsoil(A,B horizons or 5'r�oval �/
16.Pr ed co�ours are suitable
17. S stem meets slo e irements-min. 1/8", '/d' �red
18. System meets breakout r ' ements PVC liner: Wall: •
, 19. S ified tee sizes are r �, baffie on outlet tee L,
20. Se e is under 10,000 d far azcel v
21.No e dis osal '
22. S ad uatel sized for its intended use
23.Minimum 6"stone or com ed below tank and db� L�
24.Manhole covers within 6"of ade, cLamb�wver to ade
25. 'on on lastic chambers/leach field `�
26.Elech�ical ermit for chambea/S arate m�for du lexes
27.P -2"line,w hole,check valve,tee in dbo� size �
28. S 'c tank/ chamb�to be factory wa roofed �
29.Vem rovided if leachin below 3 feet,unda driveway/ azldn
30.Bu anc calculations for tank/ chamber
31.E ' eer to ins and soils: wall: commeacial:
32.E ' eer/R " ed Sanitarian aad Land Surv or s/si ture ✓
33.H-201oadin is sub'ect to vehiculaz h�affic, undwater
34.Title V lication and ermit fee,install�si
35.Foundation footin min.2 fe.�above ad'usted ound water for new house __�
36.Deed Restriction r a� max. #bedrooms: maz. flow:
37.Check area lots for oundwata/Labei oundwater in Assessor's Ma
Plan reviewed by: _ �
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