HomeMy WebLinkAboutChecklist - ��, --� -, �
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M.� Lot_� Zone of Contribution: In Out`�"�Acreage
! ,+ Commercial: Residential:
! Street: / � ` �- " .
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� Village: Floor Plan: #Bedroo
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� Address: Phone:
� Phone:
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Builder: Engineer:
Address: Phone: - �"�����
Phone: ,/�y�'L� .� � ��`l'"��S �, � 7/���1�' �=r�-r��.y'� ��� _
N/A YES NO
1.Re uired#of copies received
2. Date of soils exam and ercolation test not older than 2 yeaxs
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.: , ����" "' `y
6.Benchmark indicated and shown-NGVD if near wetlands Z,�'
7. Se tic tank minimum 10 ft from foundation, d�k 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 ation well Var.:
11.Tank/leachin minimum 10 ft from properry line Var.: .S:
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 bottom of test hole Var.: t/
15. System not in to or subsoil(A,B horizons)or 5'removal
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: ,,,,r,.,.,...-
19. Specified tee sizes are roper, gas baffle on outlet tee
20. Sewage is under 10,000 d for parcel
21.No arba e dis osal �
22. S stem ade uatel sized for its intended use i,,,_�
23.Minimum 6"stone or compacted below tank and dbox
� 24.Ma.nhole covers within 6"of grade, ump chamber cover to ade �✓
25.Inspection port on plastic 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 dbo� um size •✓'`
28. S tic tank/ ump cha.mber to be factory waterproofed t
29.Vent rovided if leaching below 3 feet, under driveway/parking
30.Buoyancy calculations for tank/pump chamber
31.En ' eer to ins ect and cert' soils: �vall: commercial:
32.Engineer/Re 'stered Sanitarian and Land Surveyor stamps/si ature ��'
33.H-201oading is subject to vehicular traffic, groundwafer
34.Title V A plication and permit fee, installer signature
35.Foundation footing min. 2 feet above adjusted ound water for new house �--.-�
36.Deed Restriction r uired max. #bedrooms: max. flow: d •
37.Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by:_ ( � eio3io3
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