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TOWN OF YARMOUTH
• SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. ( Lot 7, Zone of Contribution: In Out Acreage
Commercial: Residential: .-------'
Street: 7.c6 4.
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Village: (,(/� ��� Floor Plan: #Bedrooms:
Owner: 9 Installer: _ / G
Address: r Phone:
Phone: .- 6511/ /. �1l) ` . c14
.
Builder: Engineer: 1..../.6a i,,
Address: Phone: - �‘ 7 /-/7
Phone: - 56,:c i aa6etG :',
• N/A YES NO
1.Required#of copies received
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.: 1/4.,..---'
5.Water line 10 ft from septic components Var.: j 4,__t2'r" (."` ,, ;r C
6.Benchmark indicated and shown-NGVD if near wetlands / _ t,•l
7. Septic tank minimum 10 ft from foundation, deck Var.: ;
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ( a "'. �i>J L.--
9.Leaching minimum 100 ft from wetlands Var.: 24 L,,
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: L'"
11. Tank/leaching minimum 10 ft from property line Var.: `7. ( --) i--'-
12. System meets all other setback requirements Var.: t/
13.Uses adjustment for maximum high groundwater
14.Leaching set 4-5 ft above adj. water or botto of test hole Nar.: ( f'' t----- c >- _
15. System not in top or subsoil(A,B horizons)o 5'removal_,/
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16.Proposed contours are suitable - `_.:.-'
17. System meets slope requirements-min. 1/8", 'A"preferred , \-----"
18. System meets breakout requirements PVC liner t'I./A Wall:
19. Specified tee sizes are proper, gas baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel i------
21.No garbage disposal +...- y''--
• 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 (' /
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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 Map
Plan reviewed by: 1 +'u 6/03/03