HomeMy WebLinkAboutReview Checklist � ��`�/ � ��� �"
� TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST ��,�. � j������3?�
' Location: A.M. � / Lot /'� Zone of Contribution: In*�Out Acreage/�i ���� `
Commercial: ResidentiaL• �_✓
Street: c.�'� #Bedrooms: �
Village: / Floor Plan:
Owner: � Installer: �
Address: Phone: -- �-
Phone:
Builder: Engineer: O 4f�
Address: Phone: �� -
Phone: � �j �'
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N/A YES NO (
1.Required#of co ies received '
2.Date of soils e�m and ercolation test not older than 2 years
3.4-5 $of naturall occurrin ervious material, above water table
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.: �"
5. Water line 10 ft from s tic components Var.: �..�-''
6.Benchmark indicated and shown-NGVD if near wetlands �,� �
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7. Se tic tank minimum 10 ft from foundation, deck Var.: �,.i' j
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 drinkin welU25 ft irrigation well Var.: �--� i
11.Tank/leaching minimum 10 ft from pro 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 L/� '
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: t..�
19. Specified tee sizes are ro er, gas baffle on outlet tee (.�-" �
20. Sewage is under 10,000 gpd for arcel �/ ;
- 21.No garba e dis osal ;
22. S stem ade uatel sized for its intended use C�/
23.Minimum 6"stone or compacted below tank and dbox �.�
24.Manhole covers within 6"of grade, um chamber cover to ade �--✓� !
25.Ins ection port on lastic chambers/leach field �
26.Electrical ermit for um chamber/S arate meter for du lexes �---�
27.Pum s stem-2" line,wee hole,check valve,tee in dbo� um 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 ta.nk/pump chamber
31.En ' eer to ins ect and cert' soils: wall: commercial: ,r-''
32.Engineer/Re 'stered Sanitarian and Land Surve or stam s/signature �
33.H-201oadin is sub'ect to vehicular traffic, groundwater �/ �
34.Title V A plication and permit fee, installer si ture
35.Foundation footing min. 2 feet above adjusted ound water for new house
36.Deed Restriction r ired ma.x. #bedrooms: m�. flow: d -
37.Check area lots for groundwater/Label groundwater in Assessor's Ma ;
Plan reviewed by: �o3io3
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