Review ChecklistLocation: A.M. f t
Street: v
Village:
Owner:
Address:
Phone:
Builder:
Address:
Phone:
`TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Lot
Zone of Contribution: In Out _r Acreage
Commercial: Residential: ----
Floor Plan: # Bedrooms:
Installer:
Phone:
Engineer:
Phone:
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N/A NO
1. Required # of copies received
2. Date of soils exam and pe
3.4-5 ft of naturally occurr
4. Foundation 2 ft above big / Yar.:
5. Water line 10 ft from sept
6. Benchmark indicated and
7. Septic tank minimum 10 f
8. Leaching minimum 20 ft f
9. Leaching minimum 100 ft
10. Leaching minimum 150 ft
11. Tank/leaching minimum 11 _
12. System meets all other setb
13. Uses adjustment for maxim �G G
14. Leaching set 4-5 ft above ai
15. System not in top or subsoi;
16. Proposed contours are suita
17. System meets slope re uirei;�
18. System meets breakout requ- PVC liner: Wall: r
19. Specified tee sizes are proper, gas baffle on outlet tee
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
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
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
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 Ma
Plan reviewed by: (� 6/03/03