HomeMy WebLinkAboutReview Checklist f-21 7
TOWN O F YARMOUTH Zat(�/ ,Z.
SEWAGE PLAN REVIEW CHECKLIST /..1(4 ,c 2 t2e161-1
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Location: A.M. //C--- Lot (72_ Zone of Contribution: Ind- 6ut_ Acreage/CI f,,. --
/`s��``"7 Commercial: Residential: v
Street: CVillage: A 6 Floor Plan: 1./ #Bedrooms: %2---
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Owner: P1 K Installer: X-- 5
Address: Phone: 4 4�
Phone:
45
lith,
Builder: Engineer: he 5-5 /2 � ��f
Address: Phone: --?� r ri i �/I
Phone: 1&f / Q S
Ole GG ayye'��/!!/m4 -
N/A YES NO
1.Required#of copies received ��'
2. Date of soils exam and percolation test not older than 2 years t-----
3.
-/3. 4-5 ft of naturally occurring pervious material, above water table L'r'
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.:
5. Water line 10 ft from septic components Var.: (...---
6. Benchmark indicated and shown-NGVD if near wetlands t/
7. Septic tank minimum 10 ft from foundation, deck Var.: �/
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: 4, �� (.-----
9.
./9. Leaching minimum 100 ft from wetlands Var.: 1.---'
10. Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: c....-----
11.
ss11. Tank/leaching minimum 10 ft from property line Var.: /,*-- Cll c---'
12. System meets all other setback requirements Var.: L/--.
13. Uses adjustment for maximum high groundwater Var.: i,.....----
14.
>14. Leaching set 4-5 ft above adj. water or bottom of test hole Var.: t----
15. System not in top or subsoil(A,B horizons)or 5' removal L.------
16.
Proposed contours are suitable L....-----
17. System meets slope requirements-min. 1/8", 'A"preferred
18. System meets breakout requirements PVC liner: Wall: L...----
19. Specified tee sizes are proper, gas baffle on outlet tee L.-e
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20. Sewage is under 10,000 gpd for parcel �,,.
21.No garbage disposal t----
22.
/22. System adequately sized for its intended use c..---'
i 23.Minimum 6"stone or compacted below tank and dbox C..---'
24.Manhole covers within 6"of grade,pump chamber cover to grade t.------
25.Inspection port on plastic chambers/leach field t/
26. Electrical permit for pump chamber/Separate meter for duplexes L....---1
27.Pump system-2" line,weep hole,check valve,tee in dbox, pump size is
28. Septic tank/pump chamber to be factory waterproofed f
29.Vent provided if leaching below 3 feet, under driveway/parking La"
30.Buoyancy calculations for tank/pump chamber ..----.
31. Engineer to inspect and certify soils: wall: commercial: `/
32.Engineer/Registered Sanitarian and Land Surveyor stamps/signaturef_5 CD
33.H-20 loading is subject to vehicular traffic, groundwater L�
34.Title V Application and permit fee, installer signature -
c..........--
35.
�35.Foundation footing min. 2 feet above adjusted ground water for new house ��
36. Deed Restriction required max. #bedrooms: 2-max. flow: ? gpd v----*
37. Check area lots for groundwater/Label groundwater in Assessor's Map �/
Plan reviewed by: 6/03/03