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HomeMy WebLinkAboutReview Checklist � - z -� � TOWN OF YARMOUTH SEWAGE PLAN REVIEW CHECKLIST Location: A.M. � Lot� Zone af Contribution: In Out �reage � � Commercial: Residential:��- , Street: Z � ' Village: � Floor Plan: � #Bedrooms:�_ Owner: �0�"�I �A:fi����%� Insta.11er: ^7 Address: Phone: Phone: Builder: Engineer: �C-- Address: Phone: -7 - Phone: N/A YES NO 1.R uired#of copies received 2.Date of soils exam and ercolation test not older than 2 ears ' 3.4-5 ft of na.turall occurrin ervious ma.terial,above water table 4.Foundation 2 ft above hi 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 Var.: 8. Lea.chin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �� 9.Leaching minimum 100 ft from wetlands Var.: - 10.Lea.ching minimum 150 ft from drinkin welU25 ft irri ation well Var.: --�^P 11.Tank/lea.ching minimum 10 ft from roperty line Var.: �-/ 12. S stem meets all other setback r uirements Var.: :`� ' 13.Uses ad'ustment for maximum hi oundwater Var.: 14.Leachin 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 16.Pro osed contours are suitable � 17. S stem meets slo e r uirements-min. 1i8", 1/a" eferred ' ; 18. System meets breakout requirements PVC liner: Wall: ' 19. S ecified tee sizes are roper, gas baffle on outlet tee ' 20. Sewage is under 10,000 d for arcel �� 21.No garba e dis osal �.- 22. S stem ade ua.tel sized for its intended use `.,,f 23.Minimum 6"stone or com acted below tank and dbox ` 24.Manhole covers within 6"of ade, um cha.mber cover to grade 25.Ins ection ort on plastic chambers/leach field ��' 26.Electrica.l ermit for um chamber/S arate meter for du lexes - ' 27.Pum system-2" line,wee hole,check valve,tee in dbox,pump size 28. S tic tank/ um chamber to be factory wat roofed f 29.Vent rovided if leachin below 3 feet,under driveway/parking ; 30. Buoyancy calculations for ta.nk/pump cha.mber � 3 l. En ' eer to ins ect and cert' soils: wall: commercial: -�� ' 32.Engineer/Re ' tered Sanitarian and Land Surveyor stam s/signature _ � 33.H-20 loadin is subject to vehicular traffic, groundwater '. 34.Title V A licaxion and ermit fee, installer si ture 35.Foundation footing 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 a Plan reviewed by: �� wo3io3