HomeMy WebLinkAboutReview Checklist �f-f� -i�
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TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. �� Lot� Zone of Contribution: In ✓Out Acreage /���/ ��
` Commercial: Residential: �
Street: �G/C . /�jL'�C"�fL'' ���
Village: Floor Plan: #Bedrooms:
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Owner: ���� ��/� Insta.11er: �
Address: Phone: 7 �-"
Phone: ��/� ��' ���'.,�� ����
Builder: Engineer:
Address: Phone: -
Phone: _ �' S• -�r��r' �'-z'
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N A YES NO
1.R uired#of co ies received
2.Date of soils e�m and ercolation test not older than 2 ears �.-�
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 indicated and shown-NGVD if neax wetlands L/
7. S tic tank minimum 10 ft from founda.tion, deck Var.: �'
8.Leachin mini.mum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: �--'-
10.Leachin minimum 150 ft from drinking we1U25 ft irri ation well Var.:
11.Tank/lea.ching minimum 10 ft from ro line Var.:
12. S stem meets all other setback re uirements Var.:
13.Uses adjustment for mu�imum high groundwater Var.:
14.Leaching set 4-5 ft above adj.water or botto test ho � Var.: �--�''
15. System not in to or subsoil(A,B horizons) r 5'remova
16.Pro osed contours are suita.ble ✓��
17. S stem meets slo e re uirements-min. 1/8", '/<" referred
18. S stem meets breakout re irements PVC liner: Wall: ��.
19. S ecified tee sizes are ro er, gas baffle on outlet tee �/`
20. Sewage is under 10,000 d far arcel �,.-
21.No garbage dis osal �,�
� 22. S stem ad ua.tel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox �_.--
; 24.Manhole covers within 6"of grade, um chamber cover to grade �r-
25. ection ort on lastic chambers/leach field V-
26.Electrical ermit for um chamber/S arate meter for du lexes ..�--' '
27.Pump system-2" line,wee hole,check valve,tee in dbox, um size /
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28. S tic tank/pum cha.mber to be factory wat roofed ;
29.Vent provided if leaching below 3 feet,under driveway/ arking --'"
30.Buoyancy ca.lculations for tank/pum cha.mber
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.Engineer/Registered Sanita.rian and Land Surveyor stam s/si ture _�/
33.H-201oading is subject to vehicular trai-�ic, groundwater •--�' '
34.Title V A plication and ermit fee, insta.11er si ture !� '
3 5.Foundation footin mi.n.2 feet above adjusted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max.flow: d '
37.Check area lots for oundwater/Label oundwater in Assessor's Map
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Plan reviewed by: �%��' wo3io3 ;
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