HomeMy WebLinkAboutReview Checklist - '������� TOWN OF YARMOUTH
SEWAGE PLAN REV�W CHECKLIST
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° Location: A.M.� Lot 5 � Zone af Contribution: In Out Acreage
' Commercial: Residential: -�
Street: � �ZLf�%f/l� / ��
Village: G Floor Plan: ✓ #Bedrooms: � • _"
7 �
Owner:_ f;11 Z- Installer: G�l. �j ���t'�' <
Address: Phone: j
Phone:
Builder: Engineer: �7`�� ��.
Address: Phone: '�-S� -� �'�
Phone:
N/A YES NO
l.Required#of copies received
2. Date of soils exam and percolation test not older than 2 years 1 _
3. 4-5 ft of naturall occurrin ervious material, above water table �----�
4.Fou�da.tion 2 ft above high oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from se tic components Var.: (�-�
6.Benchmark indicated and shown-NGVD if near wetlands �
7. Se tic tank minimum 10 ft from foundation, deck Var.: ��
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.:
10. Leaching minimum 150 ft from drinkin welU25 ft irri ation well Var.:
11. Tank/leaching minunum 10 ft from roperty line Var.: ��
12. S stem meets all other setback r uirements Var.: `�
13.Uses adjustment for maximum high groundwater Vax.:
14.Leaching set 4-5 ft above adj.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 re uirements-min. 1/S", '/4" referred �/
18. System meets breakout r uirements PVC liner: Wall: ✓
19. S ecified tee sizes are roper, gas baffle on outlet tee
20. Sewa e is under 10,000 gpd for arcel �--
. 21.No ba e dis osal
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, um chamber cover to grade L�.
25.Inspection port on plastic chambers/leach field �J
26.Electrical ermit for um chamber/Se arate meter for du lexes �.._�
27.Pum system-2" line,wee hole,check valve,tee in dbo�pump size �--
28. S tic tank/pump chamber to be factory wat roofed �i-
29.Vent provided 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.En ' eer/Re 'stered Sanitarian and Land Surveyor stam s/si ature
33.H-201oading is subject to vehicular traf�ic, groundwater
34.Title V A lication and ermit fee, installer signature -
35.Foundation footin min. 2 feet above adjusted ground water for new house
36.Deed Restriction r uired max. #bedrooms: m�. flow: d -
37.Check area lots for groundwater/Label goundwater in Assessor's Ma
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Plan reviewed by: �C��:;` 6/03/03