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HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH _ - SEWAGE PrN REVIEW CHECKLIST Location: A.M. 5 Lot //9 Zone of Contribution: In Out �reage / Commercial: Residential: /D Street: / (: UC-//�? � C,....-------if � Village: /if Floor Floor Plan: V #Bedrooms: Owner: Y Installer: ls„...6 Address: Phone: I Phone: Builder: Engineer: ,2 , Address: Phone: �� � '- Phone: ✓(/// C „, 17 � 1, ,491- � /�(` 5���"7 N/A YES NO 1.Required#of copies received tom/ 2. Date of soils exam and percolation test not older than 2 years _ f..._.--- 3.4-5 .---3.4-5 ft of naturally occurring pervious material, above water table L'-'7- 4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: 1/4..__`.-1 5. Water line 10 ft from septic components Var.: ‘..._....---- 6. Benchmark indicated and shown-NGVD if near wetlands /' 7. Septic tank minimum 10 ft from foundation, deck Var.: a cG s tL,G 8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: \-/ 9.Leaching minimum 100 ft from wetlands Var.: l. . 10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: t....._.....-- 11. r11. Tank/leaching minimum 10 ft from property line Var.: �� t----' 12. System meets all other setback requirements Var.: Le 13.Uses adjustment for maximum high groundwater Var.: 6 .3f '- g____..c.----- 14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: 15. System not in top or subsoil(A,B horizons)or 5' removal (....---- 16. f16.Proposed contours are suitable --1.....------ 17. .-->17. System meets slope requirements-min. 1/8", 'A"preferred t. ---- 18. System meets breakout requirements PVC liner: Wall: �--. 19. Specified tee sizes are proper, gas baffle on outlet tee L.------ 20. Sewage is under 10,000 gpd for parcel l_- - 24.No garbage disposal L- ---- 22. System adequately sized for its intended use �,,_. 23.Minimum 6"stone or compacted below tank and dbox k•-___--. 24.Manhole covers within 6"of grade,pump chamber cover to grade L------" 25. Inspection port on plastic chambers/leach field (..-r 26. Electrical permit for pump chamber/Separate meter for duplexes �---• 27.Pump system-2"line,weep hole,check valve,tee in dbox, pump size 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: 32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature 33.H-20 loading is subject to vehicular traffic, groundwater 34.Title V Application and permit fee, installer signature _ L��• 35.Foundation footing min. 2 feet above adusted ground water for new house 36. Deed Restriction required max. #bedrooms: max. flow: gpd 37. Check area lots for groundwater/Label groundwater in Assess is Map Plan reviewed by: 6/03/03