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HomeMy WebLinkAboutReview Checklist - �( / TOWN OF YARMOUTH SEWAGE PLAN REVIEW CHECKLIST •Location: A.M. 64 Lot /IP Zone of Contribution: In Out eage /4 5-4,0741elef ' Commercial: Residential:�`Street:(� Village: Y:00' V Floor Plan: / #Bedrooms: 2/ Owner: 66(4 Installer: 4/ Address: Phone: 7-7 - : 4W/ Phone: Builder: Engineer: e-Z �" '"/ G 0....i.„ Address: Phone: f77'-4 /j' Phone: N/A YES NO 1.Required#of copies received t..---- 2.Date of soils exam and percolation test not older than 2 years 3.4-5 ft of naturally occurring pervious material, above water table L.--- 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 L----* 7. Septic tank minimum 10 ft from foundation, deck Var.: L.----- 8.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. ..-✓13.Uses adjustment for maximum high groundwater Var.: 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 1/4.--- 16.Proposed contours are suitable C._. 17. System meets slope requirements-min. 1/8", '/4"preferred L.,- 18. l18. System meets breakout requirements PVC liner: Wall: L----- 19. Specified tee sizes are proper,gas baffle on outlet tee c_._s' 20. Sewage is under 10,000 gpd for parcel ----- 21.No garbage disposal (.------- 22. System adequately sized for its intended use L/ 23.Minimum 6"stone or compacted below tank and dbox 4.---- 24. .--o24.Manhole covers within 6"of grade,pump chamber cover to grade (......--- 25. r25. Inspection port on plastic chambers/leach field L----- 26. i26. Electrical permit for pump chamber/Separate meter for duplexes �1 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 `_..-----4 33.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 water for new house 36.Deed Restriction required max. #bedrooms: max. flow: gpd 37. Check area lots for groundwater/Label groundwater in Assessor's /Map Plan reviewed by: `�CiCJr 6/03/03