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HomeMy WebLinkAboutReview Checklist f ‘2- TOWN OF YARMOUTHl/ /, 714 SEWAGE PLAN REVIEW CHECKLIST ,Z�: =� � L ' l4 l Location: A.M. (I Lot Cj Zone of Contribution: In 1/6rit Acreage 4 e /.--- '�� ,�J�`a, ` Commercial: Residential: (�� Street: /f/e / / Village: 4/�� Floor Plan: �/ #Bedrooms: 2 Owner: Ail2t'1' ,,'Qis Installer: (- F Address: Phone: ,1;i. /-- �//: ' Phone: Builder: Engineer:Z �`� d, j' Address: Phone: �f Phone: t, 4 l'rt f eC _-- e - N/A YES NO 1.Required#of copies received 2.Date of soils exam and percolation test not older than 2 years (.------ 3.4-5 .,,.>'''3.4-5 ft of naturally occurring pervious material, above water table (------- 4. -_---'4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: l 5.Water line 10 ft from septic components Var.: t.------ 6. .-,/6.Benchmark indicated and shown-NGVD if near wetlands , ---- 7. /7. Septic tank minimum 10 ft from foundation, deck Var.: (__.---- 8. Ji8.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 well/25 ft irrigation well Var.: "-- 11.Tank/leaching minimum 10 ft from property line Var.: ✓" 12. System meets all other setback requirements Var.: 13.Uses adjustment for maximum high groundwater Var.: -- 14.Leaching set 4-5 ft above adj. water or bottom of test hole Var.: L.---- 15. System not in top or subsoil(A,B horizons)or 5'removal 1.`_____ 16.Proposed contours are suitable t___------ 17. System meets slope requirements-min. 1/8", ' "preferred 18. System meets breakout requirements PVC liner: Wall: ....---- 19. Specified tee sizes are proper, gas baffle on outlet tee L..------- 20. .„-./20. Sewage is under 10,000 gpd for parcel 21.No garbage disposal %// §4.' t! /u-v / y >( ( �/ r,-____� 22. System adequately sized for its intended use / : 23.Minimum 6"stone or compacted below tank and dbox 24.Manhole covers within 6"of grade,pump chamber cover to grade L-- 25.Inspection port on plastic chambers/leach field --' 26.Electrical permit for pump chamber/Separate meter for duplexes ,..------ 27. ...._...27.Pump system-2" line,weep hole,check valve,tee in dbox, pump size 28. Septic tank/pump chamber to be factory waterproofed .i-- 29.Vent provided if leaching below 3 feet,under driveway/parking ------- 30. 30.Buoyancy calculations for tank/pump chamber _------ 31. /31. Engineer to inspect and certify soils: wall: commercial: ----- 32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature _i-- 33.14-20 loading is subject to vehicular traffic, groundwater 34. Title V Application and permit fee, installer signature -------- 35. ,/35.Foundation footing min. 2 feet above adjusted ground water for new house ------ 36. y''36.Deed Restriction required max. #bedrooms: max. flow: gpd „--- �- 37.Check area lots for groundwater/Label groundwater in Assessor's Map Plan reviewed by: C ill 6/03/03