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HomeMy WebLinkAboutReview Checklist • ��� ��-j 7 ���� �� TOWN OF YARMOUTH SEWAGE PLAN REV�W CHECKLIST j� ��- `' % Location: A.M.� Lot Zone of Contribution: In�_ Acreage �7��� Commercial: Residential: � Street: � ���; Village: ,.,� Floor Plan: #Bedrooms: % _ ( � � Owner: Insta.11er: � ._,`,�, ���'�' J�. � Address: Phone: � � �-' ��1�����/' Phone: / � ` 4,�'���L�Iv�� Builder: Engineer: � Address: Phone: � � "' � Phone: � � lr�'��� ��` S' �t`C��'��� -�� ' � �L � N/A YES NO l.Required#of co ies received c/' 2.Date of soils exam and ercolation test not older than 2 years ' 3.4-5 ft of naturall occurrin ervious material,above water table - j 4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.: j 5.Water line 10 ft from septic com onents Var.: C,� � 6.Benchmark indicated and shown-NGVD if near wetlands �/� 7. Se tic tank minimum 10 ft from foundation, deck Var.: L/' � 8.Leaching minimum 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 we1U25 ft irri tion well Var.: 1 l.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 groundwater Var.: ��- 14.Leachin set 4-5 ft above adj.water or bottom of test hole Var.: 15.System not in to or subsoil(A,B horizons)or 5'removal ✓ 16.Pro osed contours are suitable c,/' 17. S stem meets slo e r uirements-min. 1/8", '/4" referred L/ 18. System meets breakout r uirements PVC liner: Wall: �/ 19. S ecified tee sizes are ro er, as baffle on outlet tee �/' 20. Sewa e is under 10,000 d for arcel 21.No garbage dis osal - 22. S stem ad ua.tel sized for its intended use ' 23.Minimum 6"stone or com acted below tank and dbox ✓ ' 24.Manhole covers within 6"of grade,pum cha.mber cover to ade v�' � 25.Ins ection ort 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 dboar, um size - 28. S tic tank/pum chamber to be factory wat roofed ✓ � 29.Vent rovided if leaching below 3 feet,under driveway/ arkin �� . I 30.Buoyancy calculations for tank/pump chamber ; 31.En ' eer to ins ect and cert' soils: wall: commercial: ; � 32.En 'neer/Registered Sanitarian and Land Surve s/signature 33.H-201oadin is subject to vehicular traffic, groundwater � '�`�� � 34.Title V A lication and ermit fee, installer si ture 35.Founda.tion footin 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 ' Plan reviewed by: C^� �03�03