HomeMy WebLinkAboutReview Checklist r
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• TOWN OF YARMOUTH � , �
SEWAGE PLAN REVIEW CHECKLIST � � �"'°�``���
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� Location: A.M.� Lot-��Z�� Zone of Contribution: In � Acreage �.�1�-
Commercial: Residential: L .i /� 9'� �
Street: � � '
Village: Floor Plan: #Bedrooms: '� I
Owner: ti��D��G� Installer: f
Address: Phone: ? -- -'- �
Phone: ./�7�"" �"
Builder: Engincer:
Address: Phone: (/ ''��' -'" '
Phone: ._ � ��p�- 4' ����z� / ��.� ��j
N/A YES `NO �
1.R uired#of copies received '
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2.Date of soils exam and ercolation test not older than 2 ears L...�- �
3.4-5 ft of naturall occurrin ervious material,above water table �_.--�'
4.Foundation 2 ft above hi int of road H.P.: Fnd: Var.: �, i
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5.Water line 10 ft from s tic components Var.: __--'
6.Benchmark indica.ted and shown-NGVD if near wetlands C�./'�
7. S 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.: -- C
10.Lea.chin minimum 150 ft from drinkin welU25 ft irrigation well Var.: �-- ''
11.Tank/lea.chin minimum 10 ft from ro erty line Var.: �� I
12. S stem meets all other setback r uirements Var.: �____ :
13.Uses ad'ustment for maximum hi groundwater Var.: t. �
14.Leachin set 4-5 ft above adj.water or bottom of test hole Var.: �._,
15.S stem 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", 1/a" eferred
18. System meets breakout re uirements PVC liner: Wall: ��----
19. S ec�ed tee sizes are proper, s baffle on outlet tee ��-
- 20. Sewage is under 10,000 d for arcel �•�---� ,
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 de, 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,weep hole,check valve,tee in dbo� um size �--�
28. Septic tank/ um chamber to be factory wat roofed ----
29.Vent provided if leaching below 3 feet,under driveway/ arkin J%
30. Buoyancy calculations for tanklpum chamber �-� ;
31.En ' eer to ins ect and cert' soils: walL• commercial: j
32.En ' eer/Registered Sanitarian and Land Surve or stam s/si ature •..-�' ':
33.H-20 loadin is subject to vehicular traffic, groundwater ;
34.Title V A lication and ermit fee, installer si ature ,.�-- ;
35.Founda.tion footin min.2 feet above ad'usted 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 Ma -
Plan reviewed by: % �'''�� �ro3
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