HomeMy WebLinkAboutReview Checklist ‘1,--)*-(e0
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Lot 76 Zone of Contribution: In Out C Acreage
f �� �_h a Commercial: Residential:Street:
Village: _, .- Ll�' Floor Plan: # edro H : 2
Ctree.„--2,11.7--Ceodeee,X6/5e:4/, '17
Owner: 7 Installer:
Address: Phone:
Phone: f t-i� 0(et
Builder: Engineer: ir,f%/
Address: Phone: �' ,7 /,'j 7
Phone: p;_` ,` fy
f ll /� 12 / _idry
/NIA YES NO
1.Required# of copies received 1.-
------
2.Date of soils exam and percolation test not older than 2 years L------
3.4-5
---�3.4-5 ft of naturally occurring pervious material, above water table 1/4....-----
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.:
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.: L.-------
9.Leaching minimum 100 ft from wetlands Var.: c
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.:
12. System meets all other setback requirements Var.: t„,...------
13.
,Y/13.Uses adjustment for maximum high groundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom o st o(ar.: i' --
15. System not in top or subsoil(A,B horizons)or 'removaL.-/
16.Proposed contours are suitable t-----
17. System meets slope requirements-min. 1/8", 'A"preferred 4, 4.....----
18. System meets breakout requirements PVC liner 'eiWall: t...-----
19. Specified tee sizes are proper, gas baffle on outlet tee c------
20. Sewage is under 10,000 gpd for parcel t..--�
- 21.No garbage disposal i..------
22. System adequately sized for its intended use t.„..-i
23.Minimum 6"stone or compacted below tank and dbox C _..----
24.Manhole covers within 6"of grade, pump chamber cover to grade t....--"-
25.
/25.Inspection port on plastic chambers/leach field ice.
26. Electrical permit for pump chamber/Separate meter for duplexes L-----
27.
.-27.Pump system-2" line,weep hole,check valve,tee in dbox,pump size •..--
28. Septic tank/pump chamber to be factory waterproofed ' C_..
29.Vent provided if leaching below 3 feet, under driveway/parking \....._.----
30.
.--30.Buoyancy calculations for tank/pump chamber
31. Engineer to inspect and certify soils: wall: commeral: --�"
32. Engineer/Registered Sanitarian and Land Surveyor stamps/signature k1.6-' ( l)
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:Amax. flow: gpd ---
37. Check area lots for groundwater/Label groundwater in Assessor's Ma jJ,.7'
)
Plan reviewed by:
6/03/03