HomeMy WebLinkAboutReview Checklist � . �/�-�-° -�� 7�� .��
TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST ����,- � �����Z�`7
� Location: A.M. � Lot�_ Zone of Contribution: In� Out_ Acrea.ge_�/�� �
Street: ��j �ir� � '
Commercial: Residential:_�
Village: __ ����i � Floor Plan: .� #Bedrooms: �
;
; Owner:_���'��� �/�.�G� �i�p�?°.� Insta ller: i'
' Address: �-� Phone: - �' r-- �--/
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Phone:
Builder: Engineer:_���Q`�J ��/���Gl�$�
Address: Phone: �-- =Z. ��
Phone: �i�/��/� ��� � "'��/°��
: l__ �'
N/A YES NO
a 1.Required#of co ies received
2. Date of soils exam and ercolation test not older than 2 years
3. 4-5 ft of naturall occurrin ervious material, above water table
j 4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.:
1 5.Water line 10 ft from septic com onents Var.: L,/
6. Benchmark indicated and shown-NGVD if near wetlands �--'
7. S tic tank minimum 10 ft from foundation, deck Var.:
' 8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: .
10.Leaching minimum 150 ft from drinking welU25 ft irri ation well Var.:
11. Tank/leachin minimum 10 ft from ro erty line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum hi oundwater Var.:
j 14.Leaching set 4-5 ft above ad'.water or bottom of test hole Var.: ��.
15. System not in to or subsoil(A,B horizons)or 5'removal �.,.,r,
16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/4" referred
18. System meets breakout re irements PVC liner: WaIL•
19. S ecified tee sizes are ro er, as baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel
21.No bage dis osal
22. S stem ade ua.tel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox �.,
! . 24.Manhole covers within 6"of ade, um chamber cover to ade
25.Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes �/
27.Pump stem-2" line,wee hole,check valve,tee in dbox,pum size _/
28. Se tic tank/ um chamber to be facto waterproofed �r
29.Vent rovided if leachin below 3 feet, under driveway/parkin
30. Buo ancy calculations for tank/ ump chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Re ' tered Sanitarian and Land Surve or s/signature ��
33.H-20 loadin is subject to vehicular traffic, oundwater
34. Title V A lication and ermit fee, installer si ture ���
35.Foundation footin min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow: d
37.Check area lots for groundwater/Label groundwater in Assessor's Ma
Plan reviewed by: _ �o3io3
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