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HomeMy WebLinkAboutReview Checklist � `�/� � . TOWN OF YARMOUTH SEWAGE PLAN REV�W CHECKLIST � Location: A.M. ��4� Lot�_ Zone of Contribution: In Out �eage � Commercial: ResidentiaL• �� Street: f Village: Floor Plan: #Bedrooms:�_ Owner: �" �/�f5(��/,��C� Insta ller: � f/ Address: Phone: � -* Q� Phone: Builder: Engineer: � Address: Phone: � -. Phone: °� ,�- , � �`� ���� �'`�--. N/A YES . NO 1.R uired#of co ies received 2.Date of soils exa.m and ercolation test not older than 2 years c,,,� 3. 4-5 ft of naturall occurrin ervious material,above water ta.ble `.----• 4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.: 5. Water line 10 ft from s tic com onents Var.: 6.Benchmazk indica.ted and shown-NGVD if near wetlands v�' 7. S tic tanlc minimum 10 ft from founda.tion, deck Var.: 8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: v.� 9.Leaching minimum 100 ft from wetlands Var.: 10. Leaching minimum 150 ft from drinking welU25 ft irrigation well Var.: 1 l.Tank/lea.chin minimum 10 ft from r erly line Var.: . .��.� 12. S stem meets all other setback r uirements Var.: �/ 13.Uses ad'ustment for maximum hi groundwater Var.: 14.Lea.chin set 4-5 ft above ad'.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 17. S stem meets slo e r irements-min. 1/8", '/4" efezred L�.� 18. S stem meets breakout r uirements PVC liner: Wall: �..--r ' 19. Specified tee sizes are roper, s baffle on outlet tee 20. Sewage is under 10,000 d for arcel �,�..- . 21.No arba e dis osal �- 22. S stem ade ua.tel 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 ade 25.Ins tion ort on lastic cha.mbers/leach field 26. Electrical ermit for um cha.mber/S arate meter for du lexes 27.Pum system-2"line,wee hole,check valve,tee in dbo�pum size 28. Septic tank/ um chamber to be factory waterproofed ' 29.Vent rovided if leachin below 3 feet,under driveway/ arking ��-���� i 30.Buoyancy calculations for tank/ u chamber ,�,.---- 3l.En ' eer to ins ect and cert' soils: wall: commercial: -, 32.Engineer/Re ' ered Sanitaria.n and Land Surv or stam s/signature 33.H-20 loadin is subject to vehiculaz traffic, oundwater � 34.Title V A lication and ermit fee, installer si ture �� 35.Foundation footin min. 2 feet above ad'usted ground water for new house .--- 36.Deed Restriction r uired max. #bedrooms: maac. flow: d - 37.Check area lots for oundwater/Label groundwater in Assessor's Ma Plan reviewed by: C�` c,o�io3 ! (