HomeMy WebLinkAboutReview Checklist ,� � `Z - / �--/ � .,
TOWN OF YARMOUTH
. SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. �-� Lot �_ Zone of Contribution: In Out "A leage
��� ;�'/�"' Commercial: Residential: ,�
Street:
Village: Floor Plan: #Bedrooms: �
Owner: Insta ller: �i �
Address: Phone: -
Phone: %� �
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Builder: Engineer: �-t� �✓
Address: Phone: " � � �/'
Phone: � � � • �;�f�� ,/�;��,.0 1 � � '�t%%Il`�✓� �
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N/A YES NO
1.Re 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 s tic components Var.:
6.Benchmark indicated and shown-NGVD if near wetlands �.�
7. Se tic tank minimum 10 ft from foundation, deck Var.: '
8.Leachin 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 irrigation 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 adjustment for maximum high groundwater Var.: �
._
14.Leaching set 4-5 ft above ad'.water or bott of test hoh�, Var.:
15. System not in to or subsoil(A,B horizons or 5'rem 1
16.Pro osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/4" referred �,.._--�-,'
18. S stem meets breakout re uirements PVC liner: all: t....--��
19. Spec�ed tee sizes are roper, as baffle on outlet tee •:...- �;
20. Sewage is under 10,000 gpd for parcel
21.No bage dis osal ;,..-
° 22. S stem ade uatel sized for its intended use
23.Minimum 6"stone ar com acted below tank and dbox
24.Manhole covers within 6"of grade,pump chamber cover to grade �...........- '
25.Inspection port on lastic chambers/leach field ;
26.Electrical ermit for um chamber/S arate meter for du lexes '
27.Pump system-2" line,weep hole,check valve,tee in dbo�pump size '
28. S tic tank/ um chamber to be factory waterproofed
29.Vent rovided if leaching below 3 feet, under driveway/parking
30.Buoyanc calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: ,_...�.-wa11;,.---'"`commerciaL• �.,,.,�.--
32.En ' eer/Re 'stered Sanitarian and Land Surveyor stam s/signature
33.H-20 loadin is subject to vehicular traffic, groundwater ;
34.Title V Application and ermit fee, insta.11er signature
35.Founda.tion footing min. 2 feet above ad'usted ground water for new house
36.Deed Restriction r uired max. #bedrooms: ma�L. flow: d
37.Check area lots for oundwater/Label groundwater in Assessor's Map '
Plan reviewed by: �t � �osio3
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