HomeMy WebLinkAboutReview Checklist 1
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• TOWN OF YARMOUTH
` SEWAGE PLAN REVIEW CHECKLIST ����,�'> � �������f,✓t
' ', Location: A.M. �� � Lot /� Zone of Contribution: In�--'�ut Acreage_��-
Commercial: Residential: v �
s��t: ��� �
Village: Floor Plan: Bedrooms:
Owner: Insta ller: ' _ ���`t j�" '7
i Address: Phone: 'Z� -- ^7
� Phone: � '
; . �'".�'J� ��S/��c`� 1�= �''�'�` ��S
� Builder:
Engineer: rCQ��� G�� :�
Address: Phone: � -
� Phone: /. ��.•� �� � .,
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N/A YES NO
1.Required#of copies received
2.Date of soils exam and percolation 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.:
6.Benchmark indicated 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. Leaching minimum 100 ft from wetlands Var.: ' ' `�.
10.Leaching minimum 150 ft from drinking welU25 ft irri ation well Var.: .
11. Tank/leaching minimum 10 ft from pro erty line Var.: B� =� � �,
12. S stem meets all other setback r uirements Var.: �,�,i
13. Uses adjustment for ma�mum high groundwater Var.: t �
14.Leaching set 4-5 ft above ad'. water or bottom e Uar.: �_.r.
15. S stem not in to or subsoil(A,B horizons) r 5'remova ,_,,,�-
16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", %4" referred �.�
18. System meets breakout re uirements PVC liner: Wall: �._�.
19. Spec�ed tee sizes are ro er, gas baffle on outlet tee ��_
. 20. Sewage is under 10,000 gpd for arcel �J
, 21.No garbage dis osal �.
22. S stem ade uatel 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
25.Inspection ort on lastic chambers/leach field `
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pump system-2"line,weep hole,check valve,tee in dbox, ump size
28. S tic tank/pum chamber to be factory wat roofed ..�'
29.Vent provided if lea.chin below 3 feet,under driveway/ arking �,
30.Buoyancy calculations for tank/pump cha.mber -----
31.En ' eer to ins ect and cert' soils: � wall: commercial:
32.En ' eer/Registered Sanitarian and Land Surv or stam s/si ture
33.H-201oadin is subject to vehicular tra.ffic, oundwater
34.Title V A lication and ermit fee, insta.11er si ture ��
35.Foundation footing min. 2 feet above ad'usted ound water for new house �_
36.Deed Restriction r uired max. #bedrooms: aac. flow: .�, �Y d �,�
37.Check area lots for groundwater/Label groundwater in Assessor's Ma �.
Plan reviewed by: 1 6/03/03
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