HomeMy WebLinkAboutReview Checklist �:,. .
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TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST
. Location: A.M.� Lot ��b Zone of Contribution: In Out �reage
� � Commercial: Residential: ci�
Street: � /
Village: � ' Floor Plan: C/ #Bedrooms: Z--
Owner: S C:l� ' Insta.11er: �������s'
Address:� ✓�, U,�6��'hone: �--�
Phone: � ^ -- 7�
Builder: �� /4� Engineer: �
Address: Phone: -- -- d
Phone: y��- �- �j 9 �-- �r�; /��1`�Zr.�f� , ����
� -i � �y � '`�y�* �'���'C`���f%
N/A YES NO
1.Required#of co ies received L
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 int of road H.P.: Fnd: Var.: =_..i
5. Water line 10 ft from se tic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands c_/
7. Se tic tank minimum 10 ft from foundation, d�k Var.:
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Vaz.: ,��'
9.Leachin minimum 100 ft from wetlands Var.:
10.Lea.ching minimum 150 ft from drinking welU25 ft irri ation well Var.: .
11. Tank/leaching minnnum 10 ft from pro erty line Var.: �d'
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 bottom Var.: �..---'
15. System not in to or subsoil(A,B horizons)0 5'remov
16.Proposed contours are suitable t_�--�
17. S stem meets slo e re uirements-min. 1/8", '/4" eferred �-
18. System meets breakout requirements PVC liner: '�;!'Wall:
19. Spec�ed tee sizes are ro er, gas baffle on outlet tee c_-�--'"
20. Sewage is under 10,000 d for arcel
, 21.No garbage dis osal
22.S stem ade uatel sized for its intended use ��
23.Minimum 6"stone or com acted below tank and dbox �..,.---
• 24.Manhole covers withi.n 6"of ade, um chamber cover to grade
25.Ins ection ort on plastic chambers/lea.ch field �'
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum system-2" line,weep hole,check valve,tee in dbox, um size �.f-
28. Septic tank/pump chamber to be factory wat roofed
29. Vent rovided if leachin below 3 feet,under driveway/parking �./ -
30. Buo ancy calculations for tank/ ump 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-20 loading is sub'ect to vehicular tr�c, groundwater ✓
34.Title V Ap lication and ermit fee, installer si ature �.�
35.Foundation footing min. 2 feet above ad'usted ound water for new house �---�
36.Deed Restriction r uired max. #bedrooms: maac. flow: d •
37.Check area lots for groundwater/Label groundwater in Assessor's Ma �--��
1
Plan reviewed by: c�'�� �03�03