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HomeMy WebLinkAboutReview Checklist ���--� -��� TOWN OF YARMOUTH . SEWAGE PLAN REVIEW CHECKLIST .�'-_ Location: A.M. / � LotL�' Zone of Contribution: In Out Acreage < 9 Commercial: Residential:� Street: � � l�'� �� �� �� Village: _ � Floor Plan: � #Bedrooms:_7 r Owner: °✓!f � 0'� Installer: P� Address: Phone: ' Phone: r- r Builder: Engineer: �.,�' c Address: Phone: -" � �. Phone: �y�� -- ��1�' 1G%%��_,. N/A YES NO 1.Re uired#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 se tic com onents Var.: �...! 6.Benchmark indicated and shown-NGVD if near wetlands 7. S tic ta.nk 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 drinking welU25 ft irrigation well Var.: ,,..�-w-�"` 11.Tank/leaching minimum 10 ft from property line Var.: 12. S stem meets all other setback r uirements Var.: 13.Uses adjustment for ma�umum high groundwater Var.: �.�✓ 14.Leaching set 4-5 ft above adj.water or bottom of test hoPe Var.: ti---'' 15. System not in to or subsoil(A,B horizons)pr 5'removal 16.Pro osed contours are suitable �.�.-- ����"" �_..---' 17. S stem meets slo e r uirements-min. 1/8", '/4" referred �,,,.,�.-- 18. System meets breakout re uirements PVC liner: Wall: .,,,,_,,,...� 19. S ecified tee sizes are roper, gas baffle on outlet tee � 20. Sewage is under 10,000 d for parcel �.,....,� 21.No garbage disposal `----""- � 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,pump chamber cover to ade ._._-- � 25.Ins ection port on plastic chambers/leach field 26.Electrical ermit for um chamber/S arate meter for du lexes 27.Pum system-2" line,wee hole,check valve,tee in dbox,pump size �,s 28. S tic tank/pump chamber to be factory waterproofed �--.� 29.Vent rovided if leaching below 3 feet, under driveway/parking �r' 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 stamps/signature j 33.H-201oading is subject to vehicular traffic, groundwater 34.Title V A lication and permit fee, installer si ature ...,y% 35.Foundation footin min. 2 feet above adjusted ound water for new house 36.Deed Restriction re uired max. #bedrooms: max. flow: d `----" 37.Check area lots for oundwater/Label groundwater in Assessor's Ma ,,., _ , � Plan reviewed by: � wo3ioa