HomeMy WebLinkAboutReview Checklist � � //�,
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TOWN OF YARMOUTH �j
SEWAGE PLAN REV�W CHECKLIST �����/�` �� ���"--��
� Location: A.M.� Lot J 9� Zone of Contribution: In ut_ AcreageD ���'�7' �
� Commercial: Residential: ` �
Street:
Village: ,�/ Floor Plan: � #Bedrooms: �/
Owner: � Installer: ( O j�e�/�
Address: Phone:
Phone: `
Builder: Engineer: i��
Address: Phone: �' - � �j/�
Phone: �Q��j l��� C.�'l��w' �� �'��1�
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N/A YES O
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 materia.l, above water table
4.Founda.tion 2 ft above hi int of road H.P.: Fnd: Var.:
5.Water line 10 ft from septic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Lea.ching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ��
9.Lea.ching minimum 100 ft from wetlands Var.:
10.Lea.ching minimum 150 ft from drinking welU25 ft irri ation well Var.:
11.Tank/leaching minimum 10 ft from pro erry line Var.:
12.S stem meets all other setback r irements � Var.: �-�"'
13.Uses adjustment for maximum high 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", '/4" referred ���'
18. System meets breakout requirements PVC liner: Wall:
19. Specified tee sizes are ro er, as baffle on outlet tee
20. Sewage is under 10,000 gpd for arcel
. 21.No arba e dis osal -
22. S stem ad ua.tel sized for its intended use L�
23.Minimum 6"stone or com acted below tank and dbox ✓
• 24.Manhole covers withi.n 6"of grade,pump cha.mber cover to ade �_.--�
25.Ins ection port on plastic chambers/leach field ' . �
26.Electrica.l ermit for um cha.mber/S arate meter for du lexes
27.Pum system-2" line,wee hole,check valve,tee in dbo� ump size
28. S tic tank/pum chamber to be factory wat roofed
29.Vent rovided if lea.ching below 3 feet,under drivewa /parkin
30.Buoyancy calculations for tank/pump cha.mber
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.En ' eer/Re 'stered Sanitarian and Land Surveyor stam s/si ture •
33.H-201oading is subject to vehicular traffic, oundwater
34.Title V A lication and ermit fee, installer si ture
35.Founda.tion footin min. 2 feet above adjusted ound water for new house
36.Deed Restriction r uired max. #bedrooms: �max.flow: � d
37.Check area.lots for groundwater/Label oundwater in Assessor's Map
Plan reviewed by: � } 6103/03