HomeMy WebLinkAboutReview Checklist �
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• TOWN OF YARMOUTH �
SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M. � Lot l� Zone of Contribution: In Out reage
Commercial: ResidentiaL• �-�''
Street: Z /
Village: _ Floor Plan: , ,/ #Bedrooms: 2-,
Owner: �j���I�:l�! �/� ��� Installer: �[, �" ,
lA
Address: Phone: � 7 7 C�
Phone:
Builder: Engineer: .�ti� G-"
Address: Phone: � �
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Phone: /' -/, f " r �'
/2� � � ��' '�Z'`r,.'1�r
N/A YES ' NO
1.Required#of co ies 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 high oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic com onents Var.: t.,��''
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.: �--� ;
8.Leaching minunum 20 ft full, 15 ft crawl, 10 ft slab Var.: �.../ I
9.Leachin 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 re uirements Var.: �
13.Uses adjustment for maximum high groundwater Var.: �,.�-''
14.Leachin set 4-5 ft above ad'.water or bottom of test hole.. Var.: °�--�' '
15. System not in to or subsoil(A,B horizons 'or 5'rem �.✓
16.Pro osed contours are suitable '
17. S stem meets slo e r irements-min. 1/8", '/4" eferred t.._. ',
18. System meets breakout re uirements PVC liner: � Wall: � '
19. Specified tee sizes aze roper, gas baffle on outlet tee (�/" ',
20. S�wage is under 10,000 gpd for arcel i
� 21.No garba e disposal ��''� �
22. S stem ade uatel sized for its intended use �-
• 23.Minimum 6"stone or com acted below tank and dbox 'v��
24.Manhole covers within 6"of grade, ump chamber cover to ade �i
25.Ins ection ort on lastic chambers/leach field �----f '
26.Electrical ermit for um chamberlS arate meter for du lexes `�----�
27.Pum system-2" line,weep hole,check valve,tee in dbo� um size
28. S tic tank/pump chamber to be factory wat roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arkin �---�"
30. Buoyancy calculations for tank/pump chamber �---�
31.En ' eer to ins ect and cert' soils: �---��v'all:�ommerciaL•
32.Engineer/Re ' tered Sanitarian and Land Surveyor stam s/si ature
33. H-20 loading is subject to vehicular traffic, groundwater �--�''
34.Title V Ap lication and ermit fee, installer si ture
35.Foundaxion footing min. 2 feet above ad'usted 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: �03�03
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