HomeMy WebLinkAboutReview Checklist �� ��� �c'�� �i
TOWN OF YARMOUTH
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- SEWAGE PLAN REVIEW CHECKLIST .����� � � ���
Location: A.M.�_ Lot Id � Zone of Contribution: In Out_ Acreage / �
• �� e ` Commercial: Residential:�_�
Street:
Village: Floor Plan: 'L� #Bedrooms: �
,.:
Owner: ���� ����^„ � ta ller: ��1. [ � A
Address: Phone: �
Phone:
Builder: Engineer: ��H G/
Address: Phone: �
Phone: �� __ �' �T�te��%t
N/A YES NO
l.Re uired#of co ies received
2.Date of soils e�m and percolation test not older than 2 ears
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 septic com onents Var.: '
6.Benchmark indicated and shown-NGVD if neax wetlands t,/'
7. Se tic tank minimum 10 ft from foundation, deck 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 irri tion well Var.:
11.Tank/leaching minimum 10 ft from ro erty line Var.: ' �,/ �/
12. S stem meets all other setback r uirements Var.: ��
13.Uses ad'ustment for maximum hi oundwater Var.: �.
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.:
15. System not in top or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suitable .��
17. S stem meets slo e re uirements-min. 1/8", '/4" referred C�-�
18. System meets breakout r uirements PVC liner: Wall: ��
19. Specified tee sizes are roper, gas baffle on outlet tee i..�
20. Sewage is under 10,000 gpd for parcel �/'"
. 21.No arbage dis osal �f
22. S stem ad uatel sized for its intended use �-�'
23.Minimum 6"stone or compacted below tank and dbox
' 24.Manhole covers within 6"of gade, um 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.Pum system-2" line,wee hole,check valve,tee in dbox, ump size ✓
28. S tic tank/ ump chamber to be factory wat roofed
29.Vent rovided if leaching below 3 feet,under driveway/ arkin
30.Buoyancy calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.En ' eer/Registered Sanitarian and Land Surve or stam s/signature
33.H-201oading is subject to vehicular traffic, oundwater �� �'
34.Title V A 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 m�. #bedrooms: m�. flow: " d
37.Check area lots for groundwater/Label groundwater in Assessor's Map �
Plan reviewed by: C� eio3io3 `
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