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HomeMy WebLinkAboutReview Checklist �'� '/� � � I � I - TOWN OF YARMOUTH l>� / SEWAGE PLAN REVIEW CHECKLIST ,�: - .,,,� �� / � / �x ` Location: A.M. �/ Lot� Zone of Contribution: In �lut Acreage �� � ��' ' Commercial: Residential:_����� Street: �� � , Village: Floor Plan: #Bedrooms: , Owner: oi�oC� /�����'��U Installer: f Address: Phone: !" '�� Phone: ' Builder: Engineer: , Address: Phone: ' Phone: .�-r � � �� � N/A YES NO 1.Required#of copies received 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 i 4.Foundation 2 ft above high int of road H.P.: Fnd: Var.: 5. Water line 10 ft from s tic com onents Var.: 6.Benchmark indicated and shown-NGVD if near wetlands 7. Se tic tank minimum 10 ft from foundation, deck Var.: t.�-�' 8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: 9.Leaching minimum 100 ft from wetlands Var.: �� 10.Lea.ching minimum 150 ft from drinkin welU25 ft irrigation well Var.: L-� , 11.Tank/leachin minimum 10 ft from property line Var.: 12. S stem meets all other setback r uirements Var.: �- 13.Uses ad'ustment for maximum hi groundwater Var.: 14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: L.� 15. System not in to or subsoil(A,B horizons)or 5'removal ✓i 16.Pro osed contours are suitable 17. S stem meets slo e r uirements-min. 1/8", '/4" referred �..-- ' 18. System meets breakout re uirements PVC liner: Wall: �- f 19. S ecified tee sizes are proper, gas baffle on outlet tee i 20. Sewa e is under 10,000 gpd for arcel i i 21.No garbage dis osal C�/' 22. S stem ade uatel sized for its intended use � 23.Minimum 6"stone or com acted below tank and dbox �> _ 24.Manhole covers within 6"of ade, um chamber cover to grade L..- 25.Ins ection ort on lastic chambers/leach field �� ; 26.Electrical ermit for um chamber/S arate meter for du lexes L/ ' 27.Pum system-2"line,wee hole,che�k valve,tee in dbo� ump size `.� � 28. S tic tank/ ump chamber to be factory wat roofed 29.Vent provided if leaching below 3 feet, under driveway/ arking �� 30.Buoyancy calculations for tank/pump cha.mber 31.En ' eer to ins ect and cert' soils: wall: commerciaL `� 32.Engineer/Registered Sanitarian and Land Surve or stam s/si ture �� 33.H-201oadin is subject to vehicular traffic, oundwater �-_ � 34.Title V A lica.tion and permit fee, installer signature ���' t t 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 groundwater/Label goundwater in Assessor's Ma 'i Plan reviewed by: �� �o3io3 � �