HomeMy WebLinkAboutReview Checklist 6,
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r TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. 21 Lot i‘f Zone of Contribution: In Out eage
Street: - - 'J4 '1
Commercial: Residential: �y
Village: r frill/ Floor Plan: ✓ #Bedrooms: . ,
Owner: 7 Installer: (:; 52�
Address: Phone: - )"1O - f L?
Phone: 7 7 /, Y i4
Builder: Engineer:
Address: Phone: .- 9 7 -/(, 7
Phone: - /,, ,---'/ `7 '',,,-/- /
N/A YES NO
1.Required#of copies received v'
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 high point of road H.P.: Fnd: Var.: `,l
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.: �/
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.Uses adjustment for maximum high groundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom o le Var.: / f✓
15. System not in top or subsoil(A,B horizons) or 5'remova
16.Proposed contours are suitable k_ /-
17. System meets slope requirements-min. 1/8", ' "preferred Lt.-------
18. System meets breakout requirements PVC liner:z i- r Wall: c/
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
.22. System adequately sized for its intended use s_.----
23.Minimum 6"stone or compacted below tank and dbox 4%
24.Manhole covers within 6"of grade,pump chamber cover to grade
25. Inspection port on plastic chambers/leach field -�
26. Electrical permit for pump chamber/Separate meter for duplexes s."-
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 s_
30.Buoyancy calculations for tank/pump chamber _ ;e
31. Engineer to inspect and certify soils: wall: commerc l:
32. Engineer/Registered Sanitarian and Land Surveyor stamps/signature t 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: 6/03/03
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