HomeMy WebLinkAboutReview Checklist �
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TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST �
Location: A.M.�_ Lot� Zone of Contribution: In Out �Acreage
�' Commercial: Residential:/ �
' Street: �j' //�
; Village: Floor Plan: ✓ #Bedrooms:�_
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o��: J,� �S�ll�: �(��u� �/a�•G���
Address: Phone:
� Phone:
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i Builder: Engineer:
� Address: Phone:
� Phone: ,
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N/A YES NO
1.Re uired#of copies 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 oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from septic com onents Var.: �.,r
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 drinkin welU25 ft irrigation well Va.r.:
11. Tank/leaching minimum 10 ft from property line Var.: � -..�
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for maximum hi groundwater Var.:
14.Leaching set 4-5 ft above ad'. water or bottom of test hole Var.: L��
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 r uirements-min. 1/8", '/4" referred �
18. S stem meets breakout r uirements PVC liner: Wall: �--
19. Specified tee sizes are ro er, as baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel ,�,/
21.No garba e disposal ��,,,
22. S stem ad ua.tel sized for its intended use ,
23.Minimum 6"stone or compacted below tank and dbox •
24.Manhole covers within 6"of grade, ump chamber cover to grade
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25.Ins ection ort on lastic chambers/leach field � ..
26.Elecirical ermit for um cha.mber/S a.rate meter for du lexes
27.Pum system-2"line,wee hole,check valve,tee in dbo�pum size
28. S tic tank/ ump chamber to be factory wat roofed
29.Vent rovided if leaching below 3 feet, under driveway/parking
30.Buoyanc calculations for tank/ um chamber
31.En ' eer to ins ect and cerf soils: wall: commerciaL '
32.Engineer/Registered Sanitarian and Land Surveyor stam s/signature
33.H-201oadin is subject to vehicular traffic, oundwater '
34.Title V A lication a.nd ermit fee, installer signature
35.Foundaxion footing min. 2 feet above ad'usted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow: d
37.Check area lots for oundwater/Label groundwater in Assessor's Ma
Plan reviewed by: ��;,
W03/03
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