HomeMy WebLinkAboutReview Checklist Z4//'-'11 -
l'G / 4-- ( TOWN OF YARMOUTH
62,
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. 7g Lot /aZone of Contribution: In Out Acreage I---
Commercial: Residential: -t�
Street: Q 6.62,1./0, /
Village: S P Floor Plan: ✓ #Bedrooms: 2-
Owner: ,€/- ‘7Installer: 1(-2} ' 1: �L'
Address: Phone: t cl f'7.7 7 7
Phone: /
/I1lr . / t ,'- 'a/
Builder: Engineer: /GE'`'C
Address: Phone: / -6 F
Phone: - e y- C. f e e/G-;
/A YES NO
1.Required#of copies received L,
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.: ..
5.Water line 10 ft from septic components Var.: C------
6.
.---�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.: L/ _
9.Leaching minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: L.....-------
11.
._../11.Tank/leaching minimum 10 ft from property line Var.: _ !✓f.
12. System meets all other setback requirements Var.: C-----
13.
,/13.Uses adjustment for maximum high groundwater Var.: f .
14.Leaching set 4-5 ft above adj. water or bottom est h : Var.: Li
15. System not in top or subsoil(A,B horizons) o 5' removal v
�
16.Proposed contours are suitable %.___-_.
17. System meets slope requirements-min. 1/8", 'A"preferred / (...._-----
18. System meets breakout requirements PVC liner: I G 1t'Wall: '-
19. Specified tee sizes are proper, gas baffle on outlet tee '� •
20. Sewage is under 10,000 gpd for parcel ti„-----
21.
/y21.No garbage disposal L
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 ;cam-''' _
25.Inspection port on plastic chambers/leach field i ----'-
26.Electrical permit for pump chamber/Separate meter for duplexes ‘..._-------
27.
..._-,,/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.
../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: 7%r7/Z', gpd (,,,-- ''
37. Check area lots for groundwater/Label groundwater in Assessor's M p I
Plan reviewed by: 1 11' 6/03/03