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HomeMy WebLinkAboutReview Checklist . /'Z� '% 7
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M.�� Lot �/ Zone of Contribution: In Out_ A ge
Commercial: Residential�
Street: /
Village: • Floor Plan: �/ #Bedrooms:--�
Owner: � � �� Installer: � ��
Address: Phone: � ' �'
Phone: ,
Builder: Engineer: �� �
Address: Phone: "'" �"'
Phone: ,,-.�� /'-� � � y�.��� -,
� �, ' � � ����� �L� ��/
/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 s tic components Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. Se tic tank minimum 10 ft from foundation, d�k 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 roperty line Var.: /
12. S stem meets all other setback r uirements Var.: -
13.Uses adjustment for maximum high groundwater Var.: �._,.�'
14.Leaching set 4-5 ft above ad'.water or botto �f test h Var.: �
15. System not in to or subsoil(A,B horizons) 5'remov �
16.Proposed contours are suitable
17. S stem meets slo e re uirements-min. 1/8", '/4" referred �
18. S stem meets breakout requirements PVC liner. '-" all: �`
19. S ecified tee sizes are proper, gas baffle on outlet tee
20. Sewa e is under 10,000 d for parcel
21.No arbage dis osal
� 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 ade
25. Inspection port 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 dbo�pump size �,/
28. Septic tank/ ump chamber to be factory waterproofed
29.Vent provided if leachin below 3 feet,under driveway/parking
30.Buoyancy calculations for tank/pump chamber �....�--�
31. En ' eer to ins ect and cert' soils: wall: commerciaL• ,._.-�
32.Engineer/Re 'stered Sanitarian and Land Surveyor stam s/signature �---'�
33.H-201oadin is subject to vehicular traffic, groundwater
34.Title V Application and ermit fee, installer si ture �F�=
35.Foundation footing 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 oundwater/Label groundwater in Assessor's Ma
Plan reviewed by: �1'� 6/03/03