HomeMy WebLinkAboutReview Checklist --14;------fTOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST / /,,, . ...1C 44402)y2....7
Location: A.M. -7,C Lot / 7 6 Zone of Contribution: In ut_ Acreage ®, S 00.0
Commercial: Residential: (--
• Street: "1--‘ 10)0t 47
Village: Koer Floor Plan: (./ #Bedrooms: 7--
Owner:
6E7( Installer: 6 6
/ G Phone: •- a:r
Address: GI�i� �7T
Phone:
Builder: Engineer:
Address: Phone: 'aj 7--/i/7
Phone:
N/A YES/ NO
1.Required# of copies received 1
2. Date of soils exam and percolation test not older than 2 years L----
3.
i3. 4-5 ft of naturally occurring pervious material, above water table t....---
4.
.r4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: c.i---
5. Water line 10 ft from septic components Var.: L-------
6.Benchmark indicated and shown-NGVD if near wetlands L„/
7. Septic tank minimum 10 ft from foundation, deck Var.: %----
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: V/
9.Leaching minimum 100 ft from wetlands Var.: ..._.-----
10.
-f10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: -- ----
11. Tank/leaching minimum 10 ft from property line Var.: t-------
12.
/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 of test hole Var.:
15. System not in top or subsoil(A,B horizons) or 5' removal ‘..._.--
16.Proposed contours are suitable � --•
17. System meets slope requirements-min. 1/8", '/4"preferred �.i'
18. System meets breakout requirements PVC liner: Wall: L__.
19. Specified tee sizes are proper, gas baffle on outlet tee \.----
20. Sewage is under 10,000 gpd for parcel -
- 21.No garbage disposal
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 L.--
25.Inspection port on plastic chambers/leach field L.----
26.
126.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 L...---
34.
f34.Title V Application and permit fee, installer signature - �.---
35.Foundation footing min. 2 feet above adjusted ground water for new house ...-----
36.
-✓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