HomeMy WebLinkAboutReview Checklist �/ ��-��
TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST
, Location: A.M.� Lot /�/ Zone of Contribution: In Out✓ Acreage
/ Commer ' Residential: �
Street: �
Village: Floor Pl • #Bedrooms:
Owner: J�1 �Zi�'�f/ Installer: �'�Y(�
Address-T Phone: -
Phone: %
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Builder: Engineer: �
Address: Phone: -
Phone: ���'---� /• 5-t ���(�s
N/A YES NO
1.R 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 septic com onents Var.: ��
6.Benchmark indicated and shown-NGVD if near wetlands L.�--'
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.Leachin minimum 150 ft from drinkin we1U25 ft irri tion well Var.:
1 l.Tank/leachin minimum 10 ft from roperly line Var.: r�-,�
12. S stem meets all other setback r uirements Var.: �..,.i'
13.Uses adjustment for maximum high groundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom of test hole Vaz.:
15. System not in to or subsoil(A,B horizons)or 5'removal C,..�
16.Pro osed contours are suitable L-----�
17. S stem meets slo e r uirements-min. 1/8", '/4" eferred ��-
18. System meets breakout re uirements PVC liner: Wall: �----'
19. S ecified tee sizes are ro er, gas baffle on outlet tee �--''
20. Sewage is under 10,000 gpd for arcel �...-�--�-'�'
21.No arba e disposal �-�--'
22. S stem ad uatel sized for its intended use �-�
23.Minimum 6"stone or com acted below tank and dbox �-..-f
. 24.Manhole covers within 6"of grade,pump chamber cover to grade C:---�`
25.Ins ection ort 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
28. Septic tank/pump chamber to be factory wat roofed ��.
29.Vent rovided if leaching below 3 feet, under drivewayJ arking ,
30.Buoyancy calculations for tank/ um chamber ��
31.En ' eer to ins ect and cert' soils: wall: commercial: :.r-�'
32.Engineer/Registered Sanitarian and Land Surveyor stam s/si ture ✓ ,
33.H-20 loading is subject to vehicular traffic, oundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundation footin 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 Ma ;
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Plan reviewed by: ^ � �o3ios ',,
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