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HomeMy WebLinkAboutReview Checklist TOWN OF YARNIOUTH SEWAGE PLAN REVIEW CHECKLIST Location: A.M. 6 3 Lot 9� Zone of Contribution: In Out Acreage /S OOe y^ -1- / d/ Commercial: Residential: Street: 7,3 Coo/; � , . - Village: Floor Plan: 1.- # Bedrooms: -- Owner: --- Owner: : Installer: J L. N EEC A v cC�; o w Phone: Phone: : Builder Address:: Engineer: 4� r-r-;n,y'f'o p P Phone: Phone: 1. Required#of copies received N/A YES NO 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 4. Foundation 2 ft above highpoint of road t/ -- g H.P.: Fnd: Var.: 5. Water line 10 ft from septic components Var.: I - 6. Benchmark indicated and shown-NGVD if near wetlands 7. Septic tank minimum 10 ft from foundation, deck Var.: J I �� 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 we11/25 ft irrigation well Var.: 11. Tank/leaching minimum 10 ft from property line Var.: / 12. System meets all other setback requirements Var.: \` v 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 I 16. Proposed contours are suitable 17. System meets slope requirements-min. 1/8", %"preferred __18. System meets breakout requirements PVC liner: Wall: 19. Specified tee sizes are proper, gas baffle on outlet tee 1� 20. Sewage is under 10,000 gpd for parcel 21. No garbage disposal v 22. System adequately sized for its intended use 23. Minimum 6"stone or compacted below tank and dbox I 24. Manhole covers within 6"of grade, pump chamber cover to grade 25. Inspection port on plastic chambers/leach field / ---- 1 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 G/ 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 35. Foundation footing min. 2 feet above adjusted_ground water for new house 36. Deed Restriction required max. #bedrooms: max. flow: gpd I �j 37. Check area lots for groundwater/Label groundwater in Assessor's Map 17 Plan reviewed by: 4'--2 O --2 r> G 0101 1