HomeMy WebLinkAboutReview Checklist . �---�� / �
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
. Location: A.M. �-� Lot � Zone of Contribution: In Out - Acreage
Commercial: ResidentiaL• �-�
Street:
Village: � Floor Plan: � #Bedrooms: `Z�'
Owner:_��(,��.�,,�� Installer: �
Address: Phone: � „
Phone: ''�� �''� �`�/��/'�
Builder: Engineer:
Address: Phone: �-- �
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Phone: ,� �� '
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N/A YES NO`
1.Re uired#of co ies received
2.Date of soils exam and percolation test not older than 2 years
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 s tic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck 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 irrigation well Var.: -
11.Tank/leachin minimum 10 ft from roperty line Var.: � ✓"
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for ma�mum hi groundwater Var.: ��- ',
14.Leachin set 4-5 ft above adj.water or bottom test hole �
15. System not in to or subsoil(A,B horizons}o ' remov � !
16.Proposed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/a" eferred
18. System meets breakout r uirements PVC liner: Wall:
19. Specified tee sizes are pro er, gas baffle on outlet tee
20. Sewage is under 10,000 d for arcel
_ 21.No garbage 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, um chamber cover to grade
25.Ins ection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes '
27.Pum system-2"line,wee hole,check valve,tee in dbo�pump size
28. Septic tank/pum chamber to be factory waterproofed i
29.Vent rovided if leachin below 3 feet,under driveway/ arkin �
30.Buoyancy calculations for tank/ um chamber ��
31.E ' eer to ins ect and cert' soils: wall: commercial: ;
32.Engineer/Registered Sanitarian and Land Surveyor stam s/si ture ��� �
33.H-201oading is subject to vehicular trai�c, oundwater
34.Title V Ap lication and permit fee, installer si ture ; '
35.Founda.tion footing min.2 feet above ad'usted ound water for new house -
36.Deed Restriction r uired maaz. #bedrooms: max. flow: ,� �} d .
37. Check area lots for groundwater/Label oundwater in Assessor's Ma
Plan reviewed by: ` � �o3io3 ,
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