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HomeMy WebLinkAboutReview Checklist ��� � �� TOWN OF YARMOUTH ' SEWAGE PLAN REVIEW CHECKLIST . Location: A.M.� Lot '`� Zone of Contribution: In Out_ creage�_ � Commercial: Residential: Street: � ' Village: Floor Plan: � #Bedrooms: � Owner: ,.��:��%2�°-t��' Installer: /'� Address � Phone: � � � � Phone: � ��/';� �� �G%f t=��;�5_ Builder: Engineer: �� �' � Address: Phone: � � " Phone: ��.r� �' , .�� � �'� �> / YES NO 1.Required#of copies received 2.Date of soils exam and percolation test not older than 2 years i,._�--` 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 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.Leaching 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 irrigation well Var.: 11.Tank/leaching minimum 10 ft from property line Var.: 12. S stem meets all other setback re uirements Var.: t,,..i 13.Uses adjustment for maximum high groundwater Var.: 14.Leaching set 4-5 ft above adj.water or botto f test hot Var.: '- 15. System not in top or subsoil(A,B horizons) 5' re 1� 16.Pro osed contours are suitable 17. S stem meets slo e re uirements-min. 1/8", 1/4" referred 18. System meets breakout re uirements PVC liner: Wall: ;..,.......-�' 19. Spec�ed tee sizes are proper, gas baffle on outlet tee :._,,,_.� 20. Sewage is under 10,000 gpd for arcel . 21.No garbage dis osal - 22. S stem ade uatel sized for its intended use 23.Minimum 6"stone or compacted below tank and dbox ' 24.Manhole covers within 6"of grade,pum chamber cover to ade `�---j` 25. Inspection ort on plastic chambers/leach field 26.Electrical ermit for um chamber/Se arate meter for du lexes _---- 27.Pump system-2" line,weep hole,check valve,tee in dboar,pump size 28. Septic tank/pump chamber to be factory waterproofed 29.Vent rovided if leaching below 3 feet, under driveway/parking � 30. Buoyancy calculations for tank/pum chamber 31. En ' eer to ins ect and cert' soils: wall: commercial: _._.�-� 32.Engineer/Re 'stered Sanitarian and Land Surveyor stam s/si ature �------' 33.H-201oading is subject to vehicular traffic, groundwater --= 34.Title V A plication and permit fee, insta.11er signature ✓ 35.Foundation footing min. 2 feet above adjusted ground water for new house 36.Deed Restriction r uired max. #bedrooms: max. flow: d 37. Check area lots for groundwater/Label oundwater in Assessor's Map Plan reviewed by: �,�+(�� 6/03/03 `��