HomeMy WebLinkAboutReview Checklist ���Z'��
TOWN OF YARMOUTH
- SEWAGE PLAN REVIEW CHECKLIST
Locarion: A.M.� Lot fU Zone of Contriburion: In_ Out� Acreage
' � � Commercial: Residential:J�
Street: ' /
Village: �7,/�i/i�' Floor Plan: j/ #Bedrooms: �� �
Owner:�li! L�.�f�ID/I�? Installer: //y �
.�A Gl�
Addresx � Phone: - � - (/ ��
Phone:
Buildet: Engineer: � ��
Address: Phone:
Phone: � � � - ��c
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N/A YES NO
1.R uired#of co ies received ✓
2.Date of soils eicam and ercolation test not older than 2 eazs �
3.4-5 ft of natural occurrin �vious material, above water table
4.Foundation 2 ft above hi oi�of road H.P.: Fnd: Vaz.: ��
5. Wat�lme 10 ft from s ric com onents Var.:
6.Benchmark indicated and shown-NGVD if near w�lands
7. S tic tank minimum 10 ft from foundario deck Vaz.:
n,
8. Leaching m;nimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.:
9. Leachin minimum 100 ft from wetlands Vaz.:
10.Leaching minimum 150 ft from drinkin welU25 ft ' ' tion well Vaz.:
11. Tank/leaching minimum 10 ft&om r erty line Vaz.: ��
12. S stem meets all other setback ' ements Var.: ��
13.Uses ad'ustmem for max;m�b� oundwater Vaz.:
14.Leachin set 4-5 it above ad'. water or bottom of test hole Vaz.:
15. System not in to or subsoil(A,B horizons)or 5'removal
16.Pro osed co�ours aze suitable
17. S stem meets slo e r irements-min. 1/8", '/<" eferred �--�
18. System meets breakout r irements PVC liner: Wall: `,/
19. S ec�ed tee sizes are roper, gas baffle on ouflet tee
20. Sewa e is under 10,000 gpd for azcel ".,..�-
21.No ba e dis osal
- 22. S stem ad uatel sized far its intended use ✓
23.Minimum 6"stone or com acted below tank and dbox (../
24.Manhole covers within 6"of grade, um chamber cove.r to ade
" 25. ion on lastic chambers/leach field
26.Electrical ennit for um chamba/S arate meter for du lexes �-
27.P stem-2" line,wee hole,check valve,tee in dbo�c, um size -�'
28.S tic tank/ chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet, under driveway/ azkin -�
30. Buoyancy calculations for tank/ ump chamber /
31. En ' eer to ins ect and c ' soils: wall: comm�cial: _/
32.En ' eerBe 'staed Sanitarian and Land Surv or stam s/si ture J
33.H-201oadin is sub�ect to vehicular traffc, oundwater _�
34. Title V A lication and ermit fee,installer si ture ��
35.Foundafion footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction ired maac. #bedrooms: ma7c. flow: d
37. Check area lots for oundwater/Label oundwater in Assessor's Ma
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Planreviewedby: ((�j;� 6ro3ro3