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HomeMy WebLinkAboutReview Checklist � ��- � i�' , TOWN OF YARMOUTH : SEWAGE PLAN REVIEW CHECKLIST ; • Location: A.M.� Lot �� Zone of Contribution: In Out �--�creage Commercial: Residential: t� Street: � Village: Floor Plan: � #Bedrooms:� � Owner: 6,.��_��� Insta.11er: ��� GC/, �.� ' Address: Phone: ���'- �¢3�- Phone: Builder: Engineer: zT�il lif Address: Phone: Z - Phone: _�� �� -�`�'� � �� N/A YES NO 1.R uired#of co ies received 2. Date of soils exam and ercolation test not older than 2 years L.� 3. 4-5 ft of naturall occunin ervious material, above water table �.-�' 4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.: 5. Water line 10 ft from s tic components Var.: 6.Benchmark indicated and shown-NGVD if near wetlands t/ 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.Leachin minimum 150 ft from drinking welll25 ft irri ation well Var.: J j 11. Tank/leaching minimum 10 ft from roperty line Var.: •`,..i' 12. S stem meets all other setback r uirements Var.: �� 13.Uses ad'ustment for maximum hi groundwater Var.: � 14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: L�- � 15. System not in to or subsoil(A,B horizons)or 5'removal �� � 16.Pro osed contours are suitable t__� � 17. S stem meets slo e r uirements-min. 1/8", '/4" eferred i, 18. S stem meets breakout re uirements PVC liner: Wall: � �..--�' 19. Specified tee sizes are roper, as baffle on outlet tee 20. Sewa e is under 10,000 gpd for arcel r�� 21.No garba e disposal � 22. S stem ade uatel sized for its intended use I 23.Minimum 6"stone or com acted below tank and dbox �' ' . 24.Manhole covers within 6"of ade, um chamber cover to ade ��- 25.Inspection ort on lastic chambers/leach field �„_,,.- 26.Electrical ermit for um chamber/S arate meter for du lexes ' 27.Pump system-2" line,wee hole,check valve,tee in dbo�pum size � 28. S tic tank/pum chamber to be factory wa roofed � 29.Vent rovided if leaching below 3 feet, under driveway/parking � 30.Buoyancy calculations for tank/pump chamber 31.En ' eer to ins ect and cert' soils: wall: commercial: 32.Engineer/Registered Sanitarian and Land Surveyor stam s/si ture _,---r 33.H-201oading is sub'ect to vehicular trai�ic, groundwater 34.Title V A lication and ermit fee, insta.11er si ature 35.Foundation footin min. 2 feet above ad'usted ground water for new house i 36.Deed Restriction r uired max. #bedrooms: maac. flow: d 37.Check area.lots for groundwater/Label oundwater in Assessor's 1 Plan reviewed by: �Cyt; 6/03/03