HomeMy WebLinkAboutReview Checklist �-/�-� �7 F .�'
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TOWN OF YARMOUTH ' ��'�''� '�
SEWAGE PLAN REVIEW CHECKLIST �=�,11� � �-��������
: Location: A.M. �� Lot� Zone of Contribution: ut Acreage ' 7~�� `��-
,,�� Commercial: ResidentiaL•��
Street: d � ��
Village: !/ Floor Plan: #Bedrooms:�
Owner: '� Insta ller: v � �� �
Address: Phone: `7 .-- �
Phone:
Builder: Engineer: �
Address: Phone: ��J -- -�,�
Phone:
N/A YES NO
l.Required#of co ies received
2.Date of soils exam and ercolation test not older than 2 years
3.4-5 ft of naturall occurrin ervious material,above water table `.-��
4.Foundation 2$above high oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from septic com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
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.: �-'''
10.Leachin minimum 150 ft from drinking welU25 ft irri ation well Var.:
11.Tank/leachin minunum 10 ft from ro erty line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for ma�mum hi groundwater Var.: c�''
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 uirements-min. 1/8", '/4" referred
18. System meets brealcout r uirements PVC liner: Wall: `...,/
19. S ec�ed tee sizes aze ro er, gas baffle on outlet tee �-�'"
20. Sewa e is under 10,000 d for arcel �.---'
' 21.No ba e dis osal
22. S stem ad uatel sized for its intended use ��,�..-�
23.Mmimum 6"stone or com acted below ta.nk and dbox �..._.-�
24.Manhole covers within 6"of ade, um chamber cover to ade
25.Ins ection ort on la:stic chambers/leach field
26.Electrica.l ermit for um chamber/S arate meter for du lexes
27.Pum stem-2"line,weep hole,check valve,tee in dbo� um size
28. S tic tank/ um chamber to be facto wa roofed
29.Vent rovided if leachin below 3 feet,under driveway/ arkin ----�''
30.Buo ancy calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commercial: •
32.En ' eer/Registered Sanitarian and Land Surveyor stam s/si ture `-�'""
33.H-201oadin is sub'ect to vehicular traffic, oundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundation footing min. 2 feet above ad'usted ground water for new house
36.Deed Restriction r uired m�. #bedrooms: max. flow: d �---'`
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
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Plan reviewed by: (�i�V% wo3io3