HomeMy WebLinkAboutReview Checklist� ���� - � �
TOWN OF YARMOUTH
i SEWAGE PLAN REVIEW CHECKLIST
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' � Location: A.M. � Lot� Zone of Contribution: In Out Acreage
/ ' A Commercial: Residential: t-"'
Street: � � `7tyt�'
Village: G Floor Plan: � #Bedrooms: �
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� Owner: Insta.11er: ���L� �Ct�(�'�
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� Address: , Phone:
I Phone: .,
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� Builder: Engineer: �G�� v�2�z��
� Address: Phone: �G� - �'��-_?�� 7
Phone: � - J� 'j _-/ �`' 7
� ~ �u� � N/A ' YES NO
{ 1.Required# of copies received
j2.Date of soils e�m 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 high oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.: u�
; 6.Benchmark indicated and shown-NGVD if near wetlands
i7. S tic tank mini.mum 10 ft from foundation, deck Var.: :��
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
� 9.Leaching minimum 100 ft from wetlands Var.:
# 10.Lea.chin minimum 150 ft from drinking we1ll25 ft irrigation well Var.:
11. Tank/lea.ching minimum 10 ft from ro erty line Var.:
� 12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum high groundwater � � �=-�
14.Leachin set 4-5 ft above adj.water or bo m of test hole Var.:
! 15. System not in to or subsoil(A,B horizo )or 5'remova
� 16.Pro osed contours are suita.ble l��' -
; 17.S stem meets slo e r uirements-min. 1/8", '/4" referred
� 18. System meets breakout r uirements PVC liner: Wall:
' 19. Specified tee sizes aze pro er, gas baffle on outlet tee ;/
20. Sewa e is under 10,000 d for parcel
j 21.No garbage disposal
; . 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 �-�
25. Ins ection ort on lastic chambers/leach field
26. Electrical ermit for um chamber/S arate meter for du lexes C...-�
27.Pum system-2" line,weep hole,check valve,tee in dbox, ump size �--��'
28. Septic tank/pump cha.mber to be factory waterproofed
29.Vent rovided if leaching below 3 feet,under driveway/ arking �-�'
30. Buoyancy ca.lculations for tank/ ump chamber
31.En ' eer to ins ect and c ' soils: wall: commercial:
� 32.Engineer/Registered Sa.nita.rian and Land Surveyor stam s/signature
33.H-201oading is subject to vehicular traffic, groundwater `---
34. Title V A lication and ermit fee, installer signature
35.Founda.tion footin min. 2 feet above ad'usted ound water for new house �---
36.Deed Restriction r ired max. #bedrooms: max.flow: d -�"�
37. Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by: ((„5�-�` '._ c�o3ro3