HomeMy WebLinkAboutReview Checklist ��. ,
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TOWN OF YARMOUTH Z ��!'�'�
� SEWAGE PLAN REVIEW CHECKLIST .
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- Location: A.M. � � Lot �� Zone of Contribution: In ut Acreage G'- � r����' ,
� Commercial: Residential:�,_�
Street: � /�L�� a--
Village: Floor Plan: #Bedrooms:��f -' �
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Owner: ��G��� l��C�/ Installer: ��� ' � 7������"'�� �
Phone: �` � . 'z'�_ ��
Address: �
Phone: r``r C�`�' f '��L� �' ✓�'� ��i�/��1�� ;
Builder: Engineer: � ��� `
Address: Phone: - � ;
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Phone: "����, �i�, ��*�'�'� �v L�y'
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' N/A ' S NO
l.Required#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 hi oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Var.: t,/
6.Benchmark indicated and shown-NGVD if near wetlands
7. Se tic ta.nk minimum 10 ft from foundation, deck Var.: •`�
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.: ._..�
10.Leaching minimum 150 ft from drinking welU25 ft irrigation well Var.: -
11.Tank/leaching minimum 10 ft from pro erty line Var.: �
12. S stem meets all other setback r uirements Var.: '`e.� � �
13.Uses adjustment for maximum high groundwater Var.: t/
14.Leachin set 4-5 ft above adj.water or bottom.pf.xest�crt�, Var.: L�
15.System not in to or subsoil(A,B horizons or 5' remov �
16.Pro osed contours are suitable ` '
17. S stem meets slo e r irements-min. 1/8", '/4" eferred '
18. System meets breakout r uirements PVC liner: Wall: c,/
19. S ec�ed tee sizes are roper, gas baffle on outlet tee
20. Sewage is under 10,000 d for parcel �'
21.No garbage dis osal J""'�
22. S stem ade uatel sized for its intended use c�t�r ' S� �r '/f�C .-.-�
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of grade, um chamber cover to ade
25.Ins ection ort on lastic 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. Septic tank/pum chamber to be factory wa roofed
29.Vent rovided if leachin below 3 feet, under driveway/ arkin
30.Buoyancy 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/signature
33. H-201oading is subject to vehicular traffic, oundwater
34.Title V A lication and ermit fee, insta.11er signature
35.Foundation footing min. 2 feet above adjusted 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
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� � � 6/03/03
Plan reviewed b :
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