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HomeMy WebLinkAboutReview Checklist � � �-y � ' TOWN OF YARMOUTH SEWAGE PLAN REVIEW CHECKLIST ' , Location: A.M. �� Lot ,� Zone af Contribution: In Out✓creage � Commercial: ResidentiaL• C.� Street: Village: Floor Plan: � #Bedrooms: _� Owner: � Insta.11er: /� Address: Phone: �7 - �` - Phone: Builder: Engineer: Address: Phone: G � Phone: 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 table '! 4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.: '; 5. Water line 10 ft from septic com onents Var.: L-� 6.Benchmark indicated and shown-NGVD if near wetlands C._� 7. S tic tank minimum 10 ft from foundation, deck Var.: 8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �_. 9.Leaching minimum 100 ft from wetlands Var.: � 10.Lea.chin minimum 150 ft from drinking welU25 ft irri tion well Var.: 11. Tank/leachin minimum 10 ft from property line Var.: `� 12. S stem meets all other setback r uirements Var.: 13.Uses adjustment for maximum hi oundwater Var.: � ' 14.Leaching set 4-5 ft above ad'.water or bottom of test hole Var.: v� � 15. S stem not in to or subsoil(A,B horizons)or 5'removal �� , 16.Pro osed contours are suitable 1/ 17. S stem meets slo e r uirements-min. 1/8", 1/4" eferred 18. S stem meets breakout requirements PVC liner: Wall: ' ', 19. S ecified tee sizes are proper, as ba.ffle on outlet tee C_� 20. Sewage is under 10,000 gpd for arcel �� 21.No garba e dis osal ' 22. S stem ade 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, um chamber cover to grade �..�- ' 25.Ins ection ort on lastic chambers/leach field �i ' 26.Electrical ermit for um chamber/Se arate meter for du lexes 27.Pum system-2" line,wee hole,check valve,tee in dbox, um size ( 28. S tic tank/ um chamber to be factory wat roofed ; 29.Vent rovided if leachin below 3 feet,under driveway/ arkin i 30.Buoyancy calculations for tank/pum chamber 31.En ' eer to ins ect and cert' soils: wall: commercial: 32.En ' eer/Registered Sanitarian and Land Surveyor stam s/signature 33.H-201oadin is subject to vehicular traffic, groundwater 34.Title V A lication and ermit fee, installer si ture �..�-- 35.Foundation footin min. 2 feet above ad'usted ound water for new house --� � 36.Deed Restriction r uired max. #bedrooms: max. flow: d ---''"" 37.Check area lots for groundwater/Label groundwater in Assessor's / f Plan reviewed by: C�� �o3io� ;