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HomeMy WebLinkAboutReview Checklist C� �22- ��� TOWN OF YARMOUTH SEWAGE PLAN REV�W CAECKLIST • Location: A.M. �� Lot �� Zone of Contribution: In Out �e � Commercial: Residential: �� Street: � Village: � Floor Plan: #Bedrooms: Owner: �Q'�'��l �%�Y�' Installer: � Address: Phone: - Q' � Phone: Builder: Engineer:_____/�ij Ct'r��C����� Address: Phone: �0�- ����/7� Phone: N/A YES NO 1.R uired#of co ies received 2.Date of soils e�.m and ercola.tion test not older than 2 ears �-' 3.4-5 ft of natural occurrin ervious material, above wa.ter table `i 4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.: 5.Water line 10 ft from s tic com onents Var.: `-� 6.Benchmark indicated and shown-NGVD if near wetlands 7. S tic tank minimum 10 ft from foundation, deck Vaz.: �-� 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 drinkin welU25 ft irrigation well Var.: 11.Tank/lea.ching minimum 10 ft from ro erry line Var.: 12. S stem meets all other setback r uirements Var.: �/ 13.Uses ad'ustment for m�imum hi groundwater Var.: �� 14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: c - 15. System not in top or subsoil(A,B horizons)or 5'removal 16.Pro sed contours are suita.ble - 17. S stem meets slo e r uirements-min. 1/8", '/4" referred �----' 18. System meets breakout r uirements PVC liner: Wall: 19. Spec�ed tee sizes are ro er, gas baffle on outlet tee �- 20. Sewage is under 10,000 gpd for arcel �.� d 21.No bage dis osal ✓ 22. S stem ad 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,pum cha.mber cover to grade �� ' 25.Ins ection ort on lastic chambers/leach field ' 26.Electrical ermit for um chamber/S arate meter for du lexes -�- , 27.Pum system-2" line,weep hole,check valve,tee in dbox,pump size � 28. S tic tank/pump chamber to be factory waterproofed •-- f 29.Vent rovided if leaching below 3 feet,under driveway/ arking -� ; 30. Buoyancy calcula.tions for tank/ ump chamber � ' 31.En ' eer to ins ect and c ' soils: wall: commercial: �' 32.En ' eer/Re 'stered Sanitarian and Land Surveyor stam s/si ture ---- j 33.H-20 loading is subject to vehicular tr�c, groundwater ' 34.Title V A lication and ermit fee, installer signature �" 35.Founda.tion footin min. 2 feet above ad'usted ound water for new house � t 36.Deed Restriction r ired maa�. #bedrooms: max.flow: d � 37.Check area lots for groundwater/Label oundwater in Assessor's Ma , Plan reviewed by: �'-�' �03�03 I I ; ;