HomeMy WebLinkAboutReview Checklist Z -/ 7�/� �� �
TOWN OF YARMOUTH � �,,, ��
_ SEWAGE PLAN REVIEW CHECKLIST ��i� %� �(/'���'<UY`�I
Location: A.M. 7 t� Lot z�� Zone of Contribution: � Out Acreage��7 �
. Commercial• Residential:�
Street: ��� L�6i��(�' r��t��'Y ��(C.��
Village:_ ( � � ' Floor Plan: #B'edrooms: J
Owner: ��C�`i � Installer:
Address: ' Phone:
Phone:
Builder: � Engineer: �G'�R�G� � ��Q��//�
Address: Phone:� '-��=T-j9/f�j
Phone: �`'
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N/A NO
1.R uired#of co ies received
2. Date of soils e�m and colarion test not older than 2 ears L/
3. 4-5 ft of naturall occurrin ervious material, abwe wat�table
4.Foundation 2 ft above hi im of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s tic com onents Vaz.:
6. Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundarion, deck Var.: � ( �-
8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.: ��
9. Izzchin minimum 100 ft from wetlands Var.: L�
10.I,eachin minunum 150 ft from drinkin welU25 ft irri tion well Vaz.: �i
11. Tank/leachin minimum 10 ft from ro erty line Vaz.: ��
12. S stem meets all other s�back r uuements Vaz.:
13.Uses adjustmem for ma�mum high groundwater Vaz.:
14.I,eachin set 45 ft above ad'. water or bottom of test hole Vaz.:
15. S stem not in to or subsoil(A,B horizons)or 5'removal L/
16.Pro sed contours aze suitable
17. S stem meets slo e r uirements-min. 1/8", '/a" ferred `�
18. S stem meets breakout r irements PVC liner: WaIL• �-
19. S ecified tee sizes aze ro er, ba81e on outlet tee
20. Sewa e is under 10,000 d for azcel L�
' 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 covers within 6"of e, um chamber covc�to ade ��
25.Ins ection ort on lastic chambers/leach field �.
26. Electrical ermit for um chambes/S ate meter for du lexes
27.Pum s stem-2" line,wee hole,check valve,tee in dbo� um size
28. S tic tank/ um cliamber to be facto wa roofed /�
29.Vent rovided if leachin below 3 feet,und�drivewa / azkin
30.Buoyancy calculations for tank/ ump chamber �
31.En ' eer to ins ect and cert soils: wall: commercial:
32.En ' eer/Re ' tered Sanitazian and Land Surv or stam s/si ture
33.H-201oadin is subject to vehicular traffic, oundwat�
34.Title V A lication and ermit fee, installer si ture
35.Foundation footin min. 2 feet above adjusted ound water for new house
36.Deed Restriction r ired u�. #bedrooms: max, flow: d
37.Check azea lots for groundwater/Label oundwater in Assessor's Ma
Plan reviewed by: �� ��