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HomeMy WebLinkAboutReview Checklist • 4-2-2TOWN OF YARMOUTH 6,--1/-0 SEWAGE PLAN REVIEW CHECKLIST J Location: A.M. Z" -- Lot 3 3 7 Zone of Contribution: In Out -- - reage Commercial: Residential: Street: -27 Z� " .,/e .Village: j , QG`Leil if Floor Plan: �---' #Bedrooms: Z Owner: C `�Gl G'�2' Installer: / i f� ,'ii, / t�/ph,,,l . Address: Phone: 4f. _ 1Il' Phone: - Builder: Engineer: ele ---Pie:; Address: Phone: . .'se- ik¢- a- i Phone: /61 Al 74‘' /.1 e'P /(C. AW .r 1 40444e4 N/A YES NO 1.Required# of copies received _ ✓ 2. Date of soils exam and percolation test not older than 2 years t,. ------. 3. 4-5 ft of naturally occurring pervious material, above water table 4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: `...--•"----' 5. Water line 10 ft from septic components Var.: t..--- 6.Benchmark indicated and shown-NGVD if near wetlands .4.---- 7. Septic tank minimum 10 ft from foundation, deck Var.: c.------ 8. .!8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: k------ 9. Leaching minimum 100 ft from wetlands Var.: 1/4------- 10. Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: c._...--- 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.: aV, t�- 14. Leaching set 4-5 ft above adj. water or bottom of - Var.: (......---- 15. System not in top or subsoil(A,B horizons or 5' re II• : 4,-------- 16.Proposed contours are suitable L 17. System meets slope requirements-min. 1/8", '/4"preferred L.- 18. System meets breakout requirements PVC liner: Wall: t--- 419. - -- `.e19. Specified tee sizes are proper, gas baffle on outlet tee c._._- -20. Sewage is under 10,000 gpd for parcel �.-• 21.No garbage disposal --_ 22. System adequately sized for its intended use ` . 23.Minimum 6" stone or compacted below tank and dbox c 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.Pump system-2" line,weep hole,check valve,tee in dbox, pump size 28. Septic tank/pump chamber to be factory waterproofed r---• 29. Vent provided if leaching below 3 feet, under driveway/parking 4-..- 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 t./ 33.11-20 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: @ 6/03/03