HomeMy WebLinkAboutReview Checklist ��� ���_../� ��--H-�__l�-
TOWN OF YARMOUTH /�r � �������,
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• KI.IST � �
SEWAGE PLAN REVIEW CHEC ����
'on: A.M. Lot � Zone of Contribution: In �/�ut Acreage �, ������
� Locati �
� 1�- - -,
• tial:
I Commercial: Residen
,/ �
Street: � � /�-PG ,
I Village: Floor Plan: � #Bedrooms: �
Owner: , -�(z-f"`��il ✓�G�/CG l� Insta.11er: � �
Address: Phone: � ' �' 6'
Phone: � ��� ����� �'� :
Builder: Engineer: v! ���
Address: Phone: '
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Phone: - "�'"� S���'� <�
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N/A YES NO
1.Required#of copies 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 ta.ble �'"
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.: �/
5.Water line 10 ft from s tic components Vaz.: ����� ,�-G�'�'
6.Benchmark indicated and shown-NGVD if near wetlands
7. Se tic tank minimum 10 ft from foundation, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: � -� L��
9.Leaching minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinkin welU25 ft irrigation well Var.: -��
11.Tank/leaching minunum 10 ft from ro erry li.ne Var.: � �' � � � `�-
12. S stem meets all other setback re irements Var.: l:�"
13.Uses adjustment for maximum hi groundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.:
15. System not in top or subsoil(A,B horizons)or 5'removal
16.Proposed contours are suita.ble �-�
17. S stem meets slo e r uirements-min. 1/8", 1/4" eferred
18. System meets breakout re uirements PVC liner: Wall:
19. Specified tee sizes are ro er, gas baffle on outlet tee �
20. Sewage is under 10,000 d for arcel
21.No garbage dis osal
22. S stem ad uately sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox ��-
24.Manhole covers within 6"of grade, um chamber cover to grade �.�
25.Inspection port on la.stic chambers/leach field `
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pump system-2" li.ne,wee hole,check valve,tee in dbox, pum size `-''`�
28. S tic tank/pump chamber to be factory waterproofed
29.Vent rovided if leaching below 3 feet,under drivewa / arkin
30.Buoyancy ca.lculations for tank/pum chamber ----�'
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surveyor sta.m s/signature �'
33.H-20 loading is subject to vehicular traffic, groundwater
34. Title V A plication and ermit fee, installer signature ��
35.Founda.tion footin min. 2 feet above adjusted ound water for new house
36.Deed Restriction r ired ma�c. #bedrooms: max. flow:2-2�� d
37.Check area lots for groundwater/Label groundwater in Assessor's Ma
Plan reviewed by: �� eio3ro3