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HomeMy WebLinkAboutReview Checklist 3 7-/ 6u � r TOWN OF YARMOUTH /97. /� SEWAGE PLAN REVIEW CHECKLIST � (..-' / -34,,Ze,c6.--2-, Location: A.M. /© r Lot 2‘ Zone of Contribution: In,........Out_ Acreage/11 .--419- --- G_ ,� �` `����/�p/� Commercial: Residential: 6/ Street: / Village: j� Floor Plan: ✓ #Bedrooms: Owner: (friX4 l�lf� Installer: Address: Phone: 5-0)�7r ‘-f6 (r' Phone: Builder: Engineer: I. .....f /Ge�/ . Address: Phone: .-- ?j�%S-6 ,Z- ..-- Phone: p.67rxi ieee N/A YES NO 1.Required# of copies received C/ 2. Date of soils exam and percolation test not older than 2 years ll 3. 4-5 ft of naturally occurring pervious material, above water table L.----- 4. /4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: 5. Water line 10 ft from septic components Var.: L----- 6. /6. Benchmark indicated and shown-NGVD if near wetlands (----"- 7. /7. Septic tank minimum 10 ft from foundation, deck Var.: v - 8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: L/ 9.Leaching minimum 100 ft from wetlands Var.: L..--.. 10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: I------ 11. Tank/leaching minimum 10 ft from property line Var.: 1/4----- 12. /12. System meets all other setback requirements Var.: L.�.i 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. _15. System not in top or subsoil(A,B horizons) or 5' removal c 16.Proposed contours are suitable L--- 17. System meets slope requirements-min. 1/8", '/a"preferred L.--- 18. o18. System meets breakout requirements PVC liner: Wall: C.----- 19. /19. Specified tee sizes are proper, gas baffle on outlet tee C/ P P P 20. Sewage is under 10,000 gpd for parcel L.------ - 21.No garbage disposal (S 22. System adequately sized for its intended use Ll 23.Minimum 6"stone or compacted below tank and dbox ( ---- r 24.Manhole covers within 6"of grade,pump chamber cover to grade L---• 25.Inspection port on plastic chambers/leach field L--- 26. Electrical permit for pump chamber/Separate meter for duplexes c...-- 27.Pump system-2" line,weep hole,check valve,tee in dbox, pump size _.....--- 28. �28. Septic tank/pump chamber to be factory waterproofed .---' 29.Vent provided if leaching below 3 feet,under driveway/parking 30. Buoyancy calculations for tank/pump chamber 31.Engineer to inspect and certify soils: wall: commercial: i� 32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature 4.....----- 33. .-m33.H-20 loading is subject to vehicular traffic, groundwater 34.Title V Application and permit fee, installer signature - `�/ 35.Foundation footing min. 2 feet above adjusted ground war new house .......--- 36. 36.Deed Restriction required max. #bedrooms: ax. flo�gpd 37.Check area lots for groundwater/Label groundwater in Assessor's Map Plan reviewed by: ( 6/03/03