HomeMy WebLinkAboutReview Checklist G � Z '/ �/ TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
, Location: A.M. �� I,ot �Z Zone of Contribution: In Out I/ Acreage
� Commercial: ResidetrtiaL•_y�
5��: �O /
Village: �l�1�L Floor Plan: ✓ #Bedrooms: Z
Owner: ��6� �PSJC°% Installer: s� � � d
Address: Phone: s� -f L - pS��
Phone:
Builder: / Engincer:���n��>/OO�/�O
Address: Phone: � S- �-�7
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Phone: � y
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N/A YES NO
1.R uired# of co ies received
2. Date of soils e�cam and colarion test nM older than 2 ears
3.4-5 ft of natura occurrin ervious material,above water table
j 4.Foundation 2 ft above hi int of road H.P.: Fnd: Vaz.: �---�
i 5. Water line 10 ft from s 'c com onents Vaz.: C�
i 6.Benchmark indicaied and shown-NGVD if neaz w�lands
I 7. S ric tank minimum 10 ft from foundation, deck Vaz.: ,
8. Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
� 9.Leachin minimum 100 ft from wetlands Vaz.:
I 10. Leachin minimum 150 ft from drinkin welU25 ft irri tion well Vaz.: `/
11. Tank/leachin minimum 10 ft from o erry line Vu.:
12. S stem meets all other setback r ' ements Vaz.:
13. Uses ad'ustment for max;mum hi oundwates Vaz.:
14. Leachin set 4-5 it above ad'.water or bottdml af test hole Vaz.:
I5. S stem not in to or subsoil(A,B horizons)or 5'removal �
16.Pro sed contours aze suitable Li
17. S stem meets slo e r irements-min. 1/8", '/a" eferred :
18. S stem meets breakout r ' ements P?V :Iin� , ; all: ;./
19. S ecified tee sizes aze ro er,gas baffle on outlet tee
20. Sewa e is under 1Q000 d for arcel
21.No garba e dis osal ✓
22. S stem ad uate] sized for its intended use �
23.Minimum 6"stone or compacted below tank and dbox
24.Mauhole covers within 6"of e, um chamber cover to' de
25. ion ort on lastic chambers/leach field �-
26.Elechtical ermit for chamber/S ate meter for du lexes
27.Pum stem-2"line,wee hole,check valve,tee in dbolc, um size
28. S 'c tank/ u chamber to be facto wa roofed
29.Vent rovided if leachin below 3 feet, under drivewa / arking
30. Buo ancy calculations for tauk/ u chamber �_
31.E ' eer to ins ect and soils: wall: commercial:
32.En ' eer/Re 'ste,red Sanitazian and Land Surveyor stam s/si e
33.A-201oadin is sub'ect to vehicular traffic, oundwater .
34. Title V A lication and ermit fee, installer si ture
35.Foundarion footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r ired max. #bedrooms: max.flow:
37.Check area lots for oundwat�/Label oundwater in Assessor's Ma
Plan reviewed by: (��y
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