HomeMy WebLinkAboutReview Checklist R �` �� v/ �
� TOWN OF YARMOUTH
; SEWAGE PLAN REVIEW CHECKLIST
_ Location: A.M.� Lot�_ Zone of Contribution: In Out "�reage'_
/' Commercial: Residential:
Street: �� l�
Village: ��'' Floor Plan: #Bedrooms: �
Owner: ���G�.d /�� �t Installer: � �
Address- Phone: - �
Phone: ����"' , �,�
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Builder: Engineer: `�
Address: Phone: ���
Phone:
N/A YES NO
l.Re uired#of copies received
2.Date of soils exam and ercolation test not older than 2 ears �,,,,�
3. 4-5 ft of naturall occurrin ervious material, above water table �f
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from septic components Var.: '
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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. Leachin minimum 150 ft from drinking welU25 ft irrigation well Var.:
11. Tank/lea.ching ininimum 10 ft from ro erty line Var.: ��
12. S stem meets all other setback r uirements Var.: �/
13. Uses adjustment for maximum hi oundwater 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 �,_�-
17. S stem meets slo e r uirements-min. 1/8", '/4" referred ��
18. System meets breakout r uirements PVC liner: Wall: `,f
_ 19. S ecified tee sizes are roper, as baffle on outlet tee �/
20. Sewa e is under 10,000 gpd for parcel �
21.No garba e dis osal
" 22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of ade, ump chamber cover to grade �.,_�
25.Inspection ort on plastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes �--- '
27.Pump system-2" line,wee hole,check valve,tee in dbo� ump size
28. S tic tank/ um chamber to be factory wa roofed �,r�-
29.Vent rovided if leaching below 3 feet,under driveway/parking �"�
30.Buoyancy calculations for tank/ um chamber
31.E ' eer to ins ect and cert' soils: wall: commercial: .
32.En ' eer/Registered Sanitarian and Land Surve or stam s/si ature '
I
33.H-201oadin is sub'ect to vehicular traffic, groundwater . �
34.Title V A lica.tion and ermit fee, installer signature
35.Foundation footing min.2 feet above ad'usted ound water for new house `_f ;
36.Deed Restriction r uired max. #bedrooms: max. flow: d -
37.�heck area lots for groundwater/Label groundwater in Assessor's Ma ;
Plan reviewed by:-- � � eio3io3
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