HomeMy WebLinkAboutReview Checklist �-z7 �-i�
TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST
, Location: A.M.�� Lot�_ Zone of Contribution: In Out �'/ Acreage
Commercial: Residential: �./
Street: , _ .
Village: Floor Plan: #Bedrooms:_�
Owner: ���� �`���6�G� Installer: ,
Address: Phone: - �--
Phone: ,�a � � �/�� ''
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Builder: Engineer:
Address: Phone:
Phone: - j?� � .
._.. �� �-
N/A YES NO �
l.Required#of copies received ',
2.Date of soils exam and percolation test not older than 2 years i
3. 4-5 ft of naturall occurrin ervious material, above water table �--1
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from septic components Var.: �" '
6.Benchxnark indica.ted and shown-NGVD if near wetlands �"
7. Se tic tank minimum 10 ft from foundation, deck Var.: k---�' ,
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �:/'�
9.Leaching minimum 100 ft from wetlands Var.:
10.Leachin minimum 150 ft from drinking welU25 ft irri ation well Var.: �t/ '
1 l.Tank/leaching minimum 10 ft from ro e line Var.:
12. S stem meets all other setback r uirements Var.: L/
13.Uses adjustment for maximum hi groundwater Var.: �, � �,_._--
14.Leaching set 4-5 ft above adj.water or botto Var.: t/'
15. System not in top or subsoil(A,B horizons) r 5'removaly
16.Pro osed contours are suitable
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17.S stem meets slo e re uirements-min. 1!8", '/4" referred �- �
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18. System meets breakout re uirements PVC liner: Wall: ��-" �
19. Specified tee sizes are roper, gas baffle on outlet tee ��"
20. Sewage is under 10,000 d for arcel f
_ 21.No arba.ge dis osal f
22. S stem ad uatel sized for its intended use I
23.Minimum 6"stone or compacted below tank and dbox �
- 24.Manhole covers within 6"of grade, um cha.mber cover to grade
25.Inspection ort on lastic chambers/leach field �--�
26.Electrical ermit for um chamber/Se arate meter for du lexes
27.Pump system-2" line,wee hole,check valve,tee in dbox, um size �f
28. Septic tank/ um chamber to be factory wat roofed
29.Vent provided if leaching below 3 feet, under driveway/ arking
30.Buoyancy calculations for tank/pum 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-201oading is subject to vehicular traffic, oundwater -
34.Title V Ap lication and ermit fee, installer si ture �_____
35.Foundation 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 oundwater/Label oundwater in Assessor's Ma
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Plan reviewed by: wosio3 ;