HomeMy WebLinkAboutReview Checklistt
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� . TOWN OF YARMOUTH
� SEWAGE PLAN REV�W CHECKLIST
I
i • Location: A.M.�_ Lot �� Zone of Contribution: In Out � Acreage
�� ,/ Q Commercial: Residential:��
Street: �/ 7 , / Z
Village: Floor Plan: ✓ #Bedrooms: J
��'n�': � Installer: �
Address: ' Phone: - -(� �
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Phone:
Builder: Engineer: ��:���G1
Address: Phone:
Phone: �•��C �� j�'' �' C �
N/A YES NO
1.Re uired#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 material, above water table
4.Foundation 2 ft above hi int of road H.P.: Fnd: Var.: -
5. Water line 10 ft from s tic com onents Var.: L�
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundaxion, deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ��
9.Leachin minimum 100 ft from wetlands Var.: �----
10.Leachin minimum 150 ft from drinkin welU25 ft irri ation well Var.: -
11. Tank/leachin minimum 10 ft from ro line Var.: `�
12. S stem meets all other setback r uirements Var.: ��
13.Uses adjustment for maximum hi groundwater Var.:
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.: �,�
15. S stem 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. 1/8", '/4" eferred
18. System meets breakout r uirements PVC liner: Wall: �_�
19.S ecified tee sizes are ro er, as baffle on outlet tee
20. Sewa e is under 10,000 d for arcel C� '
- 21.No arba e dis osal �� ,
22. S stem ad uatel sized for its intended use L�-
23.Minimum 6"stone or compacted below tank and dbox
� 24.Manhole covers within 6"of ade, um cha.mber cover to ade
25.Inspection port on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate me;ter for du lexes �-- .
27.Pump system-2"line,wee hole,check valve,tee in dbo� um size ��'
28• Septic tank/pump chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet, under driveway/ arkin ;
30.Buoyancy calculations for tank/ um chamber '
31.En ' eer to ins ect and cert' soils: wall: commerciaL• '
32.En ' eer/Re ' tered Sanitarian and La.nd Surve or stam s/si ture �
33.H-201oadin is subject to vehicular traffic, oundwater � �
34.Title V A lication and ermit fee, installer si ture
35.Founda.tion footing min.2 feet above adjusted ound water for new house
36.Deed Restriction r ired ma.x. #bedrooms: maac. flow: d �
_ 37.Check area lots for oundwater/Label oundwater m Assessor's Ma �
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Plan reviewed by:_ �,� �
6/03/03