HomeMy WebLinkAboutReview Checklist � � � �---.
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TOWN OF YARMOUTH ���' � ' ���
• SEWAGE PLAN REVIEW CHECKLIST iG�"''�' - � � �%
Location: A.M. a � Lot �� Zone of Contribution: In `/ Acreage �7 , �
� Commercial: Residential: ✓
Street:
Village: _ Floor Plan: , � #Bedrooms: � '
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Owner:��'G'�� / Ul/i��'�7� Installer: 'S' ��
Address: Phone: � �'" - �
Phone:
Builder: Engineer: ��%2�
Address: Phone: ^^ �'
Phone: ''�'L� �, j�`�'� /`�Gd'i�"'`y�'�/
N/A YES NO
l.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 high point of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.: '
10.Leaching minimum 150 ft from drinkin welU25 ft irrigation well Var.: '
11.Tank/leachin minimum 10 ft from ro erty line Var.:
12. S stem meets all other setback r irements Var.:
13.Uses adjustment for maximum high groundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom of iest ole Vaz.:
15. System not in to or subsoil(A,B horizons)ar �'remov
16.Pro osed contours are suitable t.�.-�
17. S stem meets slo e r uirements-min. 1/8", 1/a" eferted �,�
]8. System meets breakout re uirements PVC liner: WaIL• t„/�
19. Specified tee sizes are ro er, gas baffle on outlet tee ,
20. Sewage is under 10,000 for parcel
. 21.No arba e dis osal ,,,��
22. S stem ad 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. Ins ection ort on lastic chambers/leach field
26.Electrica.l ermit for um chamber/S arate meter for du lexes
27.Pum system-2" line,wee hole,check valve,tee in dbo� um size
28. Septic tank/ ump chamber to be facto waterproofed �� �
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30. Buoyancy calculations for tank/pump chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surveyor stam s/si ature ;
33.H-201oading is subject to vehicular traffic, oundwater '
34.Title V A lication and ermit fee, installer signature
35.Foundation footin min. 2 feet above adjusted ound water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow: d -
37. Check area lots for groundwater/Label groundwater in Assessor's Ma ;
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Plan reviewed by: wo3ro3 �
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