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HomeMy WebLinkAboutReview Checklist �. - i� -� G ����.�
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST �/,��J�: �.-� � -
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Location: A.M. � Lot_� Zone of Contribution: In vOut_ Acreage��� �,7��-
Commercial: Residential: � `
Street: ' � / ,�
Village: Floor Plan: � #Bedrooms: ��'
o�►�: �°�i �,S�.tl�:
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Address: Phone: =-� " �
Phone:
Builder: Engineer: �
Address: Phone: 7
Phone:
N/A YES N
1.Required#of copies received
2.Date of soils exam and percolation test not older than 2 years C�-�
3.4-5 ft of naturall occurrin ervious material,above water table
4.Founda.tion 2 ft above hi oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from septic components Var.: � ',
6.Benchmark indica.ted and shown-NGVD if near wetlands �-/ '
7. Se tic tank minimum 10 ft from foundation, deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.: •
10.Lea.ching minimum 150 ft from drinking well/25 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 high groundwater Var.:
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.:
15. System not in top or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suita.ble ��
17. S stem meets slo e r uirements-min. 1/8", '/4" referred
18. S stem meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes are proper, gas baffle on outlet tee `.�
20. Sewage is under 10,000 gpd for arcel
21.No arbage disposal �_� �
22. S stem ade uatel sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox `-�' _
24.Manhole covers within 6"of ade,pump cha.mber cover to ade �_
25.Inspection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/Se arate meter for du lexes
27.Pum system-2" line,wee hole,check valve,tee in dbo� um size
28.S tic tank/pum chamber to be factory wat roofed
29.Vent rovided if leaching below 3 feet, under driveway/ arking
30.Buoyancy calculations for tank/ ump cha.mber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Registered Sanitarian and Land Surv or stam s/signature `-.---�`
33.H-201oading is subject to vehicular traffic, oundwater
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 Ma
Plan reviewed by: �o�io�
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21 Stiles Rd in Zone II 02.11 .2016
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